Indicator 3.8.2 Proportion of population with large household expenditures on health as a share of total household expenditure or income

Goal 3: Ensure healthy lives and promote well-being for all at all ages 

Target 3.8: Achieve universal health coverage, including financial risk protection, access to quality essential health care services and access to safe, effective, quality and affordable essential medicines and vaccines for all

Indicator 3.8.2: Proportion of population with large household expenditure on health as a share of total household expenditure or income

November 2021

3.8.1; 1.1.1 and 1.2.1

Uganda Bureau of Statistics

Uganda Bureau of Statistics

Kawase George

Department of Demography and Social Statistics

Senior Statistician

+256 772 443310

P.O Box 7186, Kampala

george.kawase@ubos.org

Definition:

Definition Proportion of the population with large household expenditure on health as a share of total household expenditure or income. Two thresholds are used to define large household expenditure on health: It is recommended to use two thresholds for glole reporting to identify large household expenditure on health as a share of total household consumption or income. A lower threshold of 10% and higher threshold of 25%. With these two thresholds the indicator measures financial hardship.

Concept:

The Proportion of the population with large household expenditure on health as a share of total household expenditure or income”. In effect it is based on a ratio exceeding a threshold. The two main concepts of interest behind this ratio are household expenditure on health (numerator) and total household consumption expenditure or, when unavailable, income (denominator).

Percent

None

The Uganda Demography and Health Survey (UDHS)

Data collection includes; survey planning, consultative user needs assessment meetings, survey and sampling design, questionnaire development, pretesting and finalization of questionnaires, recruitment and training of field staff, field data collection and capture, data processing, management, checking and analysis, report writing and production. At each stage, the survey conformed to international best practices in survey implementation..

Sample Design:

The sample was designed to allow generation of separate estimates at the national level, for urban and rural areas and for fifteen sub-regions of Uganda. A two-stage stratified sampling design is used. At the first stage, EAs are grouped by districts of similar socio-economic characteristics and by rural-urban location. The EAs were then drawn using Probability Proportional to size.

At the second stage, households which are the ultimate sampling units are drawn using Systematic Random Sampling. The total number of the EAs are selected from the National Population and Housing Census (NPHC) which constituted the sampling frame.,

Training and data collection:

A team of field supervisors and interviewers are recruited and trained for the main survey. The main approach of the training comprised instructions in relation to interviewing techniques and field procedures, a detailed review of the data collection modules, tests and practice using hand-held Computer Assisted Interviews (CAPI) devices. The training also includes interviews and field practice in selected EAs outside of the main survey sample. Team supervisors are further trained in data quality control procedures and coordination of field activities.

Prior to the main fieldwork, the data collection module are pretested to ensure that the questions are clear, flowing and easily understood by respondents.

Spread over 12 months

Every 3 years 2023/24

Uganda Bureau of Statistics

Uganda Bureau of Statistics and Economic Policy Research Center

The Uganda Bureau of Statistics (UBOS) Act, 1998 provides for the development and maintenance of a National Statistical System (NSS) to ensure collection, analysis and publication of integrated, relevant, reliable and timely statistical information. It established the Bureau as the coordinating, monitoring and supervisory body for the National Statistical System.

Indicator 3.8.2 focuses on health expenditures in relation to a household’s budget to identify financial hardship caused by direct health care payments.

Non

Population weighted average number of people with large household expenditure on health as a share of total household expenditure or income where i denotes a household, 1() is the indicator function that takes on the value 1 if the bracketed expression is true, and 0 otherwise, mi corresponds to the number of household members of i, corresponds to the sampling weight of household i, is a threshold identifying large household expenditure on health as a share of total household consumption or income (i.e. 10% and 25%).

Household health expenditure and household expenditure or income is defined as explained in the “concept” section

A wide consultative process is undertaken to compile, assess and validate data on the indicator.

The consultation process solicited feedback directly from other Government Agencies responsible for official statistics, on the compilation of the indicators, including the data sources used, and the application of internationally agreed definitions, classification and methodologies to the data from that source.

The results of this Indicator consultation are reviewed by Economic Policy Research Center.

Non

1. The survey implementation is overseen by a Technical Working Group which is constituted using a multi sectorial approach.

2. The survey report is reviewed by an experienced team at Management level who are in most cases Directors or Heads of departments and key stakeholders from Makerere School of Public Health, Molecular Laboratory of Makerere University School of Health Sciences, Ministry of Health and later reviewed by consultants.

The 2019/20 UNHS underwent several stages before production and sharing of the final findings. During the Survey implementation.

1. Consultative user needs assessment meetings are held with all key stakeholders.
2. The survey and sampling design generated using scientific methods as recommended by the Census and Survey Rules and Regulations.
3. The questionnaire development follows a multi-stakeholder approach and pretesting helps to establish the relevancy and adequacy of the questions to be used.
4. Senior Supervision is conducted during data collection to ensure that quality data is collected
5. Data editing, cleaning and coding is undertaken before analysis and report writing

Before dissemination, the report is reviewed and quality assured by the Department of Outreach and Quality Assurance at the Bureau.

Data Availability:

Data available Every 5 years

Time Series:

2011,2016.

Disaggregation: National, Sub-national (15 statistical regions)

Comparable

Uganda Demographic and Health Survey 2016 [FR333] (ubos.org)