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Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data

Out-of-pocket health payments can cause financial hardship to households, which may push them into poverty. The purpose of this thesis is to examine the impact of out-of-pocket health payments on households' economic situation in Egypt using a national representative survey. On the other hand, the c...

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Main Author: Rashad, Ahmed
Format: Thesis
Published: AUC Knowledge Fountain 2011
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access_status_str Open Access
author Rashad, Ahmed
author_browse Rashad, Ahmed
author_facet Rashad, Ahmed
author_sort Rashad, Ahmed
collection Thesis
dc_rights_str_mv The author retains all rights with regard to copyright. The author certifies that written permission from the owner(s) of third-party copyrighted matter included in the thesis, dissertation, paper, or record of study has been obtained. The author further certifies that IRB approval has been obtained for this thesis, or that IRB approval is not necessary for this thesis. Insofar as this thesis, dissertation, paper, or record of study is an educational record as defined in the Family Educational Rights and Privacy Act (FERPA) (20 USC 1232g), the author has granted consent to disclosure of it to anyone who requests a copy.
description Out-of-pocket health payments can cause financial hardship to households, which may push them into poverty. The purpose of this thesis is to examine the impact of out-of-pocket health payments on households' economic situation in Egypt using a national representative survey. On the other hand, the conventional poverty estimates do not take the effect of out-of-pocket health payments on households into account. Therefore, by reassessing the poverty estimates taking into account out-of-pocket health payments, this thesis provides new poverty estimates that reflect the poverty impact of out-of-pocket health payments. The thesis adopts the World Health Organization's methodology in measuring the extent of catastrophic health expenditure and impoverishment. It uses a logit model to identify the determinants of catastrophic health expenditure. The quantitative analysis yields that out-of-pocket health payments exacerbate households' living especially the poor and the near poor. The thesis suggests that 6% of households encounter catastrophic health expenditure in 2010. It estimates that the poverty line for a household composed of four members, which is the average household size, equals LE 673.8 per month. It suggests that the 19.1% of households spend below the poverty line. However, additional 7.4% of households fall below the poverty line after paying for health care. In other words, the size of poverty in Egypt including those who are impoverished by health payment is 26.5%. Additionally, out-of pocket health payments have exacerbated the normalized poverty gap by 1.4%. The econometric analysis suggests that household with chronic sick member and poor households are the most vulnerable to catastrophic health expenditure.
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institution American University in Cairo (Egypt)
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license_str Other — see source repository
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spelling oai:fount.aucegypt.edu:etds-1898 Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data Rashad, Ahmed Out-of-pocket health payments can cause financial hardship to households, which may push them into poverty. The purpose of this thesis is to examine the impact of out-of-pocket health payments on households' economic situation in Egypt using a national representative survey. On the other hand, the conventional poverty estimates do not take the effect of out-of-pocket health payments on households into account. Therefore, by reassessing the poverty estimates taking into account out-of-pocket health payments, this thesis provides new poverty estimates that reflect the poverty impact of out-of-pocket health payments. The thesis adopts the World Health Organization's methodology in measuring the extent of catastrophic health expenditure and impoverishment. It uses a logit model to identify the determinants of catastrophic health expenditure. The quantitative analysis yields that out-of-pocket health payments exacerbate households' living especially the poor and the near poor. The thesis suggests that 6% of households encounter catastrophic health expenditure in 2010. It estimates that the poverty line for a household composed of four members, which is the average household size, equals LE 673.8 per month. It suggests that the 19.1% of households spend below the poverty line. However, additional 7.4% of households fall below the poverty line after paying for health care. In other words, the size of poverty in Egypt including those who are impoverished by health payment is 26.5%. Additionally, out-of pocket health payments have exacerbated the normalized poverty gap by 1.4%. The econometric analysis suggests that household with chronic sick member and poor households are the most vulnerable to catastrophic health expenditure. 2011-02-01T08:00:00Z thesis application/pdf https://fount.aucegypt.edu/etds/899 https://fount.aucegypt.edu/context/etds/article/1898/viewcontent/Ahmed_20Shoukry_20MA_20thesis.pdf The author retains all rights with regard to copyright. The author certifies that written permission from the owner(s) of third-party copyrighted matter included in the thesis, dissertation, paper, or record of study has been obtained. The author further certifies that IRB approval has been obtained for this thesis, or that IRB approval is not necessary for this thesis. Insofar as this thesis, dissertation, paper, or record of study is an educational record as defined in the Family Educational Rights and Privacy Act (FERPA) (20 USC 1232g), the author has granted consent to disclosure of it to anyone who requests a copy. Theses and Dissertations AUC Knowledge Fountain Healthcare Egypt
spellingShingle Healthcare
Egypt
Rashad, Ahmed
Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data
title Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data
title_full Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data
title_fullStr Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data
title_full_unstemmed Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data
title_short Catastrophic health expenditure and poverty in Egypt: an analysis of household survey data
title_sort catastrophic health expenditure and poverty in egypt an analysis of household survey data
topic Healthcare
Egypt
url https://fount.aucegypt.edu/etds/899
https://fount.aucegypt.edu/context/etds/article/1898/viewcontent/Ahmed_20Shoukry_20MA_20thesis.pdf
work_keys_str_mv AT rashadahmed catastrophichealthexpenditureandpovertyinegyptananalysisofhouseholdsurveydata