Issues in equitable health financing in South Eastern Nigeria: Socio-economic and geographic differences in households' illness expenditures and policy makers' views on the financial protection of the poor
Article first published online: 28 JAN 2009
Copyright © 2009 John Wiley & Sons, Ltd.
Journal of International Development
Special Issue: Managing Risks: Household Illness Costs, Coping Strategies and Access to Social Protection
Volume 21, Issue 2, pages 185–199, March 2009
How to Cite
Onwujekwe, O., Onoka, C., Uzochukwu, B., Obikeze, E. and Ezumah, N. (2009), Issues in equitable health financing in South Eastern Nigeria: Socio-economic and geographic differences in households' illness expenditures and policy makers' views on the financial protection of the poor. J. Int. Dev., 21: 185–199. doi: 10.1002/jid.1547
- Issue published online: 24 FEB 2009
- Article first published online: 28 JAN 2009
- Alliance for Health Policy and Systems Research, Geneva, Switzerland
- household expenditure;
- healthcare financing;
- health policy;
This study examined the socio-economic and geographic differences in illness occurrence and levels of expenditures in South Eastern Nigeria, together with policymaker and healthcare provider views on how to alleviate the financial burdens placed on the poorest by existing payment mechanisms. We found no evidence of differences across socio-economic group in illness occurrence but there was inequity in expenditures, payment mechanisms used and sources of funds to cope with the burden of payments. Policymakers and facility managers were found to assume that households have the capacity to cope with healthcare payments and there is no functioning system of fee exemptions. Policies are needed to protect the poor and other vulnerable groups against the financial risk of ill-health. Copyright © 2009 John Wiley & Sons, Ltd.