Financial protection: poverty impact of out-of-pocket payments related to HAT Tbg households in sub-Saharan Africa for control and elimination programmes
| Control 2013 (95% CI) | Control 2020 (95% CI) | Elimination I 2020 (95% CI) | Elimination II 2020 (95% CI) | Elimination III 2020 (95% CI) | |
| Total cases (N) | 6228* | 2319 | 1768 | 76 | 56 |
| Proportion (%) of HAT Tbg households | |||||
| Sub-Saharan Africa | |||||
| Impoverishing | 22.00% (21.96 to 22.03) | 21.99% (21.94 to 22.04) | 15.64% (15.59 to 15.70) | 15.48% (15.23 to 15.73) | 15.41% (15.11 to 15.71) |
| Immiserising | 30.95% (30.92 to 30.99) | 30.95% (30.90 to 31.01) | 30.95% (30.88 to 31.01) | 30.94% (30.61 to 31.27) | 30.91% (30.53 to 31.30) |
| Catastrophic (CHE) at 10% | 62.89% (62.85 to 62.93) | 62.93% (62.87 to 62.99) | 1.25% (1.23 to 1.27) | 1.27% (1.20 to 1.35) | 1.23% (1.14 to 1.32) |
| Difference in % from control 2013 | NA | 0.04% (0.02 to 0.06) | −61.64% (−61.61 to −61.66) | −61.61% (−61.65 to −61.,57) | −61.66% (−61.71 to −61.61) |
| Catastrophic (CHE) at 25% | 30.95% | 30.96% (30.90 to 31.02) | 0.49% (0.48 to 0.50) | 0.51% (0.46 to 0.56) | 0.48% (0.43 to 0.54) |
| Difference in % from control 2013 | NA | 0.01% (−0.01 to 0.04) | −30.46% (−30.44 to −30.49) | −30.44% (−30 to 45 to −30.42) | −30.46% (−30.49 to −30.44) |
| LIC | |||||
| Impoverishing | 15.04% (15.02 to 15.07) | 15.09% (15.04 to 15.13) | 14.98% (14.92 to 15.03) | 15.23% (14.98 to 15.48) | 15.02% (14.71 to 15.32) |
| Immiserising | 84.95% (84.93 to 84.98) | 84.91% (84.87 to 84.96) | 84.95% (84.89 to 85.00) | 84.72% (84.47 to 84.97) | 84.89% (84.59 to 85.19) |
| Catastrophic (CHE) at 10% | 99.44% (99.43 to 99.45) | 99.43% (99.42 to 99.44) | 0.86% (0.84 to 0.87) | 0.82% (0.76 to 0.88) | 0.91% (0.83 to 0.99) |
| Difference in % from control 2013 | NA | −0.01% (−0.02 to −0.01) | −98.58% (−98.59 to −98.57) | −98.62% (−98.68 to −98.56) | −98.53% (−98.61 to −98.46) |
| Catastrophic (CHE) at 25% | 98.80% (98.80 to 98.81) | 98.78% (98.77 to 98.80) | 0.24% (0.24 to 0.25) | 0.25% (0.21 to 0.28) | 0.26% (0.22 to 0.30) |
| Difference in % from control 2013 | NA | −0.02% (−0.03 to −0.01) | −98.56% (−98.56 to −98.56) | −98.56% (−98.58 to −98.53) | −98.54% (−98.58 to −98.51) |
| LMIC | |||||
| Impoverishing | 0.49% (0.49 to 0.50) | 0.49% (0.48 to 0.50) | 0.08% (0.08 zo 0.09) | 0.09% (0.07 to 0.11) | 0.10% (0.07 to 0.13) |
| Immiserising | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Catastrophic (CHE) at 10% | 29.07% (29.04 to 29.11) | 29.07% (29.01 to 29.13) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Difference in % from control 2013 | NA | 0.00% (−0.03 to 0.02) | −29.07% (−29.04 to −29.11) | −29.07% (−29.04 to −29.11) | −29.07% (−29.04 to −29.11) |
| Catastrophic (CHE) at 25% | 0.03% (0.03 to 0.03) | 0.03% (0.03 to 0.03) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Difference in % from control 2013 | NA | 0.00% (NA) | −0.03% (−0.03% to −0.03%) | −0.03% (−0.03% to −0.03%) | −0.03% (−0.03% to −0.03%) |
| UMIC† | |||||
| Impoverishing | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Immiserising | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Catastrophic (CHE) at 10% | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Difference in % from control 2013 | NA | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Catastrophic (CHE) at 25% | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
| Difference in % from control 2013 | NA | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) | 0.00% (NA) |
N denotes number of population.
*Estimated cases from WHO (Franco et al37).
†Includes UMIC and one HIC (Equatorial Guinea GNI greater than US$12 236).
.CHE, catastrophic health expenditure; GNI, gross national income; HAT Tbg, human African trypanosomiasis Trypanosoma brucei gambiense; HIC, high-income country; LMIC, low-income country and middle-income country; NA, not applicable; UMIC, upper-middle income country.