• Media type: E-Article
  • Title: Out-of-pocket payments and catastrophic expenditures due to traffic injuries in Ouagadougou, Burkina Faso
  • Contributor: Petitfour, Laurène; Bonnet, Emmanuel; Mathevet, Isadora; Nikiema, Aude; Ridde, Valéry
  • imprint: Springer Science and Business Media LLC, 2021
  • Published in: Health Economics Review
  • Language: English
  • DOI: 10.1186/s13561-021-00344-w
  • ISSN: 2191-1991
  • Keywords: Health Policy
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Objective</jats:title> <jats:p>To estimate the out-of-pocket expenditures linked to Road Traffic Injuries in Ouagadougou, Burkina Faso, as well as the prevalence of catastrophic expenditures among those out-of-pocket payments, and to identify the socio-economic determinants of catastrophic expenditures due to Road Traffic Injuries.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>We surveyed every admission at the only trauma unit of Ouagadougou between January and July 2015 at the time of their admission, 7 days and 30 days later. We estimate a total amount of out-of-pocket expenditures paid by each patient. We considered an expense as catastrophic when it represented 10% at least of the annual global consumption of the patient’s household. We used linear models to determine if socio-economic characteristics were associated to a greater or smaller ratio between out-of-pocket payment and global annual consumption.</jats:p> </jats:sec><jats:sec> <jats:title>Findings</jats:title> <jats:p>We surveyed 1323 Road injury victims three times (admission, Days 7 and 30). They paid in average 46,547 FCFA (83.64 US dollars) for their care, which represent a catastrophic expenditure for 19% of them. Less than 5% of the sample was covered by a health insurance scheme. Household economic status is found to be the first determinant of catastrophic health expenditure occurrence, exhibiting a significant and negative on the ratio between road injury expenditures and global consumption.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Our findings highlight the importance of developing health insurance schemes to protect poor households from the economic burden of road traffic injuries and improve equity in front of health shocks.</jats:p> </jats:sec>
  • Access State: Open Access