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The study titled “Persistency of Catastrophic Out-of-Pocket Health Expenditures: Measurement with Evidence from Three African Countries – Malawi, Tanzania, and Uganda” investigates the ongoing financial burden of out-of-pocket health expenses in Sub-Saharan Africa. The authors propose a novel approach to assessing persistent catastrophic health expenditures (CHE) by examining risk exposure, average changes, and recurrence of these expenses over time. The study utilises longitudinal data from Malawi, Tanzania, and Uganda to reveal that a significant portion of households facing CHE in one period are likely to encounter them again. The findings highlight the enduring financial vulnerabilities associated with out-of-pocket health spending, particularly among elderly individuals, female-headed households, and those experiencing health shocks. The research underscores the need for effective insurance arrangements and policy interventions to mitigate the persistent financial strain on affected populations.