ArticleBulletin of the World Health Organization2013
Self-reported illness and household strategies for coping with health-care payments in Bangladesh.
Article in Bulletin of the World Health Organization, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.
- The economic impact of non-communicable diseases among households in South Asia and their coping strategy: A systematic review.PloS one · 2018Pooled it
- Evidence on information, access frictions, and experience in public healthcare use in rural Bangladesh: a cluster-randomized field experiment.Health policy and planning · 2026Trial
- Using a Human Challenge Model of Infection to Measure Vaccine Efficacy: A Randomised, Controlled Trial Comparing the Typhoid Vaccines M01ZH09 with Placebo and Ty21a.PLoS neglected tropical diseases · 2016Trial
- Willingness-to-Pay for Health Insurance in South Asia: A Systematic Review and Meta-Analysis.Public health challenges · 2026Review
- Determinants of distress financing for healthcare service utilization: a convergent mixed-method study at a tertiary hospital in Malaysia.Health policy and planning · 2025Article
- A systematised review and evidence synthesis on the broader societal impact of vaccines against Salmonella.NPJ vaccines · 2025Article
- Self-reported illnesses in Thatta: Evidence from a rural and underdeveloped district in Sindh province, Pakistan.PloS one · 2025Article
- Opportunistic random blood glucose screening among professional drivers in northeastern Bangladesh: Assessing undiagnosed diabetes and health awareness.PLOS global public health · 2025Article
- Identification and analysis of influencing factors of multidimensional health poverty in rural areas of Northwest China.Scientific reports · 2024Article
- "It is like an umbrella covering you, yet it does not protect you from the rain": a mixed methods study of insurance affordability, coverage, and financial protection in rural western Kenya.International journal for equity in health · 2023Article
- Forgone healthcare and financial burden due to out-of-pocket payments in Bangladesh: a multilevel analysis.Health economics review · 2022Article
- Sociodemographic factors and uncomplicated cystitis in women aged 15-50 years: a nationwide Swedish cohort registry study (1997-2018).The Lancet regional health. Europe · 2021Article
- Article
- Pumpkin (Heliyon · 2020Article
- Article
- Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis.PloS one · 2020Article
- Gender disparities in health care expenditures and financing strategies (HCFS) for inpatient care in India.SSM - population health · 2019Article
- Article
- Out-of-pocket expenditure for seeking health care for sick children younger than 5 years of age in Bangladesh: findings from cross-sectional surveys, 2009 and 2012.Journal of health, population, and nutrition · 2017Article
- Progress Toward Universal Health Coverage: A Comparative Analysis in 5 South Asian Countries.JAMA internal medicine · 2017Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate self-reported illness and household strategies for coping with payments for health care in a city in Bangladesh.
methodsA cluster-sampled probability survey of 1593 households in the city of Rajshahi, Bangladesh, was conducted in 2011. Multilevel logistic regression - with adjustment for any clustering within households - was used to examine the risk of self-reported illness in the previous 30 days. A multilevel Poisson regression model, with adjustment for clustering within households and individuals, was used to explore factors potentially associated with the risk of health-care-related "distress" financing (e.g. paying for health care by borrowing, selling, reducing food expenditure, removing children from school or performing additional paid work).
findingsAccording to the interviewees, about 45% of the surveyed individuals had suffered at least one episode of illness in the previous 30 days. The most frequently reported illnesses among children younger than 5 years and adults were common tropical infections and noncommunicable diseases, respectively. The risks of self-reported illness in the previous 30 days were relatively high for adults older than 44 years, women and members of households in the poorest quintile. Distress financing, which had been implemented to cover health-care payments associated with 13% of the reported episodes, was significantly associated with heart and liver disease, asthma, typhoid, inpatient care, the use of public outpatient facilities, and poverty at the household level.
conclusionDespite the subsidization of public health services in Bangladesh, high prevalences of distress financing - and illness - were detected in the surveyed, urban households.
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