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Methodological Issues to Consider When Collecting Data to Estimate Poverty Impact in Economic Evaluations in Low‐income and Middle‐income Countries

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Listed:
  • Sedona Sweeney
  • Anna Vassall
  • Nicola Foster
  • Victoria Simms
  • Patrick Ilboudo
  • Godfather Kimaro
  • Don Mudzengi
  • Lorna Guinness

Abstract

Out‐of‐pocket spending is increasingly recognized as an important barrier to accessing health care, particularly in low‐income and middle‐income countries (LMICs) where a large portion of health expenditure comes from out‐of‐pocket payments. Emerging universal healthcare policies prioritize reduction of poverty impact such as catastrophic and impoverishing healthcare expenditure. Poverty impact is therefore increasingly evaluated alongside and within economic evaluations to estimate the impact of specific health interventions on poverty. However, data collection for these metrics can be challenging in intervention‐based contexts in LMICs because of study design and practical limitations. Using a set of case studies, this letter identifies methodological challenges in collecting patient cost data in LMIC contexts. These components are presented in a framework to encourage researchers to consider the implications of differing approaches in data collection and to report their approach in a standardized and transparent way. © 2016 The Authors. Health Economics published by John Wiley & Sons Ltd.

Suggested Citation

  • Sedona Sweeney & Anna Vassall & Nicola Foster & Victoria Simms & Patrick Ilboudo & Godfather Kimaro & Don Mudzengi & Lorna Guinness, 2016. "Methodological Issues to Consider When Collecting Data to Estimate Poverty Impact in Economic Evaluations in Low‐income and Middle‐income Countries," Health Economics, John Wiley & Sons, Ltd., vol. 25(S1), pages 42-52, February.
    • Handle: RePEc:wly:hlthec:v:25:y:2016:i:s1:p:42-52
    DOI: 10.1002/hec.3304
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    References listed on IDEAS

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    1. Garbero, Alessandra & Songsermsawas, Tisorn, 2017. "How Much have Agricultural Projects Contributed to Economic Mobility and Food Security in China?," 2017 Annual Meeting, July 30-August 1, Chicago, Illinois 258097, Agricultural and Applied Economics Association.
    2. Catherine Pitt & Anna Vassall & Yot Teerawattananon & Ulla K. Griffiths & Lorna Guinness & Damian Walker & Nicola Foster & Kara Hanson, 2016. "Foreword: Health Economic Evaluations in Low‐ and Middle‐income Countries: Methodological Issues and Challenges for Priority Setting," Health Economics, John Wiley & Sons, Ltd., vol. 25(S1), pages 1-5, February.
    3. Sweeney, Sedona & Mukora, Rachel & Candfield, Sophie & Guinness, Lorna & Grant, Alison D. & Vassall, Anna, 2018. "Measuring income for catastrophic cost estimates: Limitations and policy implications of current approaches," Social Science & Medicine, Elsevier, vol. 215(C), pages 7-15.
    4. Diego Proaño Falconi & Eduardo Bernabé, 2018. "Determinants of catastrophic healthcare expenditure in Peru," International Journal of Health Economics and Management, Springer, vol. 18(4), pages 425-436, December.

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