IDEAS home Printed from https://ideas.repec.org/p/ulb/ulbeco/2013-273019.html
   My bibliography  Save this paper

Assessing out-of-pocket expenditures for primary health care: how responsive is the Democratic Republic of Congo health system to providing financial risk protection?

Author

Listed:
  • Samia Laokri
  • Rieza Soelaeman
  • David R Hotchkiss

Abstract

The goal of universal health coverage is challenging for chronically under-resourced health systems. Although household out-of-pocket payments are the most important source of health financing in low-income countries, relatively little is known about the drivers of primary health care expenditure and the predictability of the burden associated with high fee-for-service payments. This study describes out-of-pocket health expenditure and investigates demand- and supply-side drivers of excessive costs in the Democratic Republic of Congo (DRC), a central African country in the midst of a process of reforming its health financing system towards universal health coverage.

Suggested Citation

  • Samia Laokri & Rieza Soelaeman & David R Hotchkiss, 2018. "Assessing out-of-pocket expenditures for primary health care: how responsive is the Democratic Republic of Congo health system to providing financial risk protection?," ULB Institutional Repository 2013/273019, ULB -- Universite Libre de Bruxelles.
    • Handle: RePEc:ulb:ulbeco:2013/273019
    Note: SCOPUS: ar.j
    as

    Download full text from publisher

    File URL: https://dipot.ulb.ac.be/dspace/bitstream/2013/273019/3/doi_256646.pdf
    File Function: Full text for the whole work, or for a work part
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Samia Laokri & Olivier Weil & Koiné Maxime Drabo & Sary Mathurin Dembelé & Benoît Kafando & Bruno Dujardin, 2013. "Removal of user fees no guarantee of universal health coverage: observations from Burkina Faso," ULB Institutional Repository 2013/153197, ULB -- Universite Libre de Bruxelles.
    2. Kankeu, Hyacinthe Tchewonpi & Ventelou, Bruno, 2016. "Socioeconomic inequalities in informal payments for health care: An assessment of the ‘Robin Hood’ hypothesis in 33 African countries," Social Science & Medicine, Elsevier, vol. 151(C), pages 173-186.
    3. Samia Laokri & Arnaud Amoussouhui & Edgard M Ouendo & Athanase Cossi Hounnankan & Séverin Anagonou & Martin Gninafon & Ferdinand Kassa & Léon Tawo & Bruno Dujardin, 2014. "A Care Pathway Analysis of Tuberculosis Patients in Benin: Highlights on Direct Costs and Critical Stages for an Evidence-Based Decision-Making," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-8, May.
    4. Hélène Barroy & Françoise André & Serge Mayaka & Hadia Samaha, 2014. "Investing in Universal Health Coverage," World Bank Publications - Reports 23880, The World Bank Group.
    5. Samia Laokri & Arnaud Amoussouhui & Edgard Marius Ouendo & Athanase Hounnankan & Séverin Anagonou & Martin Gninafon & Ferdinand Kassa & Léon Tawo & Bruno Dujardin, 2014. "A care pathway analysis of tuberculosis patients in benin: highlights on direct costs and critical stages for an evidence-based decision-making," ULB Institutional Repository 2013/173830, ULB -- Universite Libre de Bruxelles.
    6. Theodore Trefon, 2009. "Public Service Provision in a Failed State: Looking Beyond Predation in the Democratic Republic of Congo," Review of African Political Economy, Taylor & Francis Journals, vol. 36(119), pages 9-21, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Bart Criel & Maria-Pia Waelkens & Fulbert Kwilu Nappa & Yves Coppieters & Samia Laokri, 2020. "Can mutual health organisations influence the quality and the affordability of healthcare provision? The case of the Democratic Republic of Congo," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-21, April.
    2. Anelisa Jaca & Thobile Malinga & Chinwe Juliana Iwu-Jaja & Chukwudi Arnest Nnaji & Joseph Chukwudi Okeibunor & Dorcas Kamuya & Charles Shey Wiysonge, 2022. "Strengthening the Health System as a Strategy to Achieving a Universal Health Coverage in Underprivileged Communities in Africa: A Scoping Review," IJERPH, MDPI, vol. 19(1), pages 1-21, January.
    3. Bertone, Maria Paola & Jowett, Matthew & Dale, Elina & Witter, Sophie, 2019. "Health financing in fragile and conflict-affected settings: What do we know, seven years on?," Social Science & Medicine, Elsevier, vol. 232(C), pages 209-219.
    4. Samuel Lordemus, 2022. "Does Aid for Malaria Increase with Exposure to Malaria Risk? Evidence from Mining Sites in the D.R.Congo," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 84(4), pages 719-748, August.
    5. Meike Irene Nakovics & Stephan Brenner & Paul Jacob Robyn & Ludovic Deo Gracias Tapsoba & Manuela De Allegri, 2019. "Determinants of individual healthcare expenditure: A cross‐sectional analysis in rural Burkina Faso," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1478-1494, October.
    6. Simon Schäfermann & Richard Neci & Edward Ngah Ndze & Fidelis Nyaah & Valentin Basolanduma Pondo & Lutz Heide, 2020. "Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-16, January.
    7. Pavitra Paul & Ulrich Nguemdjo & Armel Ngami & Natalia Kovtun & Bruno Ventelou, 2022. "Do efficiency and equity move together? Cross-dynamics of Health System performance and Universal Health Coverage," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-8, December.

    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. Karun Sandeep Veesa & Kamalabhai Russell John & Patrick K Moonan & Saravanakumar Puthupalayam Kaliappan & Krishna Manjunath & Karuna D Sagili & Chinnappareddy Ravichandra & Pradeep Aravindan Menon & C, 2018. "Diagnostic pathways and direct medical costs incurred by new adult pulmonary tuberculosis patients prior to anti-tuberculosis treatment – Tamil Nadu, India," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-14, February.
    2. Williams, Colin C. & Horodnic, Adrian V., 2017. "Rethinking informal payments by patients in Europe: An institutional approach," Health Policy, Elsevier, vol. 121(10), pages 1053-1062.
    3. Mavisakalyan, Astghik & Otrachshenko, Vladimir & Popova, Olga, 2021. "Can bribery buy health? Evidence from post-communist countries," Journal of Comparative Economics, Elsevier, vol. 49(4), pages 991-1007.
    4. Bertone, Maria Paola & Jowett, Matthew & Dale, Elina & Witter, Sophie, 2019. "Health financing in fragile and conflict-affected settings: What do we know, seven years on?," Social Science & Medicine, Elsevier, vol. 232(C), pages 209-219.
    5. Tom Herdt & Kristof Titeca, 2016. "Governance with Empty Pockets: The Education Sector in the Democratic Republic of Congo," Development and Change, International Institute of Social Studies, vol. 47(3), pages 472-494, May.
    6. Mulenga, Arnold & Ataguba, John Ele-Ojo, 2017. "Assessing income redistributive effect of health financing in Zambia," Social Science & Medicine, Elsevier, vol. 189(C), pages 1-10.
    7. Tessa Bold & Mwangi Kimenyi & Germano Mwabu & Justin Sandefur, 2015. "Can Free Provision Reduce Demand for Public Services? Evidence from Kenyan Education," The World Bank Economic Review, World Bank, vol. 29(2), pages 293-326.
    8. Debashish Kundu & Nandini Sharma & Sarabjit Chadha & Samia Laokri & George Awungafac & Lai Jiang & Miqdad Asaria, 2018. "Analysis of multi drug resistant tuberculosis (MDR-TB) financial protection policy: MDR-TB health insurance schemes, in Chhattisgarh state, India," Health Economics Review, Springer, vol. 8(1), pages 1-12, December.
    9. Olsson, Ola & Baaz, Maria Eriksson & Martinsson, Peter, 2020. "Fiscal capacity in “post”-conflict states: Evidence from trade on Congo river," Journal of Development Economics, Elsevier, vol. 146(C).
    10. Alexander De Juan & Carlo Koos & Miquel Pellicer & Eva Wegner, 2022. "Can reconstruction programmes improve political perceptions in conflict contexts? Evidence from eastern Democratic Republic of the Congo," South African Journal of Economics, Economic Society of South Africa, vol. 90(4), pages 427-455, December.
    11. Samia Laokri & Maxime Koiné Drabo & Olivier Weil & Benoît Kafando & Sary Mathurin Dembélé & Bruno Dujardin, 2013. "Patients Are Paying Too Much for Tuberculosis: A Direct Cost-Burden Evaluation in Burkina Faso," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-6, February.
    12. Ivlevs, Artjoms & Hinks, Timothy, 2018. "Former Communist party membership and bribery in the post-socialist countries," Journal of Comparative Economics, Elsevier, vol. 46(4), pages 1411-1424.
    13. Roxanne J. Kovacs & Mylene Lagarde & John Cairns, 2019. "Measuring patient trust: Comparing measures from a survey and an economic experiment," Health Economics, John Wiley & Sons, Ltd., vol. 28(5), pages 641-652, May.
    14. Lavers, Tom, 2019. "Towards Universal Health Coverage in Ethiopia's ‘developmental state’? The political drivers of health insurance," Social Science & Medicine, Elsevier, vol. 228(C), pages 60-67.
    15. Samuel Lordemus, 2022. "Does Aid for Malaria Increase with Exposure to Malaria Risk? Evidence from Mining Sites in the D.R.Congo," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 84(4), pages 719-748, August.
    16. Yoko Laurence & Ulla Griffiths & Anna Vassall, 2015. "Costs to Health Services and the Patient of Treating Tuberculosis: A Systematic Literature Review," PharmacoEconomics, Springer, vol. 33(9), pages 939-955, September.
    17. Foussiakda, Agino Cécilia & Kasherwa, Amani Clovis, 2020. "The challenges affecting foster care in a “failed-state” context: Case of the SEDI child protection network in South-Kivu Province, Democratic Republic of Congo," Children and Youth Services Review, Elsevier, vol. 116(C).
    18. Olsson, Ola & Eriksson Baaz, Maria & Martinsson, Peter, 2016. "Tolling on the River: Trade and Informal Taxation on the Congo," Working Papers in Economics 679, University of Gothenburg, Department of Economics.
    19. Oliver Kaonga & Charles Banda & Felix Masiye, 2019. "Hardship financing of out-of-pocket payments in the context of free healthcare in Zambia," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-14, April.
    20. Samia Laokri & Arnaud Amoussouhui & Edgard M Ouendo & Athanase Cossi Hounnankan & Séverin Anagonou & Martin Gninafon & Ferdinand Kassa & Léon Tawo & Bruno Dujardin, 2014. "A Care Pathway Analysis of Tuberculosis Patients in Benin: Highlights on Direct Costs and Critical Stages for an Evidence-Based Decision-Making," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-8, May.

    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:ulb:ulbeco:2013/273019. 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: Benoit Pauwels (email available below). General contact details of provider: https://edirc.repec.org/data/ecsulbe.html .

    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.