Triple burden of disease and out of pocket healthcare expenditure of women in India

Laishram Ladusingh · Sanjay Kumar Mohanty · Melody Thangjam

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Abstract

AIM: Women, unlike men, are subjected to triple burden of disease, namely, non-communicable and communicable diseases and reproductive health related diseases. To assess prevalence of triple burden of disease of currently married women and to contrast out of pocket maternal care expenditure of these diseases in India. SUBJECT AND METHODS: This study uses nationally representative unit level data from the 71st round (2014) of the National Sample Survey Organisation. Descriptive statistics and bivariate analysis are employed to assess triple burden of diseases by background of currently married women. Mean out of pocket (OOP) expenditure for healthcare care by demographic and household characteristics of women are also compared by type of diseases. Two parts model is adopted for assessment of determents of out of pocket healthcare expenditure of women. RESULTS: Overall medical and non-medical expenses of non-communicable disease are much higher than those of other disease and disability, reproductive health related and communicable diseases. OOP expenditure for treatment of non-communicable diseases, reproductive health and related diseases and other disease and disability are significantly higher than the inpatient treatment of communicable diseases and the differences are statistically significant. CONCLUSION: Out of pocket expenditure for treatment of non-communicable diseases is the highest, followed by that of other diseases & disability, then reproductive health related diseases and the least is for communicable diseases. OOP expenditures for maternal healthcare in private health facilities are much higher than in public health facilities regardless of types of disease. Women from households having insurance of any member spent less than that of women from households not having health insurance. There is an urgent need to expand the outreach of the public health system in India to rural areas.

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2011Health care and equity in India 2002Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges.2011Continuing challenge of infectious diseases in India 2010The impoverishing effect of healthcare payments in India: new methodology and findings.2007Indian community health insurance schemes provide partial protection against catastrophic health expenditure 2012Out-of-pocket expenditure on institutional delivery in India 2011Maternal and neonatal health expenditure in mumbai slums (India): A cross sectional study 2006Equity in out-of-pocket payments for hospital care: Evidence from India

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