Skip to main content

Table 8 Financial Protection and Access to Health Care Services

From: State budget transfers to Health Insurance to expand coverage to people outside formal sector work in Latin America

Country Increase/decrease of OOP as % THE since scheme introduction [15] Incidence of catastrophic health expenditure as % of households
(at 40% of households’ capacity to pay, or otherwise indicated)
Impoverishing health expenditure as a % of population Changes in utilization rates of health care services after introduction of subsidization scheme
Bolivia - 6% (1996a-2014) 3.75% (2002) [98]
3.3% (2006) [99]
n/a n/a
Chile - 10% (2004b-2014) 6.4% (2012) [99]
At 25% threshold:
21% (2010)
15% of households in the 1st and 2nd income quintiles (2006) [7]
Poverty headcount $2.00: 1.2% (2006)
Poverty headcount $1.25: 0.4% (2006) [7]
3% increase in utilization of outpatient health services among the 1st and 2nd income quintiles from 2003 to 2011 [7]
Colombia - 23% (1995–2014) Slight improvement (for data from 2005–2010) [100]
2.8% (2012) [99]
At 25% threshold:
8% (2010)
13% of households in the 1st and 2nd income quintiles (2008)
10% of households in the 1st and 2nd income quintiles (2010)
Catastrophic payments are concentrated among the poor [7]
Slight improvement (for data from 2005–2010) [100]
Poverty headcount $2.00: 1.8% (2008); 1.5% (2010)
Poverty headcount $1.25: 1.2% (2008); 0.7% (2010) [7]
50% increase in the use of health services among the poorest and the rural population from 1995 to 2005 [24]
Costa Rica +4% (1995–2014) 0.4% (2012) [99]
At 25% threshold:
1% (2010)
Below 1% of households in the 1st and 2nd income quintiles (2004)
1% of households in the 1st and 2nd income quintiles (2013) [7]
Poverty headcount $2.00: 0.3% (2004); 0.1% (2013)
Poverty headcount $1.25: 0.1% (2004); below 0.1% (2013) [7]
n/a
Dominican Republic - 24% (2001–2014) At 30% threshold: 9.8% (2012) [99] n/a n/a
Mexico - 9% (2004–2014)
2002: 58% of total OOP from the uninsured and Seguro Popular enrolees
2010: 36% of total OOP from the uninsured and Seguro Popular enrolees [36]
2.4% (2012) [99]
2000: 3.1% catastrophic health expenditure
2010: 2% catastrophic health expenditure [36]
At 25% threshold:
1% (2010)
2% of households in the 1st and 2nd income quintiles (2000)
1% of households in the 1st and 2nd income quintiles (2010) [7]
Poverty headcount $2.00: 0.9% (2000); 0.2% (2010)
Poverty headcount $1.25: 0.3% (2000); 0.1% (2010) [7]
In 2010 (compared to 2000) utilization rates of public health care services had increased for those previously uninsured (e.g. proportion of births in Ministry of Health facilities increased from 32% to 48%) [36]
Increased access to drugs and to the treatment for chronic diseases [37]
1% decrease in utilization of outpatient health services among the 1st and 2nd income quintiles from 2006 to 2012 [7]
Peru −7% (2001–2014) 4.0% (2012)104
At 25% threshold: 5% (2010)
4% of households in the 1st and 2nd income quintiles (2008)
5% of households in the 1st and 2nd income quintiles (2011) [5]
Slight improvement since 2009
Poverty headcount $2.00: 1% (2004); 1.1% (2011)
Poverty headcount $1.25: 0.6% (2004);
0.7% (2011) [5]
Increase of 13 percentage points between 2000 and 2004 [74]
Proportion of institutional deliveries increased from 24% of births in rural areas and 58% of births in urban areas in 2000 to 58% in rural and 85% in urban areas in 2012 [30]
Uruguay +3% (2007–2012) n/a n/a n/a
  1. aIntroduction of subsidization for women [100]
  2. bIntroduction of AUGE