Evidence map›Paper›PMID 36342557›Full record

ArticleHealth economics review2022

Analysis on the equity differential on household healthcare financing in developing countries: empirical evidence from Tanzania, East Africa.

Felician Andrew Kitole, Robert Michael Lihawa, Eliaza Mkuna

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Article in Health economics review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Felician Andrew KitoleDepartment of Economics, Mzumbe University, P.O Box 5, Mzumbe, Tanzania. felicianandrew@gmail.com.ORCID http://orcid.org/0000-0002-3596-5350
Robert Michael LihawaDepartment of Economics, Mzumbe University, P.O Box 5, Mzumbe, Tanzania.ORCID http://orcid.org/0000-0001-5700-6399
Eliaza MkunaDepartment of Economics, Mzumbe University, P.O Box 5, Mzumbe, Tanzania.ORCID http://orcid.org/0000-0001-7682-0740

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchieving equity in healthcare services has been a global priority. According to the literature, a slew of initiatives aimed at increasing household equity in healthcare financing have exacerbated the problem, making it hard for most developing countries to understand the real cause of the problem.

methodThe non-experimental research design has been used to explore the Tanzania Panel Survey (NPS) data 2019/2020, to investigate equity differential in household healthcare financing in Tanzania by the use of conventional instrumental variable methods of Two-stage and Three-stage least square methods

resultsDespite the global agenda of universal health coverage, this paper reveals that 86 percent of Tanzania lacks health insurance with a high degree of inequitable distribution of health facilities as 71.54 percent of the population is in rural areas, yet these areas have poor health systems compared to urban ones. These disparities increase pressure on household healthcare financing and widen the inequity and equality gaps simultaneously. Additionally, a household's income, education, health care waivers, out-of-pocket expenditure, and user fees have been found to have a significant impact on household equity in healthcare financing.

conclusionTo reverse the situation and increase equity in household healthcare financing in most developing countries, this paper suggests that an adequate pooling system should be used to allow more people to be covered by medical prepayment programs, and the donor-funded programs in developing countries should focus on health sector infrastructure development and not the capacity building.

Indexed as

Developing CountriesHealth EconomicsHealth EquityHealth FinancingInstrumental VariableTanzania

Identifiers

PMID36342557
PMCPMC9639327

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