The Determinants of Public Hospital Visiting Households out of Pocket Healthcare Expenditure in Addis Ababa

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Addis Ababa University


The sustainable development goals (SDGs) have encouraged governments to facilitate effective mobilization, management and optimal use of financial resources in order to ensure the goals are met and living standard of citizens are improved. The health sector is one of the main sectors that necessitate sustainable investment to achieve Universal Health Coverage and to attain higher standard of living. However when this is not happening, households will be forced to rely on out-of-pocket healthcare spending in order to purchase a good health. A hospital based cross sectional study was conducted in selected public hospitals in Addis Ababa by using outlier robust regression method with the aim of analyzing which socio-economic factors determines household’s out-of-pocket healthcare expenditure. The result of the study shows that income, family age structure, chronic disease, completing primary education and inpatient admission affect out-of-pocket healthcare expenditure positively while household size has a negative association. Therefore, real government’s commitment is required to reduce the huge burden on households by investing, properly planning and implementing quality health services that provide the necessary medicines as well as treatments for groups that are vulnerable to financial burden.



Healthcare, Healthcare expenditure, Hospital, Public hospital