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...

Full description

Saved in:
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
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1823861406877876224
author Momoh JA
Mathew M
Momoh R.O
Luka-Lawal RK
Gadzama DA5
Daniel H
Prof. Abah SO
Prof. Uzochukwu
author_facet Momoh JA
Mathew M
Momoh R.O
Luka-Lawal RK
Gadzama DA5
Daniel H
Prof. Abah SO
Prof. Uzochukwu
author_sort Momoh JA
collection DOAJ
description 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.  
format Article
id doaj-art-5f34677e5da740d381e29661222bdc8a
institution Kabale University
issn 2277-9604
language English
publishDate 2025-02-01
publisher Makhdoomi Printers
record_format Article
series Global Journal of Medicine and Public Health
spelling doaj-art-5f34677e5da740d381e29661222bdc8a2025-02-09T16:49:06ZengMakhdoomi PrintersGlobal Journal of Medicine and Public Health2277-96042025-02-011306A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state NigeriaMomoh JAMathew MMomoh R.OLuka-Lawal RKGadzama DA5Daniel HProf. Abah SOProf. Uzochukwu 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.   https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4116Keywords: Out –of-pocket expenditure, pattern of costs, healthcare, urban, rural
spellingShingle Momoh JA
Mathew M
Momoh R.O
Luka-Lawal RK
Gadzama DA5
Daniel H
Prof. Abah SO
Prof. Uzochukwu
A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state Nigeria
Global Journal of Medicine and Public Health
Keywords: Out –of-pocket expenditure, pattern of costs, healthcare, urban, rural
title A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state Nigeria
title_full A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state Nigeria
title_fullStr A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state Nigeria
title_full_unstemmed A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state Nigeria
title_short A comparative analysis of the level of out-of-pocket healthcare expenditure in urban and rural communities in Edo state Nigeria
title_sort comparative analysis of the level of out of pocket healthcare expenditure in urban and rural communities in edo state nigeria
topic Keywords: Out –of-pocket expenditure, pattern of costs, healthcare, urban, rural
url https://nicpd.ac.in/ojs-/index.php/gjmedph/article/view/4116
work_keys_str_mv AT momohja acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT mathewm acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT momohro acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT lukalawalrk acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT gadzamada5 acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT danielh acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT profabahso acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT profuzochukwu acomparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT momohja comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT mathewm comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT momohro comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT lukalawalrk comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT gadzamada5 comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT danielh comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT profabahso comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria
AT profuzochukwu comparativeanalysisofthelevelofoutofpockethealthcareexpenditureinurbanandruralcommunitiesinedostatenigeria