Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey
In the last decade, Zimbabwe has undertaken substantial changes and implemented new initiatives to improve health system performance and services delivery, including results-based financing in rural health facilities. This study aims to examine the utilization of health services and level of financi...
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2019
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okr-10986-311472021-05-25T10:54:36Z Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey Zeng, Wu Lannes, Laurence Mutasa, Ronald CATASTROPHE HEALTH EXPENDITURE HEALTH FINANCE OUT-OF-POCKET HEALTH COSTS POVERTY HEALTH SYSTEM REFORM HEALTH SERVICES RESULTS-BASED FINANCING HEALTH EXPENDITURE LIVING STANDARDS In the last decade, Zimbabwe has undertaken substantial changes and implemented new initiatives to improve health system performance and services delivery, including results-based financing in rural health facilities. This study aims to examine the utilization of health services and level of financial risk protection of Zimbabwe’s health system. Using a multistage sampling approach, 7,135 households with a total of 32,294 individuals were surveyed in early 2016 on utilization of health services, out-of-pocket (OOP) health expenditure, and household consumption (as a measure of living standards) in 2015. The study found that the outpatient visits were favorable to the poor but the poorest had less access to inpatient care. In 2015, household OOP expenditure accounted for about one quarter of total health expenditure in Zimbabwe and 7.6% of households incurred catastrophic health expenditure (CHE). The incidence of CHE was 13.4% in the poorest quintile in comparison with 2.8% in the richest. Additionally, 1.29% of households fell into poverty due to health care–related expenditures. The study suggests that there are inequalities in utilization of health services among different population groups. The poor seeking inpatient care are the most vulnerable to CHE. 2019-01-11T19:47:15Z 2019-01-11T19:47:15Z 2018-11-06 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/31147 CC BY 4.0 http://creativecommons.org/licenses/by/4.0 World Bank Taylor and Francis Publications & Research :: Journal Article Publications & Research Africa Zimbabwe |
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Digital Repository |
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Foreign Institution |
| institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
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World Bank |
| topic |
CATASTROPHE HEALTH EXPENDITURE HEALTH FINANCE OUT-OF-POCKET HEALTH COSTS POVERTY HEALTH SYSTEM REFORM HEALTH SERVICES RESULTS-BASED FINANCING HEALTH EXPENDITURE LIVING STANDARDS |
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CATASTROPHE HEALTH EXPENDITURE HEALTH FINANCE OUT-OF-POCKET HEALTH COSTS POVERTY HEALTH SYSTEM REFORM HEALTH SERVICES RESULTS-BASED FINANCING HEALTH EXPENDITURE LIVING STANDARDS Zeng, Wu Lannes, Laurence Mutasa, Ronald Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey |
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Africa Zimbabwe |
| description |
In the last decade, Zimbabwe has undertaken substantial changes and implemented new initiatives to improve health system performance and services delivery, including results-based financing in rural health facilities. This study aims to examine the utilization of health services and level of financial risk protection of Zimbabwe’s health system. Using a multistage sampling approach, 7,135 households with a total of 32,294 individuals were surveyed in early 2016 on utilization of health services, out-of-pocket (OOP) health expenditure, and household consumption (as a measure of living standards) in 2015. The study found that the outpatient visits were favorable to the poor but the poorest had less access to inpatient care. In 2015, household OOP expenditure accounted for about one quarter of total health expenditure in Zimbabwe and 7.6% of households incurred catastrophic health expenditure (CHE). The incidence of CHE was 13.4% in the poorest quintile in comparison with 2.8% in the richest. Additionally, 1.29% of households fell into poverty due to health care–related expenditures. The study suggests that there are inequalities in utilization of health services among different population groups. The poor seeking inpatient care are the most vulnerable to CHE. |
| format |
Journal Article |
| author |
Zeng, Wu Lannes, Laurence Mutasa, Ronald |
| author_facet |
Zeng, Wu Lannes, Laurence Mutasa, Ronald |
| author_sort |
Zeng, Wu |
| title |
Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey |
| title_short |
Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey |
| title_full |
Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey |
| title_fullStr |
Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey |
| title_full_unstemmed |
Utilization of Health Care and Burden of Out-of-Pocket Health Expenditure in Zimbabwe : Results from a National Household Survey |
| title_sort |
utilization of health care and burden of out-of-pocket health expenditure in zimbabwe : results from a national household survey |
| publisher |
Taylor and Francis |
| publishDate |
2019 |
| url |
http://hdl.handle.net/10986/31147 |
| _version_ |
1764473648528228352 |