RESUMO
Introduction: Recent data reveal the diabetic prevalence in adult population to be around 8.8% and prevalence of hypertension 25–29%. Out-of-pocket (OOP) expenditure on the treatment of chronic diseases continues to be the major impediment and a burden on the people. 78% of Indian population spend out of their pockets financing for health in India. Aim and Objectives: The aim of the study is to compare OOP expenditure of diabetes and hypertension. Materials and Methods: A descriptive cross-sectional study was carried out in the rural field practice area of tertiary medical college in Trichy district of India. Mean cumulative expenditures on diabetes hypertension in medications and investigations were compared. Results: Mean cumulative OOP expenditure was Indian rupee (INR) 1435/month (approximately INR 17,200 annually) for diabetes and INR 313 (approximately INR 3756 annually) for hypertension. Comparative cumulative OOP expenditure per month between the two groups was found to be highly significant (0.009). Conclusion and Recommendations: Out of Pocket Expenditure on diabetes treatment in the present setting was 4 times the treatment of hypertension. Policymakers should consider subsidizing the cost of diabetes expenditure.
RESUMO
Migration of labor is a universal phenomenon. The most common reason for migration are the economic stability for better livelihood. However, the various demographic and social patterns along with the lack of awareness about the health-care facilities in the migrated place and poor economic security make them highly vulnerable to various diseases. Health and economic security of the migrants play crucial role not only in safeguarding the health of migrants but also in overall development of the country by increasing the productivity. With this, the study was conducted to assess the economic and health security of the migrants. Materials and Methods: A descriptive cross-sectional study was conducted over a period of 2 months from November to December 2018 in urban and rural field practice area of a tertiary care hospital in Trichy among 51 migrant population using semi-structured questionnaire. Results: The median monthly wages were found to be Rs. 10,000/month. With respect to the health and economic security, only about 13.7% of the study participants received medical allowances from their employers. 5.9% had job security and 27.5% excise travel allowances for their travel to native place. Conclusion: Although the average monthly income is good, the number of dependents is more and job security is poor. Since majority are not registered with L27district authorities and working in unorganized sector, the social and economic security is very uncertain increasing their risk for poor utilization of services.