Assessing out-of-pocket expenditures for primary health care: how responsive is the Democratic Republic of Congo health system to providing financial risk protection?

Samia Laokri, Rieza Soelaeman and David R Hotchkiss

ULB Institutional Repository from ULB -- Universite Libre de Bruxelles

Abstract: The goal of universal health coverage is challenging for chronically under-resourced health systems. Although household out-of-pocket payments are the most important source of health financing in low-income countries, relatively little is known about the drivers of primary health care expenditure and the predictability of the burden associated with high fee-for-service payments. This study describes out-of-pocket health expenditure and investigates demand- and supply-side drivers of excessive costs in the Democratic Republic of Congo (DRC), a central African country in the midst of a process of reforming its health financing system towards universal health coverage.

Keywords: Access to primary health care; Democratic Republic of Congo; Direct cost; Health equity; Health financing reform, health insurance coverage, low-income countries; Out-of-pocket expenditure for health, sustainable health system; Outpatient care/cost of ambulatory care (search for similar items in EconPapers)
Date: 2018-06
Note: SCOPUS: ar.j
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (7)

Published in: BMC health services research (2018) v.18 n° 1,p.451

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