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Table 3 Distribution of the studies by methods and thresholds used for measuring CHE

From: Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature

Methods of CHE measurement adopted

Single-country studies, n (%)

Multi-country studies, n (%)

All studies, n (%)

LIC

LwMIC

UMIC

Budget share only

4 (36.4)

34 (39.1)

8 (20.0)

6 (75.0)

52 (35.6)

Actual food expenditure only

2 (18.2)

5 (5.7)

14 (35.0)

0 (0.0)

21 (14.4)

Normative food expenditure only

0 (0.0)

23 (26.4)

15 (37.5)

0 (0.0)

38 (26.0)

Any one method

6 (54.5)

62 (71.3)

37 (92.5)

6 (75.0)

111 (76.0)

Budget share and actual food expenditure

3 (27.3)

14 (16.1)

1 (2.5)

1 (12.5)

19 (13.0)

Budget share and normative food expenditure

1 (9.1)

8 (9.2)

2 (5.0)

1 (12.5)

12 (8.2)

Any two methods

4 (36.4)

22 (25.3)

3 (7.5)

2 (25.0)

31 (21.2)

Three methods: Budget share, actual food expenditure and normative food expenditure

1 (9.1)

3 (3.4)

0 (0.0)

0 (0.0)

4 (2.7)

Any method (total)

11 (100.0)

87 (100.0)

40 (100.0)

8 (100.0)

146 (100.0)

Budget share (total)

9 (81.8)

59 (67.8)

11 (27.5)

8 (100.0)

87 (59.6)

Actual food expenditure (total)

6 (54.5)

22 (25.3)

15 (37.5)

1 (12.5)

44 (30.1)

Normative food expenditure (total)

2 (18.2)

34 (39.1)

17 (42.5)

1 (12.5)

54 (37.0)

Thresholds applied for CHE measurementa

Budget share

 10%

9 (100.0)

54 (91.5)

8 (72.7)

4 (50.0)

75 (86.2)

 25%

6 (66.7)

22 (37.3)

4 (36.4)

1 (12.5)

33 (37.9)

 Other

5 (55.6)

26 (44.1)

6 (54.5)

4 (50.0)

41 (47.1)

Actual food expenditure

 40%

6 (100.0)

20 (90.9)

15 (100.0)

1 (100.0)

42 (95.5)

 Other

4 (66.7)

15 (68.2)

3 (20.0)

1 (100.0)

23 (52.3)

Normative food expenditure

 40%

2 (100.0)

33 (97.1)

16 (94.1)

1 (100.0)

51 (94.4)

 Other

1 (50.0)

4 (11.8)

4 (23.5)

1 (100.0)

10 (18.5)

  1. CHE catastrophic health expense, LIC  low-income country, LwMIC= lower-middle-income country, UMIC  upper-middle-income country
  2. aSince some studies adopt multiple thresholds for the same method, the sum of the percentages for the different thresholds adopted for a given method is more than 100%