Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.

This paper proposes a multidimensional vulnerability index for a setting of protracted conflict, which is applied to study the relationship between financial vulnerability and catastrophic healthcare expenditure (CHE) incidence in the Occupied Palestinian Territory in 2018. We find that our index be...

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Main Authors: Julia Hatamyar, Sally Shayeb, Akseer Hussain, Weeam Hammoudeh, Sumit Mazumdar, Rodrigo Moreno-Serra
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0314852
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author Julia Hatamyar
Sally Shayeb
Akseer Hussain
Weeam Hammoudeh
Sumit Mazumdar
Rodrigo Moreno-Serra
author_facet Julia Hatamyar
Sally Shayeb
Akseer Hussain
Weeam Hammoudeh
Sumit Mazumdar
Rodrigo Moreno-Serra
author_sort Julia Hatamyar
collection DOAJ
description This paper proposes a multidimensional vulnerability index for a setting of protracted conflict, which is applied to study the relationship between financial vulnerability and catastrophic healthcare expenditure (CHE) incidence in the Occupied Palestinian Territory in 2018. We find that our index better captures the extent of financial risk protection in health compared to conventional measures of financial welfare. Results indicate that the most vulnerable groups experience a significantly higher likelihood of incurring CHE, and this likelihood is increased for those living in the West Bank compared to the Gaza Strip. We also find a lack of protection from existing health insurance types against the risk of CHE. Our analysis provides valuable insights about key aspects, such as health financing and insurance bottlenecks, that will deserve careful policy attention in efforts to rebuild the Palestinian health system, following the Israel-Hamas war.
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institution Kabale University
issn 1932-6203
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publisher Public Library of Science (PLoS)
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series PLoS ONE
spelling doaj-art-321fb4a5c1a247c6a3dcac6243ec1f1d2025-02-05T05:31:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031485210.1371/journal.pone.0314852Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.Julia HatamyarSally ShayebAkseer HussainWeeam HammoudehSumit MazumdarRodrigo Moreno-SerraThis paper proposes a multidimensional vulnerability index for a setting of protracted conflict, which is applied to study the relationship between financial vulnerability and catastrophic healthcare expenditure (CHE) incidence in the Occupied Palestinian Territory in 2018. We find that our index better captures the extent of financial risk protection in health compared to conventional measures of financial welfare. Results indicate that the most vulnerable groups experience a significantly higher likelihood of incurring CHE, and this likelihood is increased for those living in the West Bank compared to the Gaza Strip. We also find a lack of protection from existing health insurance types against the risk of CHE. Our analysis provides valuable insights about key aspects, such as health financing and insurance bottlenecks, that will deserve careful policy attention in efforts to rebuild the Palestinian health system, following the Israel-Hamas war.https://doi.org/10.1371/journal.pone.0314852
spellingShingle Julia Hatamyar
Sally Shayeb
Akseer Hussain
Weeam Hammoudeh
Sumit Mazumdar
Rodrigo Moreno-Serra
Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.
PLoS ONE
title Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.
title_full Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.
title_fullStr Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.
title_full_unstemmed Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.
title_short Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.
title_sort multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict evidence from the occupied palestinian territory
url https://doi.org/10.1371/journal.pone.0314852
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