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Catastrophic health expenditure and impoverishment in Mongolia
Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia; Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
Örebro University, Örebro University School of Business. Health Metrics Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID iD: 0000-0003-1113-7478
Department of Health Systems Governance and Financing, WHO, Geneva, Switzerland.
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2016 (English)In: International Journal for Equity in Health, ISSN 1475-9276, E-ISSN 1475-9276, Vol. 15, article id 105Article in journal (Refereed) Published
Abstract [en]

Background: The social health insurance coverage is relatively high in Mongolia; however, escalation of out-ofpocket payments for health care, which reached 41 % of the total health expenditure in 2011, is a policy concern. The aim of this study is to analyse the incidence of catastrophic health expenditures and to measure the rate of impoverishment from health care payments under the social health insurance scheme in Mongolia.

Methods: We used the data from the Household Socio-Economic Survey 2012, conducted by the National Statistical Office of Mongolia. Catastrophic health expenditures are defined an excess of out-of-pocket payments for health care at the various thresholds for household total expenditure (capacity to pay). For an estimate of the impoverishment effect, the national and The Wold Bank poverty lines are used.

Results: About 5.5 % of total households suffered from catastrophic health expenditures, when the threshold is 10 % of the total household expenditure. At the threshold of 40 % of capacity to pay, 1.1 % of the total household incurred catastrophic health expenditures. About 20,000 people were forced into poverty due to paying for health care.

Conclusions: Despite the high coverage of social health insurance, a significant proportion of the population incurred catastrophic health expenditures and was forced into poverty due to out-of-pocket payments for health care.

Place, publisher, year, edition, pages
BioMed Central, 2016. Vol. 15, article id 105
Keywords [en]
Catastrophic health expenditure, Impoverishment, Financial protection, Mongolia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-62607DOI: 10.1186/s12939-016-0395-8ISI: 000379460500001PubMedID: 27401464Scopus ID: 2-s2.0-84979681473OAI: oai:DiVA.org:oru-62607DiVA, id: diva2:1157591
Note

Funding Agency:

UEF Doctoral School Scholarship

Available from: 2017-11-16 Created: 2017-11-16 Last updated: 2017-11-29Bibliographically approved

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Svensson, Mikael

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