Determinants of individual healthcare expenditure: A cross‐sectional analysis in rural Burkina Faso

Meike Irene Nakovics, Stephan Brenner, Paul Jacob Robyn, Ludovic Deo Gracias Tapsoba and Manuela De Allegri

International Journal of Health Planning and Management, 2019, vol. 34, issue 4, e1478-e1494

Abstract: Introduction Overwhelming evidence suggests that out‐of‐pocket expenditures (OOPEs) hamper access to care and impose a heavy economic burden across sub‐Saharan Africa (SSA). Still, current user fee reduction and removal policies often target specific groups and services, leaving large sections of the population exposed to OOPE. Methods To estimate the magnitude and the determinants of OOPE for curative services in Burkina Faso, we used data from a household survey conducted in 24 districts between October 2013 and March 2014 (n = 7844). Given a context of medical pluralism, we purposely focused on total OOPE irrespective of type of care sought. We used a two‐part regression model to estimate determinants of OOPE. Results Nearly 60% of those who reported an illness episode incurred a positive expenditure, with an average amount of 9362.52 FRS CFA per episode (1 USD = 577.94 FRS CFA). The first model revealed that the probability of incurring a positive OOPE was positively associated with perceived illness severity (P

Date: 2019
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