Editorial & Opinion
أعرض في EDS

The burden of health expenditure on household impoverishment in Ethiopia: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: The burden of health expenditure on household impoverishment in Ethiopia: a systematic review and meta-analysis.
المؤلفون: Tsega Y; Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia. yawkaltsega@gmail.com., Endawkie A; Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Kebede SD; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Kebede N; Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Mihiretu MM; Department of Health System and Management, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Bekele E; Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Ayele K; Department of Health Promotion, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Asmare L; Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Bayou FD; Department of Epidemiology and Biostatistics, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Arefaynie M; Department of Reproductive and Family Health, School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
المصدر: Cost effectiveness and resource allocation : C/E [Cost Eff Resour Alloc] 2024 May 04; Vol. 22 (1), pp. 36. Date of Electronic Publication: 2024 May 04.
نوع المنشور: Letter
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101170476 Publication Model: Electronic Cited Medium: Print ISSN: 1478-7547 (Print) Linking ISSN: 14787547 NLM ISO Abbreviation: Cost Eff Resour Alloc Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2003]-
مستخلص: Background: Ethiopia, like many low-income countries, faces significant challenges in providing accessible and affordable healthcare to its population. Health expenditure is a critical factor in determining the quality and accessibility of healthcare. However, high health expenditure can also have detrimental effects on households, potentially leading to impoverishment. To the best knowledge of investigators, no similar study has been conducted in Ethiopia. Therefore, this systematic review and meta-analysis aimed to determine the pooled burden of health expenditure on household impoverishment in Ethiopia.
Methods: This systematic review and meta-analysis used the updated Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline. PubMed, Cochrane Library, HINARI, Google Scholar and Epistemonikos electronic databases were searched systematically. Moreover, direct manual searching through google was conducted. The analysis was performed using STATA version 17 software. Heterogeneity and publication bias were assessed using I 2 statistics and Egger's test, respectively. The trim and fill method was also performed to adjust the pooled estimate. Forest plots were used to present the pooled incidence with a 95% confidence interval of meta-analysis using the random effect model.
Results: This systematic review and meta-analysis included a total of 12 studies with a sample size of 66344 participants. The pooled incidence of impoverishment, among households, attributed to health expenditure in Ethiopia was 5.20% (95% CI: 4.30%, 6.20%). Moreover, there was significant heterogeneity between the studies (I 2  = 98.25%, P = 0.000). As a result, a random effect model was employed.
Conclusion: The pooled incidence of impoverishment of households attributed to their health expenditure in Ethiopia was higher than the incidence of impoverishment reported by the world health organization in 2023.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Ethiopia; Health expenditure; Impoverishment; Systematic review and meta-analysis
تواريخ الأحداث: Date Created: 20240504 Latest Revision: 20240507
رمز التحديث: 20240507
مُعرف محوري في PubMed: PMC11069253
DOI: 10.1186/s12962-024-00543-2
PMID: 38704568
قاعدة البيانات: MEDLINE
الوصف
تدمد:1478-7547
DOI:10.1186/s12962-024-00543-2