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Research Article Open access CC BY 4.0

Catastrophic Health Expenditure and Impoverishment Amongst Hepatitis B Patients in a Resource-Poor Setting

Aloni Alali, Benjamin Osaro, Ishmael Jaja, Sarah Abere, Akinwumi Fajola

Asian Journal of Medicine and Health · pp. 23–32 · Published 5 Feb 2024

10.9734/ajmah/2024/v22i2980

Abstract

Introduction: The economic burden of managing hepatitis B has become a concern because viral hepatitis disease is a global public health problem that resulted in more deaths in 2016 than HIV and AIDs, Tuberculosis and Malaria individually. This study aimed at estimating the catastrophic health expenditure associated with managing hepatitis B, the predictors of the same and the impoverishing effect that management of hepatitis B has on affected households. Methods: A facility-based cross-sectional survey involving 135 hepatitis B patients selected through a two-stage sampling. Data was collected using a structured interviewer administered questionnaire and analyzed using SPSS version 25. Results: The average age of the respondents is 41, 60% male, 40% female. About 71% were married, and nearly two-thirds had tertiary education. Most (90.9%) paid for treatment out-of-pocket, only 7.6% had health insurance, and 1.5% were employer-covered. 71.1% of households spent over 10% of total expenditure on hepatitis B treatment, leading to financial catastrophe. Prevalence of Catastrophic health expenditure (CHE) was 71.1%, with a 20% overshoot and a mean positive overshoot of 28.1%. Being employed was protective against CHE. (OR=0.71; 95%CI=1.12 – 1.97) Post-treatment, 25.2% fell into poverty, and 21.5% into extreme poverty. Conclusion: Majority of hepatitis B patients pay out-of-pocket for healthcare. A major proportion of them are in financial catastrophe as a result of paying for treatment. The heavy reliance on out-of-pocket payment exposes the households of hepatitis B patients to catastrophic health expenditure and treatment of the condition impoverishes the affected households.

Medical cost health expenditure health scheme health insurance

References (13)

  1. 1 Household catastrophic health expenditure: a multicountry analysis [DOI]
  2. 2 Cost-of-illness studies: concepts, scopes, and methods [DOI]
  3. 3 Health care financing in Nigeria: Implications for achieving universal health coverage [DOI]
  4. 4 Measuring financial protection against catastrophic health expenditures: methodological challenges for global monitoring [DOI]
  5. 5 Catastrophic health expenditure and impoverishment in households of persons with depression: a cross-sectional, comparative study in rural Ethiopia [DOI]
  6. 6 Direct economic burden of hepatitis B virus related diseases: evidence from Shandong, China [DOI]
  7. 7 Catastrophic Health Expenditure among Developing Countries [DOI]
  8. 8 Assessing the impoverishment effects of out-of-pocket healthcare payments prior to the uptake of the national health insurance scheme in Ghana [DOI]
  9. 9 Innovative sources for funding of viral hepatitis prevention and treatment in low- and middle-income countries: a roundtable meeting report [DOI]
  10. 10 Impact and contributors to cost of managing long term conditions in a university hospital in Nigeria
  11. 11 The hidden threat of hepatitis B [DOI]
  12. 12 The Silent Epidemic Killing More People Than HIV, Malaria or TB [DOI]
  13. 13 Catastrophic and Impoverishing Effects of Out-Of-Pocket Health Expenditure: New Evidence from Egypt

Cited by 6

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Abere Sarah, Oyan Boma, Orabelema Tonye-Abere, Aloni Alali, Amadi Uzoaku · International Journal of TROPICAL DISEASE & Health · 2024

Health-related Quality of Life in Patients With Chronic Hepatitis B and Liver-Related Complications in The Gambia

Yazan Haddadin, Amelia J. Cook, Alpha Suso · Value in Health Regional Issues · 2026

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