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Report on catastrophic expenditure and the impact of direct payments on household impoverishment in Mauritania base 2014 - P4H Network

Report on catastrophic expenditure and the impact of direct payments on household impoverishment in Mauritania base 2014

Equity in healthcare financing is one of the three main objectives of every healthcare system, alongside the achievement of an optimal level of health and responsiveness. The aim of this study is to contribute to the analysis of the dimensions of health financing, particularly those linked to the issue of equity. It is the second of its kind, following the publication of the first report in July 2013. It highlights the effect of direct household payments on impoverishment (by exploiting the 2014 Permanent Household Living Conditions Survey (PHCS) database (BDD), using the method developed by WHO for catastrophic expenditure analysis).
The study attempts to provide answers to the following questions: 1) Who uses health services (and what type are they?); 2) Who pays and how much, for which health services? ; 3) What is the impact of these payments on households’ financial situation? 4) What types of households are most likely to face catastrophic expenses?
The study is the fruit of the work of a joint technical committee between the Ministry of Health, the National Statistics Office and the World Health Organization.

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Published on 29 May 2020