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Farm households in Niger face health expenses each year. This study on Analysis of the health expenditure’s weight in the household economy was conducted in the rural commune of Kourtheye, in the department of Tillaberi located in the Tillaberi region (NIGER). The adopted methodology is based on a documentary research and a collection of primary data at the level of the households in 6 villages. The extensive Household economic approach (HEA) methodological approach, combined with the amplitude class discretization method was used. A total of 125 farm households were surveyed. the study shown that the share of health spending by farm households increases from very poor households to wealthy households. In relative value among the very poor (VP), the share of health expenditure is 13.4% against 15.4% among the poor (P), 19.2% among the middle (M) and 21% among the wealthy (W). Thus, according to the World Health Organization, these households incur catastrophic expenses. The main pathologies in the area are chronic diseases, malaria, bilharzia and work accidents. Spending by households on self-medication is higher among VP (63%) and P (57%), and low among the middle (15%) and wealthy (19%). This is explained by the fact that the poor do not have enough financial resources to care for their sick in health centers, unlike the middle and wealthy farm households.

Analysis of the Health Expenditure's Weight in the Household Economy in Kourtheye (Niger)