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Dealing with the cost of illness: The experience of four villages in Lao PDR

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  • Walaiporn Patcharanarumol
  • Anne Mills

    (Department of Public Health and Policy, LSHTM London School of Hygiene and Tropical Medicine, London, UK)

  • Viroj Tangcharoensathien

    (International Health Policy Program (IHPP-Thailand), Ministry of Public Health, Nonthaburi Province, Thailand)

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    Abstract

    This paper analyses household coping strategies for illness in four Lao villages. The villagers dealt with health expenditure themselves, using coping mechanisms which drew mainly on social networks within the community. They strongly believed in the principle of paying user fees and did not consider exemption from fees an option. A total of 12 households (6 per cent of households) faced catastrophic expenditure arising from healthcare payments. The national policy on exemptions did not protect the poor and the study demonstrates that there is an urgent need for the government to improve the design and implementation of exemptions or reform the policy on subsidising health care. Copyright © 2009 John Wiley & Sons, Ltd.

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    Bibliographic Info

    Article provided by John Wiley & Sons, Ltd. in its journal Journal of International Development.

    Volume (Year): 21 (2009)
    Issue (Month): 2 ()
    Pages: 212-230

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    Handle: RePEc:wly:jintdv:v:21:y:2009:i:2:p:212-230

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    Web page: http://www3.interscience.wiley.com/journal/5102/home

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    1. Wagstaff, Adam, 2007. "The economic consequences of health shocks: Evidence from Vietnam," Journal of Health Economics, Elsevier, Elsevier, vol. 26(1), pages 82-100, January.
    2. Carrin, Guy & Ron, Aviva & Hui, Yang & Hong, Wang & Tuohong, Zhang & Licheng, Zhang & Shuo, Zhang & Yide, Ye & Jiaying, Chen & Qicheng, Jiang & Zhaoyang, Zhang & Jun, Yu & Xuesheng, Li, 1999. "The reform of the rural cooperative medical system in the People's Republic of China: interim experience in 14 pilot counties," Social Science & Medicine, Elsevier, Elsevier, vol. 48(7), pages 961-972, April.
    3. Sauerborn, R. & Adams, A. & Hien, M., 1996. "Household strategies to cope with the economic costs of illness," Social Science & Medicine, Elsevier, Elsevier, vol. 43(3), pages 291-301, August.
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    Cited by:
    1. Cleary, Susan & Birch, Steve & Chimbindi, Natsayi & Silal, Sheetal & McIntyre, Di, 2013. "Investigating the affordability of key health services in South Africa," Social Science & Medicine, Elsevier, Elsevier, vol. 80(C), pages 37-46.

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