Economic Consequences of Ill-Health in Rural Ethiopia

被引:3
作者
Yilma, Zelalem [1 ]
Mebratie, Anagaw Derseh [2 ]
Sparrow, Robert [3 ,4 ]
Dekker, Marleen [5 ]
Alemu, Getnet [6 ]
Bedi, Arjun S. [4 ]
机构
[1] World Bank, Hlth Nutr & Populat Global Practice Africa East R, 1818 H St NW, Washington, DC 20433 USA
[2] Addis Ababa Univ, Sch Publ Hlth, Addis Ababa, Ethiopia
[3] Wageningen Univ, Dept Social Sci, Wageningen, Netherlands
[4] Erasmus Univ, Int Inst Social Studies, The Hague, Netherlands
[5] Leiden Univ, African Studies Ctr, Leiden, Netherlands
[6] Addis Ababa Univ, Inst Dev & Policy Res, Addis Ababa, Ethiopia
关键词
Health shocks; ill-health; consumption insurance; health expenditure; labor supply; poverty dynamics; Ethiopia; SHOCKS; CONSUMPTION; VULNERABILITY; HOUSEHOLDS; ILLNESS; INSURANCE; IMPACT;
D O I
10.1080/23288604.2021.1885577
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We use three years of household panel data to analyze the effects of ill-health on household economic outcomes in rural Ethiopia. We examine the immediate effects of various ill-health measures on health expenditure and labor supply, the subsequent coping responses, and finally the effect on income and consumption. We find evidence of substantial economic risk in terms of increased health expenditure and reduced agricultural productivity. Households are able to smooth consumption by resorting to intra-household labor substitution, borrowing and depleting assets. However, maintaining current consumption through borrowing and depletion of assets is unlikely to be sustainable and displays the need for health financing reforms and safety nets that reduce the financial consequences of ill-health.
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页数:9
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