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Out-of-pocket payments for unintentional injuries: a study in rural Bangladesh.
Karolinska Institutet, Division of Social Medicine, Department of Public Health Sciences, Stockholm.ORCID iD: 0000-0001-7393-796X
Centre for Injury Prevention and Research, Mohakhali Dhaka-1206, Bangladesh.
2009 (English)In: International Journal of Injury Control and Safety Promotion, ISSN 1745-7300, E-ISSN 1745-7319, Vol. 16, no 1, p. 41-7Article in journal (Refereed) Published
Abstract [en]

This paper studies the nature and extent of out-of-pocket expenses for unintentional injuries, using the context of rural Bangladesh. A cross-sectional study consisting of 23,113 people was performed through multistage cluster sampling. Chi-square analysis and pie-diagrams were used. A total of 3411 injury victims were identified in this survey. Only 14% of victims received government medical assistance while 17% of victims benefited from public health care and 13% benefited from private health care facilities. However, 94% of the injury victims have purchased drugs out-of-pocket. With a minimum of US $0.07 and maximum of US $140 their mean out-of-pocket payment for drugs was US $4 (half of the Bangladeshis are living under US $1 per day). Instead of relying on public health care facilities most rural Bangladeshi people spent money from their own pockets for treatments. Proper health care distribution with a community-based insurance scheme and safety awareness programmes are warranted to reduce both injury and economic burdens.

Place, publisher, year, edition, pages
Oxon, UK: Taylor & Francis, 2009. Vol. 16, no 1, p. 41-7
Keywords [en]
out-of-pocket expenses, injury, health economics, Bangladesh
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:oru:diva-40981DOI: 10.1080/17457300802475992ISI: 000279394500006PubMedID: 19065281Scopus ID: 2-s2.0-67649335486OAI: oai:DiVA.org:oru-40981DiVA, id: diva2:780098
Available from: 2015-01-13 Created: 2015-01-12 Last updated: 2017-12-05Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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  • de-DE
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  • en-US
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Output format
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