Development; Work disability; Healthcare; Health; NCDs; Poverty
Kämpfen Fabrice, Wijemunige Nilmini, Evangelista Benedict (2018), Aging, non-communicable diseases, and old-age disability in low- and middle-income countries: a challenge for global health, in International Journal of Public Health
Murphy Adrianna, Palafox Benjamin, O'Donnell Owen, Stuckler David, Perel Pablo, AlHabib Khalid F, Avezum Alvaro, Bai Xiulin, Chifamba Jephat, Chow Clara K, Corsi Daniel J, Dagenais Gilles R, Dans Antonio L, Diaz Rafael, Erbakan Ayse N, Ismail Noorhassim, Iqbal Romaina, Kelishadi Roya, Khatib Rasha, Lanas Fernando, Lear Scott A, Li Wei, Liu Jia, Lopez-Jaramillo Patricio, et al. (2018), Inequalities in the use of secondary prevention of cardiovascular disease by socioeconomic status: evidence from the PURE observational study, in The Lancet Global Health
, 6(3), e292-e301.
Payne Collin, Kohler Iliana, Bandawe Chiwoza, Lawler Kathy, Kohler Hans-Peter (2017), Cognition, Health, and Well-Being in a Rural SubSaharan African Population, in European Journal of Population
Neelsen Sven, O’Donnell Owen (2017), Progressive Universalism? The Impact of Targeted Coverage on Health Care Access and Expenditure in Peru, in Health Economics
Yilma Zelalem, O’Donnell Owen, Mebratie Anagaw, Alemu Getnet, Bedi Arjun (2017), Subjective Expectations of Medical Expenditures and Insurance in Rural Ethiopia, in Sadka Efraim, Baltagi Badi (ed.), Emerald Group Publishing Limited, Bingley, UK.
Kohler Iliana, Payne Collin, Bandawe Chiwoza, Kohler Hans-Peter (2017), The Demography of Mental Health Among Mature Adults in a Low-Income High HIV-Prevalence Context, in Demography
, 54(4), 1529-1558.
PayneC. F., PesandoL. M., KohlerH.-P., Up, Down and Reciprocal: The Dynamics of Intergenerational Transfers, Family Structure and Health in a Low-Income Context, in Population and Development Review
The main objectives of our proposed research are to (a) deepen knowledge of the relationship between chronic illness and poverty in low-income settings and (b) provide evidence on the health and economic impact of increased access to diagnosis and treatment for selected chronic health problems in the context of poorly resourced health systems with a special focus on mature adult populations who are the main sufferers of NCDs.To further examine the causes of and solutions to health-related poverty traps, our proposed research will investigate the following hypotheses:H1: Chronic illness makes a substantial contribution to the risk and persistence of poverty in LMICs, and it does so more through reduced work capacity/productivity than through the burden of medical expenses.H2: Improved access to healthcare (diagnosis, medication and treatment) for chronic health problems is an effective instrument for maintaining health, reducing disability and combatting economic deprivation.H3: Subsidization of indirect costs is effective in increasing diagnosis and medical treatment of certain chronic conditions, and consequently improves health (generating resource savings for the health system) and future economic performance (generating health-led economic development).H4: Scaling-up of coverage for diagnosis and treatment of certain NCDs is cost-effective even in low-resource health systems, especially when their impact on reducing disability and improving socioeconomic development is taken into account.To test the above four hypotheses, our proposed research will take a quantitative approach that combines the collection and analysis of longitudinal data with the implementation of randomized experiments for the causal study of specific pathways linking NCDs, healthcare use, and subsequent health and economic outcomes. Existing longitudinal survey infrastructures will be built and drawn on for the collection of new data and experiments will efficiently exploit existing data infrastructures within a randomized controlled trail (RCT) study design.