Estimating the level and determinants of catastrophic expenditure related to hypertension management in the Greater Accra Region of Ghana
Bibliographic Data
| ID | 19529662 |
|---|---|
| Authors | Kofi Aduo-Adjei (0000-0002-7504-8127, University of Bergen, corresponding author), James Akazili (0000-0003-3259-9794, Navrongo Health Research Centre), Øystein Ariansen Haaland (0000-0001-5288-7879, University of Bergen), Lumbwe Chola (0000-0001-6488-2813, University of Oslo) |
| Year | 2025 |
| Volume | 18 |
| Issue | 1 |
| Pages | 2602116-2602116 |
| Publication date | 2025-12-31 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Health Action (JOURNAL) |
| Journal identifiers | ISSN: 1654-9716 • E-ISSN: 1654-9880 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/16549716.2025.2602116 |
| PMID | 41410004 |
| OpenAlex | W4417453368 |
| Language | EN |
| References cited | 31 |
Background Since the establishment of national health insurance in Ghana, the government’s health policy has focused on reducing out-of-pocket expenditure (OOP) to ensure that people do not become poorer while accessing healthcare services. However, studies show that OOP expenditure remains high, and a substantial portion of the population experiences catastrophic health expenditure (CHE).Objective(s) We estimated the level and determinants of catastrophic health expenditures for hypertension management among adults in the Greater Accra Region of Ghana.Methods We conducted a cross-sectional CHE survey at two randomly selected district primary health facilities in the Greater Accra Region. Data collection took place between December 2023 and February 2024. A questionnaire was used to collect data on direct and indirect medical expenditures related to hypertension care from 382 participants. CHE was defined at thresholds of 10% and 40% of the household’s capacity for direct and indirect medical expenditures, respectively. Multivariate logistic regression was used to assess the determinants of CHE.Results A total of 382 patients were included in the analysis; the majority were females (76%), and Christians (95%). Based on the 10% and 40% thresholds of household income capacity to pay, 65% and 58% of the total sample experienced CHE, respectively. The regression model revealed that being widowed (OR = 0.32, 95% CI: 0.09–1.10, p = 0.07), unemployed (OR = 0.26, 95% CI: 0.08–0.09, p = 0.03), and having a large household size (OR = 1.32, 95% CI: 0.95–1.84, p = 0.09) correlate with CHE for hypertension management and care.Conclusion The study demonstrates that hypertension care imposes a considerable financial burden on households
Cross-sectional study · Developing country · Health care · Population · Public health · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms
Gender Differences in the Association Between Marital Status and Hypertension in Ghana
Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension
The Lancet NCDI Poverty Commission
Catastrophe and impoverishment in paying for health care
The household economic burden of non-communicable diseases in 18 countries
Prevalence, determinants and systems-thinking approaches to optimal hypertension control in West Africa
Assessing the catastrophic effects of out-of-pocket healthcare payments prior to the uptake of a nationwide health insurance scheme in Ghana
Incidence, socio-economic inequalities and determinants of catastrophic health expenditure and impoverishment for diabetes care in South Africa
Socioeconomic inequality in the prevalence of noncommunicable diseases in low- and middle-income countries
| Highly cited | No |
|---|