Households Health Care Financing Methods: Social Status Differences, Economic Implications and Clinical Outcomes Among Patients Admitted in a Pediatric Emergency Unit of a Tertiary Hospital in South West Nigeria

Background. The affordability of health care services by households within a country is determined by the health care financing methods used by her citizens. In accordance with World Health Organization (WHO), health services must be delivered equitably and without imposing financial hardship on the...

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Published in:Global pediatric health 2023-01, Vol.10, p.2333794X231159792-2333794X231159792
Main Authors: Taiwo, Adekunle Bamidele, Fatunla, Odunayo Adebukola, Ogundare, Olatunde Ezra, Oluwayemi, Oludare Isaac, Babatola, Adefunke Olarinre, Ajite, Adebukola Bidemi, Ajibola, Ayotunde Emmanuel, Olajuyin, Adebola, Sola-Oniyide, Boluwatife, Olatunya, Oladele Simeon
Format: Article
Language:English
Subjects:
Economics
Health care
Health services
Households
Income
Original
Pediatrics
Socioeconomic factors
Socioeconomics
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Summary:Background. The affordability of health care services by households within a country is determined by the health care financing methods used by her citizens. In accordance with World Health Organization (WHO), health services must be delivered equitably and without imposing financial hardship on the citizens. Aim. This study aimed to determine the pattern of households health care financing method and relate it to the social-background, economic implication and clinical outcome of care in pediatric emergency situations. Method: It is a cross-sectional descriptive study. Result. 210 children from different households were recruited. Majority (75.9%) of the children were aged 0 to 5 years, males (61.2%) and belonged to the low socio-economic status (95.7%). The overall median (IQR) cost of care, income and percentage of income spent on care were ₦10 700 (₦7580-₦19 700), ₦ 65000(₦38000-₦110 000) and 17.6% (7.1%-39.7%) respectively. Though 70 (34.8%) of the respondents were aware of health insurance scheme, only 12.8% were enrolled. There were significant differences in the households’ health care financing methods with respect to the socioeconomic status (P = .010), paternal level of education (P 
ISSN:2333-794X
2333-794X
DOI:10.1177/2333794X231159792