Cargando…
An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso
Achieving Universal Health Coverage (UHC) has been recognized as one of the Sustainable Development Goals (SDGs) and includes both ensuring access to health services and providing financial protection (FP) against using these services. Currently, progress towards achieving the FP component of UHC is...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297743/ https://www.ncbi.nlm.nih.gov/pubmed/37383309 http://dx.doi.org/10.1016/j.hpopen.2019.100001 |
_version_ | 1785063952628056064 |
---|---|
author | Sas Trakinsky, Benjamin Irwin, Bridget R. Guéné, Hervé J.-L. Grépin, Karen A. |
author_facet | Sas Trakinsky, Benjamin Irwin, Bridget R. Guéné, Hervé J.-L. Grépin, Karen A. |
author_sort | Sas Trakinsky, Benjamin |
collection | PubMed |
description | Achieving Universal Health Coverage (UHC) has been recognized as one of the Sustainable Development Goals (SDGs) and includes both ensuring access to health services and providing financial protection (FP) against using these services. Currently, progress towards achieving the FP component of UHC is assessed using the catastrophic health expenditure budget share indicator, which estimates the proportion of the population with health expenditures exceeding 10% of total income or consumption. Other indicators exist, however, and are widely used in the literature, yet few studies have compared the usefulness of these indicators for UHC monitoring. Using panel data from Burkina Faso, this paper seeks to evaluate the performance of common FP indicators based on three properties: (1) their ability to identify those most at risk of financial hardship (i.e. the poor), (2) their ability to detect households with health shocks, and (3) their sensitivity to seasonal variation. Our results indicate that, while some indicators perform better in certain conditions than others, none are without limitation. Indeed, despite being the best able to differentiate households who have experienced a health shock, the official SDG indicator performs the worst at identifying the poorest group of the population and is the most sensitive to seasonal variation. As such, more research is needed in order to improve the measurement of FP such that progress towards achieving UHC can be accurately monitored. |
format | Online Article Text |
id | pubmed-10297743 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-102977432023-06-28 An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso Sas Trakinsky, Benjamin Irwin, Bridget R. Guéné, Hervé J.-L. Grépin, Karen A. Health Policy Open Original Article Achieving Universal Health Coverage (UHC) has been recognized as one of the Sustainable Development Goals (SDGs) and includes both ensuring access to health services and providing financial protection (FP) against using these services. Currently, progress towards achieving the FP component of UHC is assessed using the catastrophic health expenditure budget share indicator, which estimates the proportion of the population with health expenditures exceeding 10% of total income or consumption. Other indicators exist, however, and are widely used in the literature, yet few studies have compared the usefulness of these indicators for UHC monitoring. Using panel data from Burkina Faso, this paper seeks to evaluate the performance of common FP indicators based on three properties: (1) their ability to identify those most at risk of financial hardship (i.e. the poor), (2) their ability to detect households with health shocks, and (3) their sensitivity to seasonal variation. Our results indicate that, while some indicators perform better in certain conditions than others, none are without limitation. Indeed, despite being the best able to differentiate households who have experienced a health shock, the official SDG indicator performs the worst at identifying the poorest group of the population and is the most sensitive to seasonal variation. As such, more research is needed in order to improve the measurement of FP such that progress towards achieving UHC can be accurately monitored. Elsevier 2020-01-07 /pmc/articles/PMC10297743/ /pubmed/37383309 http://dx.doi.org/10.1016/j.hpopen.2019.100001 Text en © 2020 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Sas Trakinsky, Benjamin Irwin, Bridget R. Guéné, Hervé J.-L. Grépin, Karen A. An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso |
title | An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso |
title_full | An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso |
title_fullStr | An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso |
title_full_unstemmed | An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso |
title_short | An empirical evaluation of the performance of financial protection indicators for UHC monitoring: Evidence from Burkina Faso |
title_sort | empirical evaluation of the performance of financial protection indicators for uhc monitoring: evidence from burkina faso |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10297743/ https://www.ncbi.nlm.nih.gov/pubmed/37383309 http://dx.doi.org/10.1016/j.hpopen.2019.100001 |
work_keys_str_mv | AT sastrakinskybenjamin anempiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso AT irwinbridgetr anempiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso AT guenehervejl anempiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso AT grepinkarena anempiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso AT sastrakinskybenjamin empiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso AT irwinbridgetr empiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso AT guenehervejl empiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso AT grepinkarena empiricalevaluationoftheperformanceoffinancialprotectionindicatorsforuhcmonitoringevidencefromburkinafaso |