Dr Shampa Das, Dr Subrata Baidya, Dr Sankha Subhra Debnath


Background: Health expenditure has been defined catastrophic if 5-20% of total household income is spent on healthcare. Objectives: To estimate the prevalence of catastrophic household expenditures on health care in urban slum area of AMC and to determine the factors associated with catastrophic household expenditure while receiving healthcare. Methodology: A cross sectional study was conducted among 230 households in the urban slum area of Agartala Municipal Corporation for a period of 25 days. A pretested, semi-structured interview schedule was used to collect information. Results: Prevalence of household catastrophic expenditure on health care is 62.61%. Family size (p = 0.001), total monthly income of the family (p = 0.000), types of illnesses (p = 0.0002), health service taken from (p = 0.0262), hospitalization (p = 0.005), number of OPD/ private clinic visits (p = 0.0008) had significantly associated with catastrophic health care expenditure.


Out of pocket expenditure, catastrophic health expenditure.

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World Health Organization (2000). The world health report 2000. Health systems: improving performance. Geneva: World Health Organization.

Peters D, Yazbeck A, Sharma R, Ramana G. Pritchett L, Wagstaff A. 2002. Better Health Systems for India’s Poor: Findings, Analysis and Options. The World Bank. USA.

Misra S, Awasthi S, Singh JV, Agarwal M, Kumar V. Estimation of out of pocket direct and indirect medical expenditure and spending burden ratio across income quintiles in urban Lucknow, India. Clinical Epidemiology and Global Health 2013; 1: 12-18.

National Sample Survey Organization. National Sample Survey 1996, Report No 441, 52nd Round, New Delhi:National Sample Survey Organization ,Govt of India; 1998

Indrani G. Out-of-pocket expenditures and poverty: estimates from NSS 61st round. Draft paper, Institute of Economic Growth. India. 2009.

Rajesh Kumar Sinha, Keya Chatterjee, Nirmala Nair and Prasanta Kishore Tripathy. Determinants of Out-of-Pocket and Catastrophic Health Expenditure: A Cross-sectional Study British Journal of Medicine & Medical Research 2016; 11(8): 1-11

Forgia GL, Nagpal S. Government sponsored health insurance in India. The World Bank; 2012.

Balarajan Y, Selvaraj S, Subramanian SV. Health care and equity in India. Lancet. 2011; 377 (9764): 505–515.

Kanchana Nagendra, Mangala Belur, Nandini C, Anirudh Krishna. Catastrophic household expenditure on health in an urban slum: a cross-sectional survey. International Journal of Community Medicine and Public Health. 2017; 4 (1): 81- 83

Kumar K, Singh A, Kumar S, Ram F, Singh A, Ram U. Socio-economic differentials in impoverishment effects of out-of-pocket health expenditure in China and India: Evidence from WHO SAGE. PLoS ONE. 2015; 10(8):e0135051. DOI: 10.1371/journal.pone.0135051

T. T Kouyaté, B Flessa S. Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina. Bulletin of the World Health Organization. 2006; volume 86 :46-52.


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