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Impacts of chronic non-communicable diseases on households’ out-of-pocket healthcare expenditures in Sri Lanka

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  • Asankha Pallegedara

    (Wayamba University of Sri Lanka
    University of Passau)

Abstract

This article examines the effects of chronic non-communicable diseases (NCDs) on households’ out-of-pocket health expenditures in Sri Lanka. We explore the disease specific impacts on out-of-pocket health care expenses from chronic NCDs such as heart diseases, hypertension, cancer, diabetics and asthma. We use nationwide cross-sectional household income and expenditure survey 2012/2013 data compiled by the department of census and statistics of Sri Lanka. Employing propensity score matching method to account for selectivity bias, we find that chronic NCD affected households appear to spend significantly higher out-of-pocket health care expenditures and encounter grater economic burden than matched control group despite having universal public health care policy in Sri Lanka. The results also suggest that out-of-pocket expenses on medicines and other pharmaceutical products as well as expenses on medical laboratory tests and other ancillary services are particularly higher for households with chronic NCD patients. The findings underline the importance of protecting households against the financial burden due to NCDs.

Suggested Citation

  • Asankha Pallegedara, 2018. "Impacts of chronic non-communicable diseases on households’ out-of-pocket healthcare expenditures in Sri Lanka," International Journal of Health Economics and Management, Springer, vol. 18(3), pages 301-319, September.
    • Handle: RePEc:kap:ijhcfe:v:18:y:2018:i:3:d:10.1007_s10754-018-9235-2
    DOI: 10.1007/s10754-018-9235-2
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    Cited by:

    1. Ruwan Jayathilaka & Sheron Joachim & Venuri Mallikarachchi & Nishali Perera & Dhanushika Ranawaka, 2020. "Chronic diseases: An added burden to income and expenses of chronically-ill people in Sri Lanka," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-25, October.
    2. Samaratunge, Ramanie & Kumara, Ajantha Sisira & Abeysekera, Lakmal, 2020. "Breaking the Perverse Health-debt Cycle in Sri Lanka: Policy Options," Journal of Policy Modeling, Elsevier, vol. 42(3), pages 728-745.
    3. Ruwan Jayathilaka & Sheron Joachim & Venuri Mallikarachchi & Nishali Perera & Dhanushika Ranawaka, 2020. "Do chronic illnesses and poverty go hand in hand?," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-19, October.
    4. Sasmita Behera & Jalandhar Pradhan, 2021. "Uneven economic burden of non-communicable diseases among Indian households: A comparative analysis," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-17, December.
    5. Ziyad S. Almalki & Abdullah K. Alahmari & Nasser Alqahtani & Abdulaziz Ibrahim Alzarea & Ahmed M. Alshehri & Abdulrahman M. Alruwaybiah & Bader A. Alanazi & Abdulhadi M. Alqahtani & Nehad J. Ahmed, 2022. "Households’ Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
    6. Martinson Ankrah Twumasi & Dennis Asante & Jesse Nuamah Brako & Zhao Ding & Yuansheng Jiang, 2023. "The Relationship between Chronic Non-Communicable Diseases of Fish Farm Household Members and Production Efficiency: The Case of Ghana," IJERPH, MDPI, vol. 20(5), pages 1-13, February.
    7. Tien Thanh, Pham & Bao Duong, Pham, 2022. "The economic burden of non-communicable diseases on households and their coping mechanisms: Evidence from rural Vietnam," World Development, Elsevier, vol. 151(C).

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    More about this item

    Keywords

    Out-of-pocket health expenditures; Sri Lanka; Non-communicable diseases; Propensity score matching; Household survey;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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