Measuring financial protection for chronic illness in low- and middle-income countries
Presented by the Financing for Universal Health Coverage SIG
Thursday, April 9th, 2020
8:00 AM ET - check your timezone online here
Objective: To reflect on implications and challenges of various approaches to measuring financial protection for chronic illness in low- and middle-income countries.
The Sustainable Development Goal 3, Target 8, aims to achieve Universal Health Coverage for all, including financial protection. Efforts to monitor financial protection use indicators of catastrophic spending and impoverishment that may not accurately reflect the economic burden experienced by households in low- and middle-income countries, particularly for those suffering from chronic illness. This webinar will present experiences and preliminary findings from i) implementing household pictorial expenditure diaries, alongside traditional household expenditure surveys, in a sample of people with chronic non-communicable diseases in Tanzania, South Africa and Zimbabwe, ii) using an alternative measure of catastrophic spending to those in the SDGs, proposed by WHO Europe, in a survey of 18 countries at all levels of development and iii) conducting qualitative research on the impact of distress financing on households with chronic NCDs in Zimbabwe.
Speaker: Adrianna Murphy
Adrianna works on health services research for non-communicable diseases, using mixed-methods. Her particular interest is in research that can support sustained access to essential medicines and treatment for non-communicable diseases in low-income and conflict-affected settings. She currently holds a Wellcome Trust Fellowship to study the impact of health care and medicine costs on healthcare- seeking and risk of impoverishment among households with cardiovascular disease in South Africa, Tanzania and Zimbabwe. She is also starting work on studies to understand patient, health worker and policy-maker experiences of a new model of hypertension care in Kenya, and mental health care utilisation among Syrian refugees in Lebanon. She has previously conducted health services research in Ukraine, the Republic of Georgia, the Democratic Republic of Congo, Niger and India.
Adrianna is Deputy Director of the Centre for Global Chronic Conditions and Associate Editor of the journal Conflict & Health. She has a SM from the Harvard School of Public Health and a PhD from the London School of Hygiene and Tropical Medicine.