@article{fdi:010083866, title = {{O}ut-of-pocket payments and catastrophic expenditures due to traffic injuries in {O}uagadougou, {B}urkina {F}aso}, author = {{P}etitfour, {L}. and {B}onnet, {E}mmanuel and {M}athevet, {I}. and {N}ikiema, {A}. and {R}idde, {V}al{\'e}ry}, editor = {}, language = {{ENG}}, abstract = {{O}bjective {T}o estimate the out-of-pocket expenditures linked to {R}oad {T}raffic {I}njuries in {O}uagadougou, {B}urkina {F}aso, as well as the prevalence of catastrophic expenditures among those out-of-pocket payments, and to identify the socio-economic determinants of catastrophic expenditures due to {R}oad {T}raffic {I}njuries. {M}ethods {W}e surveyed every admission at the only trauma unit of {O}uagadougou between {J}anuary and {J}uly 2015 at the time of their admission, 7 days and 30 days later. {W}e estimate a total amount of out-of-pocket expenditures paid by each patient. {W}e considered an expense as catastrophic when it represented 10% at least of the annual global consumption of the patient's household. {W}e used linear models to determine if socio-economic characteristics were associated to a greater or smaller ratio between out-of-pocket payment and global annual consumption. {F}indings {W}e surveyed 1323 {R}oad injury victims three times (admission, {D}ays 7 and 30). {T}hey paid in average 46,547 {FCFA} (83.64 {US} dollars) for their care, which represent a catastrophic expenditure for 19% of them. {L}ess than 5% of the sample was covered by a health insurance scheme. {H}ousehold economic status is found to be the first determinant of catastrophic health expenditure occurrence, exhibiting a significant and negative on the ratio between road injury expenditures and global consumption. {C}onclusion {O}ur findings highlight the importance of developing health insurance schemes to protect poor households from the economic burden of road traffic injuries and improve equity in front of health shocks.}, keywords = {{A}ccidents & injuries ; {R}oad traffic injuries ; {H}ealth economics ; {H}ealth equity ; {H}ealth financing ; {H}ealth insurance ; {N}oncommunicable disease ; {T}rauma care ; {C}atastrophic expenditures ; {BURKINA} {FASO} ; {OUAGADOUGOU}}, booktitle = {}, journal = {{H}ealth {E}conomics {R}eview}, volume = {11}, numero = {1}, pages = {46 [10 p.]}, ISSN = {2191-1991}, year = {2021}, DOI = {10.1186/s13561-021-00344-w}, URL = {https://www.documentation.ird.fr/hor/fdi:010083866}, }