PROJECT RESEARCH TOPIC ON HEALTH CARE EXPENDITURE ON MALARIA AMONG HEADS OF HOUSEHOLD

                         PROJECT RESEARCH TOPIC ON HEALTH CARE EXPENDITURE ON MALARIA AMONG HEADS OF HOUSEHOLD

                                                                ABSTRACT

Half of Nigeria’s population is exposed to at least one episode of malaria every year. The federal and some state governments in Nigeria have abolished user fees for children under five and for pregnant women in public health facilities, in an effort to reduce the economic burden of malaria. However, this policy does not apply in many states of the country and neither to private facilities, which serve more than 70% of malaria cases. This study was conducted to assess the health care expenditure on malaria among heads of household in Oghara, Delta State, Nigeria.

This was a descriptive cross-sectional study conducted among 206 heads of household in Oghara in  May 2017.Majority of the respondents (43.7 %) were within the age 20-29 years, were females (58.7 %), were students (39.8 %), were married (46.1 %), were Christians (97.6 %), were Urhobo by tribe (60.2 %) and had at least secondary education (41.3 %). The monthly income for most of the household surveyed is below ₦10, 000 ($ 27.2) and the median monthly income among the surveyed household is ₦ 18,000 ($ 48.9). Most of the study participants (55.8 %) spent between ₦1 000 ($ 2.72) to < ₦5 000 ($ 13.6) on treatment for malaria. The median health expenditure on malaria treatment was ₦ 2000 ($ 5.44). All participants paid out-of-pocket for their. The prevalence of catastrophic health expenditure on malaria treatment was 65.0 %.

The study brings to the fore the high rate of out-of-pocket spending for malaria treatment, low monthly household income and high prevalence of catastrophic health expenditure for malaria treatment. There is need for government and donor agencies should institute the abolition of user fees for malaria, the transition from OOP to pre-payment mechanisms and the improvement of physical access to appropriate malaria treatment services.

TABLE OF CONTENTS

Title page————————————————————————————————-i

Certification———————————————————————————————-ii

Declaration———————————————————————————————–iii

Dedication————————————————————————————————iv

Acknowledgement—————————————————————————————v

Tables of contents—————————————————————————————vi

List of tables———————————————————————————————vii

Abstract ————————————————————————————————–viii

Chapter One: Introduction

Background————————————————————————————————1

Problem statement—————————————————————————————–2

Justification————————————————————————————————-3

Aims and Objectives————————————————————————————–4

Chapter Two: Literature review————————————————————————-5

Chapter three: Methodology

Study area—————————————————————————————————7

Study population——————————————————————————————-7

Selection criteria——————————————————————————————–7

Study design————————————————————————————————-8

Determination of sample size—————————————————————————–8

Sampling method——————————————————————————————-9

Data collection———————————————————————————————-9

Data analysis————————————————————————————————9

Ethical consideration—————————————————————————————9

Chapter Four: Results————————————————————————————-10

Chapter Five: Discussion———————————————————————————14

Chapter six: Conclusion and recommendations——————————————————-16

References————————————————————————————————–17

Appendix—-Questionnaire——————————————————————————22