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Frontiers | Household Economic Consequences of Rheumatic Heart Disease in Uganda

Background: Rheumatic heart disease (RHD) has declined dramatically in wealthier countries in the past three decades, but it remains endemic in many lower-resourced regions and can have significant costs to households. The objective of this study was to quantify the economic burden of RHD among Ugandans affected by RHD. Methods: This was a cross-sectional cost-of-illness study that randomly sampled 87 participants and their households from the Uganda National RHD registry between December 2018 and February 2020. Using a standardized survey instrument, we asked participants and household members about outpatient and inpatient RHD costs and financial coping mechanisms incurred over the past 12 months. We used descriptive statistics to analyze levels and distributions of costs and the frequency of coping strategies. Multivariate Poisson regression models were used to assess relationships between socioeconomic characteristics and utilization of financial coping mechanisms. Results: Most pa ....

University Of Washington , United States , Central Region , South Africa , North Western , Western Region , World Bank , District Of Columbia , South Korea , South African , Northern Region , Addis Ababa , Bryan Hoskins , Linda Mary Oyella , Peter Lwabi , Xinpeng Xu , Emily Chu , Rachel Sarnacki , World Bank Group , American Heart Association , World Health Assembly , Value Health , World Development Indicators , Uganda Heart Institute , Mulago National Referral Hospital Wakiso , Public Health ,

Covid-19 pandemic shows how government's thrust to privatise healthcare puts burden on India's poor

The first wave of reforms was introduced as part of structural adjustments in India, in the 1990s. This was based on the World Bank promoted model of limited state intervention in the health sector. The role of the state was defined as investing in public health management, focussed only on those health services characterised as non-excludable and non-rivalrous, where markets are considered to fail in efficient resource allocation. The consequence of these reforms was privatisation, soaring costs of health care with exclusion of large sections of the population from any healthcare services.
In India, the National Rural Health Mission was introduced as an effort to strengthen public health systems and address the failures of the first reform wave. ....

Uttar Pradesh , Antonio Guterres , Rashtriya Swasthya Bima Yojana , Harsh Mander , Jan Arogya Yojana , National Health Authority , World Bank , United Nations , Health Coverage , Centre For Equity , Bhore Committee , Catastrophic Health Expenditure , Even The National Human Rights Commission , National Rural Health Mission , National Health Mission , National Sample , India Exclusion Report , Equity Studies , World Health Assembly , Independent Indian , Andhra Pradesh , Rashtriya Swasthya Bima , Prime Minister Jan Arogya Yojana , National Health , Niti Aayog , National Sample Survey ,