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Impact of Out-of-Pocket Expenditures on Families and Barriers to Use of Maternal and Child Health Services in Asia and the Pacific: Evidence from National Household Surveys of Healthcare Use and Expenditures

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  • Asian Development Bank (ADB)

Abstract

The burden of poor maternal, neonatal and child health (MNCH) remains unacceptably high in many developing member countries (DMCs). To understand the barriers facing households in accessing MNCH care, the ADB technical assistance project RETA-6515 analyzed data from routine national household expenditure surveys in six DMCs: Bangladesh, Cambodia, the Lao People's Democratic Republic (Lao PDR), Pakistan, Papua New Guinea, and Timor-Leste. The findings reveal not only the rich evidence base available in these surveys, but also show how healthcare costs, quality, and physical barriers play differing roles in different countries in preventing access, and how families are often impoverished by accessing needed care.

Suggested Citation

  • Asian Development Bank (ADB), 2012. "Impact of Out-of-Pocket Expenditures on Families and Barriers to Use of Maternal and Child Health Services in Asia and the Pacific: Evidence from National Household Surveys of Healthcare Use and Expenditures," ADB Reports RPT135429-3, Asian Development Bank (ADB), revised 27 Aug 2013.
    • Handle: RePEc:asd:wpaper:rpt135429-3
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    References listed on IDEAS

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    1. Ravi P. Rannan-Eliya & Luca Lorenzoni, 2010. "Guidelines for Improving the Comparability and Availability of Private Health Expenditures Under the System of Health Accounts Framework," OECD Health Working Papers 52, OECD Publishing.
    2. Owen O'Donnell & Eddy van Doorslaer & Adam Wagstaff & Magnus Lindelow, 2008. "Analyzing Health Equity Using Household Survey Data : A Guide to Techniques and Their Implementation," World Bank Publications - Books, The World Bank Group, number 6896, April.
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