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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMJ+Glob+Health
2020 ; 5
(6
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
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English Wikipedia
Income security during periods of ill health: a scoping review of policies,
practice and coverage in low-income and middle-income countries
#MMPMID32540963
Thorpe J
; Viney K
; Hensing G
; Lönnroth K
BMJ Glob Health
2020[Jun]; 5
(6
): ä PMID32540963
show ga
The COVID-19 pandemic is a reminder that insufficient income security in periods
of ill health leads to economic hardship for individuals and hampers disease
control efforts as people struggle to stay home when sick or advised to observe
quarantine. Evidence on income security during periods of ill health is growing
but has not previously been reviewed as a full body of work concerning low-income
and middle-income countries (LMICs). We performed a scoping review to map the
range, features, coverage, protective effects and equity of policies that aim to
provide income security for adults whose ill health prevents them from
participating in gainful work. A total of 134 studies were included, providing
data from 95% of LMICs. However, data across the majority of these countries were
severely limited. Collectively the included studies demonstrate that coverage of
contributory income-security schemes is low, especially for informal and
low-income workers. Meanwhile, non-contributory schemes targeting low-income
groups are often not explicitly designed to provide income support in periods of
ill health, they can be difficult to access and rarely provide sufficient income
support to cover the needs of eligible recipients. While identifying an urgent
need for more research on illness-related income security in LMICs, this review
concludes that scaling up and diversifying the range of income security
interventions is crucial for improving coverage and equity. To achieve these
outcomes, illness-related income protection must receive greater recognition in
health policy and health financing circles, expanding our understanding of
financial hardship beyond direct medical costs.