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坦桑尼亚传染性疾病与非传染性疾病在灾难性支出和贫困方面的比较分析

Comparative Analysis on Communicable and Non-Communicable Diseases on Catastrophic Spending and Impoverishment in Tanzania.

作者信息

Kitole Felician Andrew, Lihawa Robert Michael, Mkuna Eliaza

机构信息

Department of Economics, Mzumbe University, P.O. Box 5, Morogoro, Tanzania.

出版信息

Glob Soc Welf. 2022 Aug 26:1-12. doi: 10.1007/s40609-022-00241-y.

Abstract

The question of whether communicable or non-communicable diseases have higher economic effects on households is rarely explored from the global to local level despite of their significant contribution in increasing household catastrophic spending and impoverishment. To shed light into this, therefore, this paper comparatively examines the economic effects of communicable and non-communicable diseases in Tanzania by the use of Tanzania Panel Survey data of 2019/2020 which has been used to analyze different parameters to provide needful information. The empirical analysis employed probit, two-stage residual inclusion (2SRI), and control function approachf (CFA) helpful in controlling endogeneity issues. Findings showed that, comparatively, non-communicable diseases have higher economic effects in endangering households into catastrophic spending and impoverishment comparing to communicable diseases. Conclusively, neglecting developing countries to fights against multiplicative effects of these diseases alone will result in killing their economies since most of these countries depend on donors and household as a means of healthcare financing. However, this paper recommends for global initiatives in reducing the burden of disease by funding on palliative care costs and enhancing the availability of affordable health insurance schemes to reduce household economic burden.

摘要

尽管传染病和非传染病在增加家庭灾难性支出和贫困方面有重大影响,但从全球到地方层面,很少有人探讨它们对家庭的经济影响孰高孰低。因此,为了阐明这一问题,本文利用2019/2020年坦桑尼亚面板调查数据,对坦桑尼亚传染病和非传染病的经济影响进行了比较研究,该数据已被用于分析不同参数以提供必要信息。实证分析采用了概率单位模型、两阶段残差纳入法(2SRI)和控制函数法(CFA),有助于控制内生性问题。研究结果表明,相比之下,与传染病相比,非传染病在使家庭面临灾难性支出和贫困方面具有更高的经济影响。总之,忽视发展中国家独自应对这些疾病的多重影响将导致其经济崩溃,因为这些国家大多依赖捐助者和家庭作为医疗融资手段。然而,本文建议采取全球行动,通过资助姑息治疗费用和增加可负担得起的健康保险计划的可及性来减轻疾病负担,以减轻家庭经济负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27e9/9412805/82b4ceb33e02/40609_2022_241_Fig1_HTML.jpg

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