Nothing Special   »   [go: up one dir, main page]
IDEAS home Printed from https://ideas.repec.org/p/avg/wpaper/en11365.html
   My bibliography  Save this paper

Estimating the distributional incidence of healthcare spending on curative health services in Sub-Saharan Africa: Benefit Incidence Analysis in Burkina Faso, Malawi and Zambia

Author

Listed:
  • Martin RUDASINGWA
  • Bona Mukoshya CHITAH
  • Chrispin MPHUKA
  • Edmund YEBOAH
  • Emmanuel BONNET
  • Valéry RIDDE
  • Paul André SOMÉ
  • Adamson MUULA
  • Manuela DE ALLEGRI
Abstract
Sub-Saharan African countries have been experiencing a persistently high level of inequality in access to healthcare services. Following the global call to eliminate health inequalities worldwide, different investments in health policies towards Universal Health Coverage (UHC) have been made in many Sub-Saharan African countries. However, evidence on the distributional incidence of health spending on these recent UHC-specific reforms is still limited. This paper aimed to close this gap in knowledge by conducting a quasi-longitudinal benefit incidence analysis to assess equality of both public and overall health spending on curative health services across socioeconomic groups in three Sub-Saharan African countries: Burkina Faso, Malawi and Zambia. The study relied on healthcare utilization data derived from different nation-level household surveys (including Living Condition and Monitoring Survey, Performance based Financing Survey, and Zambia Household Health and Expenditure Survey) and health expenditure data derived from National Health Accounts. The findings demonstrated increasing equality in the distributional incidence of health spending over time, but also considerable persistent heterogeneity across provinces/regions/district. Less health financing inequality was observed in Malawi than in the other two country. These findings suggest that the implementation of UHC-specific reforms was effective in increasing equality in the distributional incidence of health spending, meaning that more financial resources reached the poorest segments of society, but was not yet sufficient to remove differences across provinces/regions/districts. Further research is needed to investigate sources of heterogeneity within countries and identify strategies to overcome it.

Suggested Citation

  • Martin RUDASINGWA & Bona Mukoshya CHITAH & Chrispin MPHUKA & Edmund YEBOAH & Emmanuel BONNET & Valéry RIDDE & Paul André SOMÉ & Adamson MUULA & Manuela DE ALLEGRI, 2020. "Estimating the distributional incidence of healthcare spending on curative health services in Sub-Saharan Africa: Benefit Incidence Analysis in Burkina Faso, Malawi and Zambia," Working Paper 1532ddab-3f5b-4c97-be2e-6, Agence française de développement.
    • Handle: RePEc:avg:wpaper:en11365
    as

    Download full text from publisher

    File URL: https://www.afd.fr/sites/afd/files/2020-08-08-18-00/Curative%20health%20services%20in%20SSA.pdf
    Download Restriction: no
    ---><---

    More about this item

    Keywords

    Afrique; Burkina Faso; Zambie;
    All these keywords.

    JEL classification:

    • Q - Agricultural and Natural Resource Economics; Environmental and Ecological Economics

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:avg:wpaper:en11365. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: AFD (email available below). General contact details of provider: https://edirc.repec.org/data/afdgvfr.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.