EFFECTS OF ILL-HEALTH COST ON MULTIDIMENSIONAL POVERTY: EVIDENCE FROM RURAL HOUSEHOLDS IN NIGERIA

K. Aboaba
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引用次数: 1

Abstract

Good health is important in the economy of any nation especially in the fight against poverty, poor health affects productivity and income of the workers and this will further deepen the incidence of poverty and ill-health. This study examined the linkage between ill-health cost and multidimensional poverty of rural households in Ogun state, Nigeria. Multistage sampling was used to select 240 households for the study. Data collected were analysed with descriptive statistics, economic cost of illness, multidimensional poverty index and logistic regression model. The result revealed that majority (95%) of the households experienced malaria infestation, time cost of illness contributed most (92.6%) to the total economic cost. Result revealed that 69% of households are multidimensionally poor. Furthermore, marital status (p<0.01), off-farm income (p<0.01), financial cost (p<0.01), days forgone production (p<0.1), time cost (p<0.01) and area cultivated (p<0.1) positively, and significantly influence multidimensional poverty status while household size (p<0.01), cooperative membership (p<0.05), public health care services (p<0.1) and health extension contact (p<0.01) have negative, and significant effect. The study concluded that increase in out of pocket expenditure as a result of ill-health cost increases poverty status, availability and access to public health facilities reduces poverty status, it was therefore recommended that public health facilities should be located nearer to the people with minimum social stratification that might discourage poor masses from its usage, essential drugs should be provided at subsidized rates as this will go a long way in reducing financial cost thereby reducing poverty status.
不良健康成本对多维贫困的影响:来自尼日利亚农村家庭的证据
良好的健康在任何国家的经济中都很重要,特别是在与贫困作斗争中,健康状况不佳影响工人的生产力和收入,这将进一步加深贫困和健康不良的发生率。这项研究考察了尼日利亚奥贡州农村家庭健康费用与多维贫困之间的联系。采用多阶段抽样方法,选取240户家庭进行研究。采用描述性统计、疾病经济成本、多维贫困指数和logistic回归模型对收集的数据进行分析。结果显示,绝大多数(95%)家庭遭受疟疾侵害,患病时间成本占总经济成本的比重最大(92.6%)。结果显示,69%的家庭处于多维贫困状态。婚姻状况(p<0.01)、非农收入(p<0.01)、财务成本(p<0.01)、放弃生产天数(p<0.1)、时间成本(p<0.01)和耕地面积(p<0.1)对多维贫困状态有显著的正向影响,而家庭规模(p<0.01)、合作社成员(p<0.05)、公共卫生服务(p<0.1)和健康推广接触(p<0.01)对多维贫困状态有显著的负向影响。该研究的结论是,由于健康费用不佳而增加的自付支出增加了贫困状况,而利用公共卫生设施的机会和机会减少了贫困状况,因此建议公共卫生设施应设在离社会阶层最低的人较近的地方,因为这可能会阻碍穷人群众使用这些设施。基本药物应该以补贴的价格提供,因为这将大大减少财政成本,从而减少贫困状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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