@article{Odunuga_Makanju_. Badru_Otusanya_2019, title={Household Primary Healthcare Expenditure and Its Effect on Under-5 Child Health Outcomes in Lagos State (A Case Study of Lagos Mainland and Badagry LGA)}, volume={7}, url={http://ujh.unilag.edu.ng/article/view/518}, abstractNote={<p>Healthcare in Nigeria is predominantly funded through out-of-pocket spending by<br>households. Providing financial protection from exorbitant out-of-pocket expenses is an<br>important tool for a country’s health system to ensure equitable access to care. A<br>household without such protection may be forced to pay huge medical bills to treat an<br>ailing family member, exposing it to financial catastrophe and impoverishment. This<br>study assessed household’s health expenditure patterns and its effect on under-5 child<br>outcomes, the study adopted a cross-sectional design approach, a combined sum of 548<br>households (Lagos Mainland 363 and Badagry 221) was surveyed. Data obtained were<br>subjected to descriptive and Kaplan-Meier Survival analyses. The results indicated that<br>malaria (52.1%) was endemic among households, in terms of household healthcare<br>expenditure; out-of pocket (84%) had the highest coverage in comparison with National<br>Health Insurance (7%).Furthermore, out-of pocket health expenditure burden was<br>concentrated among the poorest (20.6%) socio-economic class. Finally, the probability of<br>a child reaching his 5th birthday was a function of location of household residency and its<br>socio-economic status, (Lagos mainland) 0.00 Sig value&lt;Pvalue0.05&lt;0.22 Sig value(Badagry),<br>given an estimated 18.8% of sample households would experience under-5 child mortality<br>.High levels of catastrophic health care expenditure exist in Lagos State, thus in a bid to<br>improve universal health coverage and reduce the prevalence of catastrophic health<br>expenditure, this study recommend the need for a policy development focused on the<br>restructuring of the National Health Insurance Scheme (NHIS), Introduction of<br>community based health insurance scheme and massive reduction in households income<br>disparities.</p&gt;}, number={2}, journal={Unilag Journal of Humanities}, author={Odunuga, S. and Makanju, A.O. and . Badru, G and Otusanya, O.}, year={2019}, month={Dec.}, pages={73-92} }