Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.

Out of pocket health payment (OOPs) has been identified by the System of Health Accounts (SHA) as the largest source of health care financing in most low and middle-income countries. This means that most low and middle-income countries will rely on user fees and co-payments to generate revenue, rati...

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Autores principales:	Isaiah Awintuen Agorinya, Maxwell Dalaba, Nathan Kumasenu Mensah, Samuel Tamti Chatio, Lan My Le, Yadeta Dassie Bacha, Jemima Sumboh, Gabriela Flores, Tessa Tan-Torres Edejer, Amanda Ross, Fabrizio Tediosi, James Akazili
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/42e9ff2da24c460d9271258e98bb2eec
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spelling	oai:doaj.org-article:42e9ff2da24c460d9271258e98bb2eec2021-12-02T20:08:28ZChallenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.1932-620310.1371/journal.pone.0256910https://doaj.org/article/42e9ff2da24c460d9271258e98bb2eec2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256910https://doaj.org/toc/1932-6203Out of pocket health payment (OOPs) has been identified by the System of Health Accounts (SHA) as the largest source of health care financing in most low and middle-income countries. This means that most low and middle-income countries will rely on user fees and co-payments to generate revenue, rationalize the use of services, contain health systems costs or improve health system efficiency and service quality. However, the accurate measurement of OOPs has been challenged by several limitations which are attributed to both sampling and non-sampling errors when OOPs are estimated from household surveys, the primary source of information in LICs and LMICs. The incorrect measurement of OOP health payments can undermine the credibility of current health spending estimates, an otherwise important indicator for tracking UHC, hence there is the need to address these limitations and improve the measurement of OOPs. In an attempt to improve the measurement of OOPs in surveys, the INDEPTH-Network Household out-of-pocket expenditure project (iHOPE) developed new modules on household health utilization and expenditure by repurposing the existing Ghana Living Standards Survey instrument and validating these new tools with a 'gold standard' (provider data) with the aim of proposing alternative approaches capable of producing reliable data for estimating OOPs in the context of National Health Accounts and for the purpose of monitoring financial protection in health. This paper reports on the challenges and opportunities in using and linking household reported out-of-pocket health expenditures to their corresponding provider records for the purpose of validating household reported out-of-pocket health expenditure in the iHOPE project.Isaiah Awintuen AgorinyaMaxwell DalabaNathan Kumasenu MensahSamuel Tamti ChatioLan My LeYadeta Dassie BachaJemima SumbohGabriela FloresTessa Tan-Torres EdejerAmanda RossFabrizio TediosiJames AkaziliPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0256910 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Isaiah Awintuen Agorinya Maxwell Dalaba Nathan Kumasenu Mensah Samuel Tamti Chatio Lan My Le Yadeta Dassie Bacha Jemima Sumboh Gabriela Flores Tessa Tan-Torres Edejer Amanda Ross Fabrizio Tediosi James Akazili Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.
description	Out of pocket health payment (OOPs) has been identified by the System of Health Accounts (SHA) as the largest source of health care financing in most low and middle-income countries. This means that most low and middle-income countries will rely on user fees and co-payments to generate revenue, rationalize the use of services, contain health systems costs or improve health system efficiency and service quality. However, the accurate measurement of OOPs has been challenged by several limitations which are attributed to both sampling and non-sampling errors when OOPs are estimated from household surveys, the primary source of information in LICs and LMICs. The incorrect measurement of OOP health payments can undermine the credibility of current health spending estimates, an otherwise important indicator for tracking UHC, hence there is the need to address these limitations and improve the measurement of OOPs. In an attempt to improve the measurement of OOPs in surveys, the INDEPTH-Network Household out-of-pocket expenditure project (iHOPE) developed new modules on household health utilization and expenditure by repurposing the existing Ghana Living Standards Survey instrument and validating these new tools with a 'gold standard' (provider data) with the aim of proposing alternative approaches capable of producing reliable data for estimating OOPs in the context of National Health Accounts and for the purpose of monitoring financial protection in health. This paper reports on the challenges and opportunities in using and linking household reported out-of-pocket health expenditures to their corresponding provider records for the purpose of validating household reported out-of-pocket health expenditure in the iHOPE project.
format	article
author	Isaiah Awintuen Agorinya Maxwell Dalaba Nathan Kumasenu Mensah Samuel Tamti Chatio Lan My Le Yadeta Dassie Bacha Jemima Sumboh Gabriela Flores Tessa Tan-Torres Edejer Amanda Ross Fabrizio Tediosi James Akazili
author_facet	Isaiah Awintuen Agorinya Maxwell Dalaba Nathan Kumasenu Mensah Samuel Tamti Chatio Lan My Le Yadeta Dassie Bacha Jemima Sumboh Gabriela Flores Tessa Tan-Torres Edejer Amanda Ross Fabrizio Tediosi James Akazili
author_sort	Isaiah Awintuen Agorinya
title	Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.
title_short	Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.
title_full	Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.
title_fullStr	Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.
title_full_unstemmed	Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.
title_sort	challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: experience from the ihope project in northern ghana.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/42e9ff2da24c460d9271258e98bb2eec
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Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana.

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