Many LMIC countries have pay for service structure in health care.
In this scenario, the cost effectiveness of various treatment options is decided by the payer, ie head of the family.
The threshold for the cost effectiveness varies as per the income of the family.
Many a times due to lack of knowledge, very costly treatment options (but not so effective) are chosen which may impoverish the households pushing them below the poverty line.
There is a need to educate the people about wise cost effective decision making when faced with such issues.
I would like your opinions on this,
HIFA profile: Narendra Javadekar is a physician and health economist with RESPIRE in India and has a professional interest in internal medicine, health economics, and public health. Email address: narenjavdekar AT yahoo.co.in