Out-of-pocket (OOP) expenditures on health remain high in many low- and middle-income countries despite policy efforts aiming to reduce these health costs by targeting their hotspots. Hotspot targeting remains inadequate, particularly where the OOP expenditures are related across geographic regions due to unequal demand, supply and prices of healthcare services. These hiccups undermine the efforts towards the attainment of Universal Health Coverage by curtailing the aims of ensuring people’s access to healthcare without suffering financial catastrophe. This peer reviewed study therefore, investigates the existence of geographical correlations in OOP health expenditures in Malawi.
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