Determinants of Economic Burden for Treatments of Non-Communicable Diseases in Bangladesh

Sanjida Akter, Jagannath University, Dhaka
M Sheikh Giash Uddin, Jagannath University

Out-of-pocket (OOP) healthcare payments for non-communicable disease in Bangladesh are steadily increasing and its placing a significant financial burden on many households. We aimed to investigate the incidence of distress financing from OOP payments for non -communicable diseases and their determinants In order to conduct this research, data were extracted from the latest Bangladesh Household Income and Expenditure Survey (HIES), conducted by the Bangladesh Bureau of Statistics in 2022 with a sample of 14400 households. Distress financing measured as funding for OOPE by selling or mortgaging household assets/lands, borrowing money from lender/ banks/friends/relatives, and by receiving assistance from friends/relatives .Univariate and bivariate analysis was performed, Binary logistic regression models were used to assess the determinants of distress financing. We found that about 60.83% of households faced distress financing for treatment of non-communicable disease in Bangladesh. The highest incidence of distress financing was observed in cases related to cancer (86.7%), followed closely by mental health(82.4%) and injury/disability(76.9 %).Covariates in the model: earner status, division, type of residence, injury/disability , asthma , gastric/ulcer, diabetes were significantly associated with distress financing. Our research revealed substantial financial burden in terms of distress financing due to OOPE of non-communicable diseases

Keywords: Economic Demography, Health and Morbidity

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