OBJECTIVE: To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. METHODS: We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method. FINDINGS: Even at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness. CONCLUSION: We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness.
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机译：目的：量化布基纳法索努纳区灾难性家庭医疗保健支出的规模，并确定造成这一损失的因素。方法：我们使用Nouna Health District家庭调查收集了2000-01年间800户家庭的数据进行分析。通过多因素logistic回归方法确定家庭灾难性支出的决定因素。结果：即使在卫生保健利用率很低且卫生支出不高的情况下，努纳区总家庭中6-15％的家庭却遭受了灾难性的卫生支出。灾难性医疗支出的主要决定因素是经济状况，家庭医疗保健的利用，尤其是现代医疗的使用，成年家庭成员的疾病发作以及慢性病患者的存在。结论：我们得出结论，社区中最贫穷的成员承担了灾难性的医疗费用。仅设置一个阈值/临界值来确定灾难性医疗费用可能会导致估算不准确，从而导致对重要因素的误解。我们的发现具有重要的政策意义，可用于确保低收入群体更好地获得医疗服务并获得更高程度的财务保护，以免受疾病的经济影响。
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