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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...

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Autores principales: Sas Trakinsky, Benjamin, Irwin, Bridget R., Guéné, Hervé J.-L., Grépin, Karen A.
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
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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.
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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
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