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Revista de salud publica del Paraguay

Print version ISSN 2224-6193On-line version ISSN 2307-3349


GIMENEZ, E; CABALLERO, R; PERALTA, N  and  ARAUJO, J.M. Analysis of out-of-pocket expenses in the face of the disease of people aged 60 and over according to their condition of poverty in Paraguay. Rev. salud publica Parag. [online]. 2019, vol.9, n.2, pp.46-52. ISSN 2307-3349.


Reducing poverty and achieving universal health coverage for people of all ages are part of the Sustainable Development Goal.


determine the Out-of-pocket Health Expenditure (GBS) for people 60 and older (≥ 60 years) who are sick and its economic impact on households according to their poverty status in Paraguay.

Material and Method:

the 2014 Permanent Household Survey was analyzed, considering the official definition of poverty and the reference of illness or accident in a quarter. The average of GBS per household, the impact on quarterly monetary risk (IM) and on state subsidies for food pensions for the elderly (IPa).


Of 1,621,525 homes in the country 435,448 had at least 1 person 60 years, of which 188,715 had at least 1 of them ill or injured and 144,554 reported GBS. Among the non-poor households: 11.6% (IC 10.5 to 12.9) had at least 1 ill person ≥ 60 years, of which 75.8% (IC 71.2 to 79.8) had GBS, being on average 547,931 Gs. (DE 58,251). The medications were 53.3% (IC 45.2 to 61.5) from total. There was an IM of 5,7% (IC 4.6 to 6.9). Among the poor households: 11.6% (IC 9.6 to 14.0) had at least 1 ill person ≥ 60 years, of which 79.5% (IC 70.7 to 86,2) had GBS, being on average 341,542 Gs. (DE 40,101). The medications were 71.3 % (IC 61.9 to 80.7) from total. There was an IM of 11.5% (IC 7.0 to 16.0). There was an IPa of 16.9% (IC 4.4 to 29.4). The GBS was the equivalent to 19 days of feeding on average (DE 3.71).


Paraguay requires more financial protection for older adults through synergies of poverty reduction and health policies.

Keywords : out-of-pocket health expenditure; universal health coverage; poverty; older adults.

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