IDEAS home Printed from https://ideas.repec.org/a/bjc/journl/v11y2024i9p1236-1249.html
   My bibliography  Save this article

Determinants of out-of-Pocket Healthcare Expenditure by Households in Sierra Leone

Author

Listed:
  • Frank Chikhata, PhD

    (N/A)

Abstract

The study sought to identify the determinants that influence Sierra Leonean households’ out-of-pocket healthcare expenditure. The research explicitly examined the demographic and socioeconomic determinants that impact out-of-pocket healthcare expenditure by households in Sierra Leone. The study was based on the positivism philosophy and used secondary data from the 2018 Siera Leone Household Integrated Survey to address the study objectives. Logistic regression analysis was conducted to see whether there were any relationships between the dependent and independent variables. The analysis revealed that Sierra Leone’s out-of-pocket healthcare expenditure is influenced by several demographic and socio-economic determinants which should be monitored by the policymakers. Sierra Leone households’ out-of-pocket healthcare expenditure is influenced by the household size (p

Suggested Citation

  • Frank Chikhata, PhD, 2024. "Determinants of out-of-Pocket Healthcare Expenditure by Households in Sierra Leone," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 11(9), pages 1236-1249, September.
  • Handle: RePEc:bjc:journl:v:11:y:2024:i:9:p:1236-1249
    as

    Download full text from publisher

    File URL: https://www.rsisinternational.org/journals/ijrsi/digital-library/volume-11-issue-9/1236-1249.pdf
    Download Restriction: no

    File URL: https://rsisinternational.org/journals/ijrsi/articles/determinants-of-out-of-pocket-healthcare-expenditure-by-households-in-sierra-leone/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Priyanka Saksena & Justine Hsu & David B Evans, 2014. "Financial Risk Protection and Universal Health Coverage: Evidence and Measurement Challenges," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-11, September.
    2. Jeffrey J. Rous & David R. Hotchkiss, 2003. "Estimation of the determinants of household health care expenditures in Nepal with controls for endogenous illness and provider choice," Health Economics, John Wiley & Sons, Ltd., vol. 12(6), pages 431-451, June.
    3. Nazim Habibov, 2009. "What determines healthcare utilization and related out-of-pocket expenditures in Tajikistan? Lessons from a national survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(4), pages 260-266, August.
    4. Gao, Mengtao & Yao, Yang, 2006. "Gender Gaps in Access to Health Care in Rural China," Economic Development and Cultural Change, University of Chicago Press, vol. 55(1), pages 87-107, October.
    5. Augustine Asante & Jennifer Price & Andrew Hayen & Stephen Jan & Virginia Wiseman, 2016. "Equity in Health Care Financing in Low- and Middle-Income Countries: A Systematic Review of Evidence from Studies Using Benefit and Financing Incidence Analyses," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-20, April.
    6. Borislava Mihaylova & Andrew Briggs & Anthony O'Hagan & Simon G. Thompson, 2011. "Review of statistical methods for analysing healthcare resources and costs," Health Economics, John Wiley & Sons, Ltd., vol. 20(8), pages 897-916, August.
    7. Gao, Mengtao & Yao, Yang, 2006. "Gender Gaps in Access to Health Care in Rural China," Economic Development and Cultural Change, University of Chicago Press, vol. 55(1), pages 87-107, October.
    8. Indrani Gupta & Samik Chowdhury & Shankar Prinja & Mayur Trivedi, 2016. "Out-of-Pocket Spending on Out-Patient Care in India: Assessment and Options Based on Results from a District Level Survey," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.
    9. Olaide Sekinat Opeloyeru & Akanni Olayinka Lawanson, 2023. "Determinants of catastrophic household health expenditure in Nigeria," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 50(6), pages 876-892, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nandita Saikia & Moradhvaj & Jayanta Kumar Bora, 2016. "Gender Difference in Health-Care Expenditure: Evidence from India Human Development Survey," PLOS ONE, Public Library of Science, vol. 11(7), pages 1-15, July.
    2. Mayumi Kubo & Anoshua Chaudhuri, 2017. "Gender Gap in Health Status of Children in the Context of One-Child Policy in China: Is it Sibling Rivalry or Son Preference?," Journal of Family and Economic Issues, Springer, vol. 38(2), pages 204-217, June.
    3. Margaret Irving, 2008. "Gender patterns in household health expenditure allocation: A study of South Africa," Economics Series Working Papers CSAE WPS/2008-32, University of Oxford, Department of Economics.
    4. Seewanyana, Sarah & Kasirye, Ibrahim, 2010. "Gender differences in Uganda: the case for access to education and health services," Research Series 113612, Economic Policy Research Centre (EPRC).
    5. Michał Myck & Monika Oczkowska & Izabela Wowczko, 2024. "Parental gender preferences in Central and Eastern Europe and differential early life disadvantages," Economics of Transition and Institutional Change, John Wiley & Sons, vol. 32(1), pages 237-263, January.
    6. Jin Feng & Pingyi Lou & Yangyang Yu, 2015. "Health Care Expenditure over Life Cycle in the People's Republic of China," Asian Development Review, MIT Press, vol. 32(1), pages 167-195, March.
    7. Kyriopoulos, Ilias & Nikoloski, Zlatko & Mossialos, Elias, 2019. "The impact of the Greek economic adjustment programme on household health expenditure," Social Science & Medicine, Elsevier, vol. 222(C), pages 274-284.
    8. Aparajita Dasgupta, 2023. "Gender-Based Discrimination in Health: Evidence from Cross-Country," Springer Books, in: Ashwini Deshpande (ed.), Handbook on Economics of Discrimination and Affirmative Action, chapter 28, pages 649-665, Springer.
    9. Robert J. Kolesar & Sambo Pheakdey & Bart Jacobs & Narith Chan & Samedy Yok & Martine Audibert, 2020. "Expanding social health protection in Cambodia: An assessment of the current coverage potential and gaps, and social equity considerations," International Social Security Review, John Wiley & Sons, vol. 73(1), pages 35-63, January.
    10. Noemi Kreif & Richard Grieve & Rosalba Radice & Zia Sadique & Roland Ramsahai & Jasjeet S. Sekhon, 2012. "Methods for Estimating Subgroup Effects in Cost-Effectiveness Analyses That Use Observational Data," Medical Decision Making, , vol. 32(6), pages 750-763, November.
    11. Baiming Zou & Hudson P Santos & James G Xenakis & Mike M O’Shea & Rebecca C Fry & Fei Zou, 2022. "A mixed-effects two-part model for twin-data and an application on identifying important factors associated with extremely preterm children’s health disorders," PLOS ONE, Public Library of Science, vol. 17(6), pages 1-12, June.
    12. Abay Asfaw & Francesca Lamanna & Stephan Klasen, 2010. "Gender gap in parents' financing strategy for hospitalization of their children: evidence from India," Health Economics, John Wiley & Sons, Ltd., vol. 19(3), pages 265-279, March.
    13. Andersson, Tommy & Ellegård, Lina Maria & Enache, Andreea & Erlanson, Albin & Thami, Prakriti, 2024. "Multiple pricing for personal assistance services," Economic Modelling, Elsevier, vol. 141(C).
    14. Alexandre Vimont & Henri Leleu & Isabelle Durand-Zaleski, 2022. "Machine learning versus regression modelling in predicting individual healthcare costs from a representative sample of the nationwide claims database in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(2), pages 211-223, March.
    15. Khin Thet Swe & Md Mizanur Rahman & Md Shafiur Rahman & Eiko Saito & Sarah K Abe & Stuart Gilmour & Kenji Shibuya, 2018. "Cost and economic burden of illness over 15 years in Nepal: A comparative analysis," PLOS ONE, Public Library of Science, vol. 13(4), pages 1-14, April.
    16. Elsa Perdrix & Quitterie Roquebert, 2022. "Does the amount of formal care affect informal care? Evidence among over-60s in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(3), pages 453-465, April.
    17. Bing Wang & Renee Santoreneos & Hossein Afzali & Lynne Giles & Helen Marshall, 2018. "Costs of Invasive Meningococcal Disease: A Global Systematic Review," PharmacoEconomics, Springer, vol. 36(10), pages 1201-1222, October.
    18. Aníbal M. Blanco & Gisela P. González & Milva Geri & M. Susana Moreno, 2025. "Measuring Access to Health Services: Constructing a Multidimensional Index," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 176(3), pages 903-929, February.
    19. Nkeiru Joy Onyema & Aduku, Ebikabowei Biedomo & Richardson Kojo Edeme, 2019. "Progressivity and the Re-Ranking Effect of Healthcare Financing in South East Nigeria," Journal of Contemporary Research in Business, Economics and Finance, Michael Laurence, vol. 1(3), pages 37-45.
    20. Rakibul Hasan & Samiha Mokarram & Jannatul Ferdous Muna & Umme Sumaiya Shampa, 2024. "Determinants of the Patient Choice of Health Care Provider in Bangladesh," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 8(8), pages 2864-2872, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bjc:journl:v:11:y:2024:i:9:p:1236-1249. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Dr. Renu Malsaria (email available below). General contact details of provider: https://rsisinternational.org/journals/ijrsi/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.