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Title: Can households cope with health shocks in Vietnam?
Authors: Mitra, Sophie
Palmer, Michael
Mont, Daniel
Groce, Nora
Keywords: Health shocks
Coping mechanisms
Issue Date: May-2015
Series/Report no.: Health Economics Journal;
Abstract: This paper investigates the economic impact of health shocks for working age adults in Vietnam during 2004-08, using a fixed effect specification. Health shocks cover disability and morbidity and are measured by ‘days unable to carry out regular activity’, ‘days in bed due to illness/injury’, and ‘hospitalisation’. Overall, Vietnamese households are able to smooth total non-health expenditures in the short run in the face of a significant rise in out of pocket health expenditures. However, this is accomplished through vulnerability-enhancing mechanisms, especially in rural areas, including increased loans and asset sales, and decreased education expenditures. Female-headed and rural households are found to be least able to protect consumption. Results highlight the need to extend and deepen social protection and universal health coverage.
Appears in Collections:Health care

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