CEU eTD Collection (2020); Ahuja, Akshay: Association between Household Social Capital And Catastrophic Health Expenditure in India: Evidence from India Human Development Survey-2012

CEU Electronic Theses and Dissertations, 2020
Author Ahuja, Akshay
Title Association between Household Social Capital And Catastrophic Health Expenditure in India: Evidence from India Human Development Survey-2012
Summary In India, 62% of the total health expenditure incurred by the households is financed through their out-of-pocket payments, pushing a significant 50 million people annually in the state of ‘hidden poverty’. Researchers have identified various socio-economic and health system factors associated with the incidence of catastrophic health expenditure on a household, neglecting the role of a household’s structural social capital as an important correlate. This thesis explores the association between incidence of catastrophic health expenditure and a household’s structural social capital utilizing the WHO’s Commission on Social Determinants of Health framework. Using a FE logistic regression and a nationally representative India Human Development Survey-2012 data, this study finds that structural social capital, as measured by a household’s social networks, is negatively associated with the incidence of incurring catastrophic health expenditure, after controlling for socio-economic and health system factors. The findings imply that government should implement community-based programs that increase social networks and associations among households in a community, thereby increasing their structural social capital which can act as a cushion against financial risks faced by the households during health emergencies.
Supervisor Murugesan, Anand
Department Public Policy MA
Full texthttps://www.etd.ceu.edu/2020/ahuja_akshay.pdf

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