Health-seeking behavior and the related out-of-pocket expenditure for noncommunicable diseases in Erbil, Iraq: a quantile regression analysis

This study reveals the significant financial burden caused by out-of-pocket expenditures for NCD care. As most individuals with NCDs rely on private pharmacies for medication, the associated costs, particularly for those managing multiple conditions, represent a substantial challenge for households. There is a need for improved financial protection mechanisms and expanded access to affordable NCD care. Future research should examine the impact of health insurance coverage and public-sector interventions on reducing out-of-pocket expenditures and improving access to NCD care in Iraq.

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Publication Details

Journal
Journal of Health Population and Nutrition
Published
2026-02-02
DOI
https://doi.org/10.1186/s41043-026-01248-3
Primary Topic
Healthcare Systems and Reforms
Type
article
Field-Weighted Citation Impact
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article

Health-seeking behavior and the related out-of-pocket expenditure for noncommunicable diseases in Erbil, Iraq: a quantile regression analysis

Nazar P. Shabila, Sherzad A. Shabu, Mariwan Haweel Saka
Journal of Health Population and Nutrition
Healthcare Systems and Reforms
article

Health-seeking behavior and the related out-of-pocket expenditure for noncommunicable diseases in Erbil, Iraq: a quantile regression analysis

Nazar P. Shabila, Sherzad A. Shabu, Mariwan Haweel Saka
article en

Abstract

This study reveals the significant financial burden caused by out-of-pocket expenditures for NCD care. As most individuals with NCDs rely on private pharmacies for medication, the associated costs, particularly for those managing multiple conditions, represent a substantial challenge for households. There is a need for improved financial protection mechanisms and expanded access to affordable NCD care. Future research should examine the impact of health insurance coverage and public-sector interventions on reducing out-of-pocket expenditures and improving access to NCD care in Iraq.

Journal of Health Population and NutritionVol. 45(1)
Hawler Medical University (IQ), Catholic University in Erbil
Openalex Percentile: Top 71%
Healthcare Systems and Reforms
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