Monash University
Chee Ho Cheah (Julius)_PHD Thesis_ID 24936871_final submission_no signature.pdf (4.95 MB)

Financial catastrophe from non-communicable diseases: a case study on the economic burden of diabetes on households in Malaysia

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posted on 2020-10-01, 09:44 authored by CHEE HO CHEAH
Out-of-pocket healthcare payments can impoverish families and drive a vicious cycle of poverty and disease. Using a mixed-methods approach, we investigated the economic burden for households living with chronic diseases in Malaysia. We found that despite having a Universal Health Coverage-based healthcare system, household with diabetes experienced catastrophic healthcare spending and faced impoverishment. Non-poor households were observed to incur higher catastrophic spending, driven by tendencies to seek private care due to inadequacies of public healthcare. Our study may provide insights to design healthcare financing systems with enhanced financial risk and social protection to effectively manage chronic diseases in the long-term.


Principal supervisor

Daniel Reidpath

Additional supervisor 1

Nowrozy Jahan

Additional supervisor 2

Pascale Allotey

Year of Award


Department, School or Centre

Jeffrey Cheah School of Medicine and Health Sciences (Monash University Malaysia)

Campus location



Doctor of Philosophy

Degree Type



Faculty of Medicine, Nursing and Health Sciences