Household’s Coping Mechanisms of Out-of-Pocket Expenditure on Health Care: a Case Study of Assam, India
Journal Title: IOSR Journal of Humanities and Social Science - Year 2018, Vol 23, Issue 1
Abstract
Hitherto many countries especially the developing and underdeveloped countries depend on out-ofpocket (OOP) to finance the health care of the citizens. However, many households fall into poverty trap and become debt ridden due to huge OOP expenditure. Not every household can finance the OOP expenditure from current income and savings. Therefore, households have to either borrow or sell assets to make the expenditure. Knowledge on coping mechanisms of health care cost provides important information on how households respond to health shocks and how expenditure may affect their future welfare. The objective of this paper is to explore how households in rural Assam cope with, or arrange the necessary resources to pay for the OOP expenditure. This will give knowledge on how strategies differ between financing inpatient care and outpatient care and between different demographic and economic categories of the households. Multinomial logistic regression has been used to look into the determinants of type of coping mechanisms households use. It has been found that current income and savings is the major means of coping mechanisms although this is mostly used by the non-poor households. The poor households mostly resort to borrowing from village funds.
Authors and Affiliations
Joel Basumatary, Prof. Nirankar Srivastav
Keywords
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- EP ID EP417062
- DOI 10.9790/0837-2301097084.
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