Citation

Htet S, Fan V, Alam K, Mahal A. Asia Pac. J. Public Health 2014; 27(4): 418-428.

Affiliation

Monash University, Melbourne, Australia ajay.mahal@monash.edu.

Copyright

(Copyright © 2014, Asia-Pacific Academic Consortium for Public Health, Publisher SAGE Publishing)

DOI

10.1177/1010539514558332

PMID

25424245

Abstract

The government of Myanmar, with support from international donors, plans to address household financial risks from ill health and expand coverage. But evidence to design policy is limited. WHS (World Health Survey) data for 6045 households were used to investigate the association of out-of-pocket (OOP) health spending, catastrophic expenditures, and household borrowing and asset sales associated with illness with key socioeconomic and demographic correlates in Myanmar. Households with elderly and young children and chronically ill individuals, poor households, and ethnic minorities face higher financial stress from illness. Rural households use less care, suggesting their lower OOP health spending may be at the cost of health. Poorer groups rely more on public sector health services than richer groups. Better targeting, increased budgetary allocations, and more effective use of resources via designing cost-effective benefits packages appear key to sustainably addressing financial risks from ill health in Myanmar.

Language: en