Please use this identifier to cite or link to this item: http://hdl.handle.net/10625/46488
Title: Methodological challenges in evaluating health care financing equity in data-poor contexts : lessons from Ghana, South Africa and Tanzania
Authors: Borghi, Josephine
Ataguba, John
Mtei, Gemini
Akazili, James
Meheus, Filip
Keywords: HEALTH INSURANCE
HEALTH FINANCING
ACCESS TO HEALTH CARE
INSURANCE CONTRIBUTIONS
TAXES
OUT-OF-POCKET EXPENDITURES
SOCIAL EQUITY
INCIDENCE ANALYSIS
DATA-POOR CONTEXT
Date: 2009
Publisher: Emerald Group Publishing, Bingley, GB
Series/Report no.: Advances in health economics and health services research / Emerald Group Publishing; vol. 21
Abstract: Objective - Measurement of the incidence of health financing contributions across socio-economic groups has proven valuable in informing health care financing reforms. However, there is little evidence as to how to carry out financing incidence analysis (FIA) in lower income settings. We outline some of the challenges faced when carrying out a FIA in Ghana, Tanzania and South Africa and illustrate how innovative techniques were used to overcome data weaknesses in these settings. Methodology - FIA was carried out for tax, insurance and out-of-pocket (00 P) payments. The primary data sources were Living Standards Measurement Surveys (LSMS) and household surveys conducted in each of the countries; tax authorities and insurance funds also provided information. Consumption expenditure and a composite index of socioeconomic status (SES) were used to assess financing equity. Where possible conventional methods of FIA were applied. Numerous challenges were documented and solution strategies devised...
ISBN: 978-1-84855-664-5
URI: http://hdl.handle.net/10625/46488
Project Number: 103457
Project Title: Health Insurance to address Health Inequities in Ghana, South Africa and Tanzania
Access: IDRC Only
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