@article{fdi:010085970,
  title = {{U}niversal health coverage and the poor: to what extent are health financing policies making a difference ? {E}vidence from a benefit incidence analysis in {Z}ambia},
  author = {{R}udasingwa, {M}. and {D}e {A}llegri, {M}. and {M}phuka, {C}. and {C}hansa, {C}. and {Y}eboah, {E}. and {B}onnet, {E}mmanuel and {R}idde, {V}al{\'e}ry and {C}hitah, {B}. {M}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {Z}ambia has invested in several healthcare financing reforms aimed at achieving universal access to health services. {S}everal evaluations have investigated the effects of these reforms on the utilization of health services. {H}owever, only one study has assessed the distributional incidence of health spending across different socioeconomic groups, but without differentiating between public and overall health spending and between curative and maternal health services. {O}ur study aims to fill this gap by undertaking a quasi-longitudinal benefit incidence analysis of public and overall health spending between 2006 and 2014. {M}ethods {W}e conducted a {B}enefit {I}ncidence {A}nalysis ({BIA}) to measure the socioeconomic inequality of public and overall health spending on curative services and institutional delivery across different health facility typologies at three time points. {W}e combined data from household surveys and {N}ational {H}ealth {A}ccounts. {R}esults {R}esults showed that public (concentration index of - 0.003; {SE} 0.027 in 2006 and - 0.207; {SE} 0.011 in 2014) and overall (0.050; {SE} 0.033 in 2006 and - 0.169; {SE} 0.011 in 2014) health spending on curative services tended to benefit the poorer segments of the population while public (0.241; {SE} 0.018 in 2007 and 0.120; {SE} 0.007 in 2014) and overall health spending (0.051; {SE} 0.022 in 2007 and 0.116; {SE} 0.007 in 2014) on institutional delivery tended to benefit the least-poor. {H}igher inequalities were observed at higher care levels for both curative and institutional delivery services. {C}onclusion {O}ur findings suggest that the implementation of {UHC} policies in {Z}ambia led to a reduction in socioeconomic inequality in health spending, particularly at health centres and for curative care. {F}urther action is needed to address existing barriers for the poor to benefit from health spending on curative services and at higher levels of care.},
  keywords = {{UHC} ; {H}ealth financing ; {B}enefit incidence analysis ; {H}ealth benefits ; {Z}ambia ; {ZAMBIE}},
  booktitle = {},
  journal = {{BMC} {P}ublic {H}ealth},
  volume = {22},
  numero = {1},
  pages = {1546 [11 p.]},
  year = {2022},
  DOI = {10.1186/s12889-022-13923-1},
  URL = {https://www.documentation.ird.fr/hor/fdi:010085970},
}