Alejandro N. Herrin

Bio: Alejandro N. Herrin is an academic researcher from University of the Philippines. The author has contributed to research in topics: Population & Health care. The author has an hindex of 11, co-authored 31 publications receiving 1781 citations. Previous affiliations of Alejandro N. Herrin include University of the Philippines Diliman.

Catastrophic payments for health care in Asia

Abstract: Out-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments by those absorbing a large fraction of household resources. Bangladesh, China, India, Nepal and Vietnam rely most heavily on OOP financing and have the highest incidence of catastrophic payments. Sri Lanka, Thailand and Malaysia stand out as low to middle income countries that have constrained both the OOP share of health financing and the catastrophic impact of direct payments. In most low/middle-income countries, the better-off are more likely to spend a large fraction of total household resources on health care. This may reflect the inability of the poorest of the poor to divert resources from other basic needs and possibly the protection of the poor from user charges offered in some countries. But in China, Kyrgyz and Vietnam, where there are no exemptions of the poor from charges, they are as, or even more, likely to incur catastrophic payments.

Paying out-of-pocket for health care in Asia: Catastrophic and poverty impact

Abstract: Out-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. The paper describe the magnitude and distribution of OOP payments for health care in 14 countries and territories accounting for 81% of the Asian population. The focus is on expenditures that may be considered catastrophic, in the sense that they absorb a large fraction of household resources, and on the impoverishing effect of payments. Catastrophic impact is measured by the prevalence and intensity of high shares of OOP in total spending and in non-food expenditure. Impoverishment is measured by comparing poverty headcounts and gaps before and after OOP health payments. Presented here is the first cross-country comparisons of the impoverishing effect of OOP payments measured against the international poverty standards of $1 and $2 per person per day. [Equitap WP 2]

Children's education in the Phillipines: Does high fertility matter?

Abstract: This paper examines the effects of family size and sibling position on children's current school enrollment status in the Philippines. The theoretical framework focuses on the determinants of children's participation in alternative activities, specifically schooling, market work, and home production. This approach allows for a greater understanding of the mechanisms through which fertility, as reflected by number of siblings and sibling composition, influences children's education than would examining the determinants of schooling alone. The model is estimated using the 1983 wave of the Bicol Multipurpose Survey. The results indicate the existence of negative effects of fertility on school enrollment, which, in part, operate through work status. In addition, these effects differ according to the sibling position of the child.

Analyzing health equity using household survey data : a guide to techniques and their implementation

Abstract: This book shows how to implement a variety of analytic tools that allow health equity - along different dimensions and in different spheres - to be quantified. Questions that the techniques can help provide answers for include the following: Have gaps in health outcomes between the poor and the better-off grown in specific countries or in the developing world as a whole? Are they larger in one country than in another? Are health sector subsidies more equally distributed in some countries than in others? Is health care utilization equitably distributed in the sense that people in equal need receive similar amounts of health care irrespective of their income? Are health care payments more progressive in one health care financing system than in another? What are catastrophic payments? How can they be measured? How far do health care payments impoverish households? This volume has a simple aim: to provide researchers and analysts with a step-by-step practical guide to the measurement of a variety of aspects of health equity. Each chapter includes worked examples and computer code. The authors hope that these guides, and the easy-to-implement computer routines contained in them, will stimulate yet more analysis in the field of health equity, especially in developing countries. They hope this, in turn, will lead to more comprehensive monitoring of trends in health equity, a better understanding of the causes of these inequities, more extensive evaluation of the impacts of development programs on health equity, and more effective policies and programs to reduce inequities in the health sector.