@article{23433, author = {Laba Tracey-Lea and Muhunthan Janani and Nugent Rachel and Atun Rifat and Essue Beverley and Gheorghe Adrian and Engelgau Michael and Mahal Ajay and Griffiths Ulla and McIntyre Diane and Meng Qingyue and Jan Stephen}, title = {Action to address the household economic burden of non-communicable diseases.}, abstract = {

The economic burden on households of non-communicable diseases (NCDs), including cardiovascular diseases, cancer, respiratory diseases, and diabetes, poses major challenges to global poverty alleviation efforts. For patients with NCDs, being uninsured is associated with 2-7-fold higher odds of catastrophic levels of out-of-pocket costs; however, the protection offered by health insurance is often incomplete. To enable coverage of the predictable and long-term costs of treatment, national programmes to extend financial protection should be based on schemes that entail compulsory enrolment or be financed through taxation. Priority should be given to eliminating financial barriers to the uptake of and adherence to interventions that are cost-effective and are designed to help the poor. In concert with programmes to strengthen national health systems and governance arrangements, comprehensive financial protection against the growing burden of NCDs is crucial in meeting the UN's Sustainable Development Goals.

}, year = {2018}, journal = {Lancet}, volume = {391}, pages = {2047-2058}, issn = {1474-547X}, doi = {10.1016/S0140-6736(18)30323-4}, language = {eng}, }