Abstract

The implementation of the System of Social Protection in Health (ssph) had the aim of reaching universal health coverage. However, while this system has been successful on increasing coverage rates, it has not eradicated out-of-pocket expenses nor catastrophic health expenditures. Using the enigh 2018 (the income and expenditures survey), and a series of beta and logistic regression models, this article analyses the fac-tor associated with increases in the proportion of household expenses for health and the likelihood of experiencing a catastrophic health expenditure. Findings indicate that gender and education of household head, household composition, but mainly ru-ral residency, are factors determining the presence of these expenses.

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