Household catastrophic health expenditures: a comparative analysis of twelve Latin American and Caribbean Countries

OBJECTIVE: Compare patterns of catastrophic health expenditures in 12 countries in Latin America and the Caribbean. MATERIAL AND METHODS: Prevalence of catastrophic expenses was estimated uniformly at the household level using household surveys. Two types of prevalence indicators were used based on out-of-pocket health expense: a) relative to an international poverty line, and b) relative to the household's ability to pay net of their food basket. Ratios of catastrophic expenditures were estimated across subgroups defined by economic and social variables. RESULTS: The percent of households with catastrophic health expenditures ranged from 1 to 25% in the twelve countries. In general, rural residence, lowest quintile of income, presence of older adults, and lack of health insurance in the household are associated with higher propensity of catastrophic health expenditures. However, there is vast heterogeneity by country. CONCLUSIONS: Cross national studies may serve to examine how health systems contribute to the social protection of Latin American households.

Bibliographic Details

Main Authors:	Knaul,Felicia Marie, Wong,Rebeca, Arreola-Ornelas,Héctor, Méndez,Oscar, Bitran,Ricardo, Campino,Antonio Carlos, Flórez Nieto,Carmen Elisa, Fontes,Roberto lunes, Giedion,Ursula, Maceira,Daniel, Rathe,Magdalena, Valdivia,Martin, Vargas,Juan Rafael, Díaz,Juan José, Econ,María Dolores Montoya, Valdes,Werner, Carmona,Ricardo Valladares, Zuniga,Maria Paola, Lafontaine,Liv, Muñoz,Rodrigo, Pardo,Renata, Reynoso,Ana María, Santana,María Isabel, Vidarte,Rosa
Format:	Digital revista
Language:	English
Published:	Instituto Nacional de Salud Pública 2011
Online Access:	http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342011000800005
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