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International Journal of Public Health

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08.06.2018 | Original Article

Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data

verfasst von: Kai Liu, Benjamin Cook, Chunling Lu

Erschienen in: International Journal of Public Health | Ausgabe 1/2019

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Abstract

Objectives

To investigate the inequality in medical care utilization and household catastrophic health spending (HCHS) between the poverty and non-poverty residents in rural Rwanda and their links with community-based health insurance (Mutuelles).

Methods

We used the 2005 and 2010 nationally representative Integrated Living Conditions Surveys. We estimated multilevel logistic regression models to obtain the adjusted levels and trends of both absolute and relative inequalities and examined associations between Mutuelles status and these inequalities.

Results

Significant inequality between the two income groups, in both absolute and relative measures of medical care utilization and HCHS remained unchanged in 2005 and 2010. Significant reduction in adjusted absolute inequality in percentage of HCHS between the two years was not associated with Mutuelles status.

Conclusions

While Mutuelles promoted medical care utilization and reduced HCHS, it did not play a significant role in reducing their inequalities by poverty status between 2005 and 2010. Future studies should assess the impact of additional strategies (e.g., the exemption of Mutuelles premiums and copayments for households living in poverty), on reducing inequality by poverty status.

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Titel: Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data
verfasst von: Kai Liu
Benjamin Cook
Chunling Lu
Publikationsdatum: 08.06.2018
Verlag: Springer International Publishing
Erschienen in: International Journal of Public Health / Ausgabe 1/2019
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI: https://doi.org/10.1007/s00038-018-1115-5

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data

Abstract

Objectives

Methods

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Objectives

Methods

Results

Conclusions

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