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Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments

As the drive towards universal coverage is gaining momentum globally, the need for assessing levels of financial health protection in countries, particularity the developing world, has increasingly become important. Swaziland's health financing system performance in terms of ensuring financial healt...

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Main Author: Ngcamphalala, Cebisile
Other Authors: Ataguba, John
Format: Thesis
Language:English
Published: Health Economics Unit 2016
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access_status_str Open Access
author Ngcamphalala, Cebisile
author2 Ataguba, John
author_browse Ataguba, John
Ngcamphalala, Cebisile
author_facet Ataguba, John
Ngcamphalala, Cebisile
author_sort Ngcamphalala, Cebisile
collection Thesis
description As the drive towards universal coverage is gaining momentum globally, the need for assessing levels of financial health protection in countries, particularity the developing world, has increasingly become important. Swaziland's health financing system performance in terms of ensuring financial health protection is not clearly understood. This paper assesses financial catastrophe and impoverishment from out - of - pocket payments and associated factors that predict them in Swaziland. The Swaziland Household Income and Expenditure Survey (SHIES) for 2009/2010 was used for the analyses. Financial catastrophe was assessed using a variable threshold. Impoverishment was assessed using both a national and $1.25/day international poverty line. Logistic regression models were used to assess factors that predict household vulnerability to financial catastrophe and impoverishment. It emerged that about 9.6 per cent of the Swazi households experienced financial catastrophe while about 1.1 per cent were pushed below the poverty line as a result of out - of - pocket payments. Factors associated with households' vulnerability include; education of the household - head, household size, location, age and household socio - economic status. The findings indicate that financial health protection is not adequate in Swaziland. Thus, there is a need for financing mechanisms that do not place undue hardships on the poor and vulnerable.
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institution University of Cape Town (South Africa)
language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Health Economics Unit
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/21185 Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments Ngcamphalala, Cebisile Ataguba, John Health Economics As the drive towards universal coverage is gaining momentum globally, the need for assessing levels of financial health protection in countries, particularity the developing world, has increasingly become important. Swaziland's health financing system performance in terms of ensuring financial health protection is not clearly understood. This paper assesses financial catastrophe and impoverishment from out - of - pocket payments and associated factors that predict them in Swaziland. The Swaziland Household Income and Expenditure Survey (SHIES) for 2009/2010 was used for the analyses. Financial catastrophe was assessed using a variable threshold. Impoverishment was assessed using both a national and $1.25/day international poverty line. Logistic regression models were used to assess factors that predict household vulnerability to financial catastrophe and impoverishment. It emerged that about 9.6 per cent of the Swazi households experienced financial catastrophe while about 1.1 per cent were pushed below the poverty line as a result of out - of - pocket payments. Factors associated with households' vulnerability include; education of the household - head, household size, location, age and household socio - economic status. The findings indicate that financial health protection is not adequate in Swaziland. Thus, there is a need for financing mechanisms that do not place undue hardships on the poor and vulnerable. 2016-08-11T10:16:48Z 2016-08-11T10:16:48Z 2016 Master Thesis Masters MPH http://hdl.handle.net/11427/21185 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town
spellingShingle Health Economics
Ngcamphalala, Cebisile
Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments
thesis_degree_str Master's
title Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments
title_full Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments
title_fullStr Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments
title_full_unstemmed Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments
title_short Financial health protection in Swaziland: an assessment of financial catastrophe and impoverishment from out-of-pocket payments
title_sort financial health protection in swaziland an assessment of financial catastrophe and impoverishment from out of pocket payments
topic Health Economics
url http://hdl.handle.net/11427/21185
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