A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state Nigeria

In many low- and middle-income countries, individuals faced with financial hardship cannot afford medical treatments or even finance the purchase of medicines due to relatively high cost of health care services.In numerous low- and middle-income countries, individuals experiencing financial d...

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Bibliographic Details
Main Authors: Momoh JA, Mathew M, Momoh R.O, Luka-Lawal RK, Gadzama DA5, Daniel H, Prof. Abah SO, Prof. Uzochukwu
Format: Article
Language:English
Published: Makhdoomi Printers 2025-02-01
Series:Global Journal of Medicine and Public Health
Subjects:
Online Access:https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4116
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Summary:In many low- and middle-income countries, individuals faced with financial hardship cannot afford medical treatments or even finance the purchase of medicines due to relatively high cost of health care services.In numerous low- and middle-income countries, individuals experiencing financial difficulties are unable to afford medical treatments or purchase medicines due to the relatively high cost of healthcare services. High cost of healthcare has often been recognized as one of the leading barriers to quality healthcare services with the potential to plunge households into poverty, which affects the type and quality of health services sought for at health facilities between urban and rural areas. This cross-sectional descriptive study was among 495 eligible respondents in households in Edo State, Nigeria using the multi-stage sampling technique. The data collection tool was an interviewer-administered semi-structured questionnaire. The study found that in both urban and rural areas, 89.8% of respondents accessed care primarily by ‘Out of Pocket Payment (OOPP)’ however, this was higher among the rural households. Also, the purchase of drugs accounted for the largest proportion (71.9%) of the total expenditure on healthcare services. Given the economic realities faced by many households, especially in rural areas, urgent measures are warranted to alleviate the financial strain of healthcare expenses. To address this issue, there is a critical need for the Edo state government and private sector to prioritize the enhancement of existing healthcare insurance schemes, particularly in rural regions, by expanding coverage and accessibility. Additionally, subsidizing the cost of medications, particularly for common illnesses like malaria, could significantly alleviate the burden of out-of-pocket healthcare expenditure.  
ISSN:2277-9604