Socioeconomic inequalities in catastrophic expenditures for hypertension management in the Greater Accra Region of Ghana

OBJECTIVE: In this study, we aimed to explore the socio-economic inequalities in Ghana's catastrophic expenditure on hypertension management. METHODS: We used data from our catastrophic health expenditure survey (CHE), which was conducted in two primary health care facilities in the Greater Accra Region of Ghana: Weija Gbawe Municipal Hospital (WGMH) and Shai Osoduko District Hospital (SODH). Data collection at these facilities took place from December 2023 to February 2024. We estimated the distribution of unstandardized CHE (in terms of wealth and sex). We decomposed our data to measure socioeconomic inequality in CHE and assess the contribution of each explanatory variable to these inequalities. RESULTS: ). Socioeconomic status remains a key contributor to CHE inequality in hypertension care in Ghana. CONCLUSION: It is our view that patients with lower socioeconomic status are targeted by policy actions to address their vulnerability in hypertension care.

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Journal
Blood Pressure
Published
2026-10-05
DOI
https://doi.org/10.1080/08037051.2026.2744456
Primary Topic
Healthcare Systems and Reforms
Type
article
Field-Weighted Citation Impact
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article

Socioeconomic inequalities in catastrophic expenditures for hypertension management in the Greater Accra Region of Ghana

Øystein Ariansen Haaland, James Akazili, Leila Barmoudeh, Kofi Aduo-Adjei et al.
Blood Pressure
Healthcare Systems and Reforms
article

Socioeconomic inequalities in catastrophic expenditures for hypertension management in the Greater Accra Region of Ghana

Øystein Ariansen Haaland, James Akazili, Leila Barmoudeh, Kofi Aduo-Adjei, Lumbwe Chola, Mizan, Kiros
article en

Abstract

OBJECTIVE: In this study, we aimed to explore the socio-economic inequalities in Ghana's catastrophic expenditure on hypertension management. METHODS: We used data from our catastrophic health expenditure survey (CHE), which was conducted in two primary health care facilities in the Greater Accra Region of Ghana: Weija Gbawe Municipal Hospital (WGMH) and Shai Osoduko District Hospital (SODH). Data collection at these facilities took place from December 2023 to February 2024. We estimated the distribution of unstandardized CHE (in terms of wealth and sex). We decomposed our data to measure socioeconomic inequality in CHE and assess the contribution of each explanatory variable to these inequalities. RESULTS: ). Socioeconomic status remains a key contributor to CHE inequality in hypertension care in Ghana. CONCLUSION: It is our view that patients with lower socioeconomic status are targeted by policy actions to address their vulnerability in hypertension care.

Blood Pressure
University of Bergen (NO)
Openalex Percentile: Top 7%
Healthcare Systems and Reforms
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