Published February 5, 2023 | Version v1
Journal article Open

The importance of health spending in the Base of the Pyramid (BoP) population from Norte de Santander, Colombia

  • 1. Administrative and Economic Sciences, Tecnológico de Antioquia Institución Universitaria, Medellin, Antioquia, Colombia
  • 2. State management of the National Institute of Statistics (INE), Táchira, Venezuela. Universidad Católica, San Cristóbal, Venezuela
  • 3. Universidad Francisco de Paula Santander, Cúcuta, Norte de Santander, Colombia.
  • 4. Facultad de Ciencias Jurídicas y Sociales, Universidad Simón Bolívar, Cúcuta, Colombia
  • 5. Ministerio de Salud Pública del Ecuador Centro de Salud Baños
  • 6. Escuela de Nutrición y Dietética, Facultad de Medicina, Universidad Andres Bello, Sede Concepción 4260000, Chile
  • 7. Universidad del Zulia, Facultad de Medicina, Departamento de Cirugía. Hospital General del Sur "Dr. Pedro Iturbe". Maracaibo, Venezuela
  • 8. Universidad Simón Bolívar, Facultad de Ciencias de la Salud, Barranquilla, Colombia

Description

Introduction. The article analyzes whether health is among the three main expenditures that a household allocates from its income in the population at the base of the pyramid (BoP) and whether or not there is an association with people belonging to different socioeconomic levels in the department of Norte de Santander, Colombia. Methods. The data analyzed come from a questionnaire applied to a sample of 2,394 households in the Norte de Santander region (Colombia), which were classified by socio-economic levels through the construction of a global synthetic index that, through scales, allows households to be segmented by poverty conditions, from the most intense poverty condition to the most favorable non-poverty condition respectively, resulting in 1,521 households at the Base of the Pyramid. Results. The findings show that for BoP households, health expenditures are presented in the highest proportion of the total sample, with a value of 15.51%, while in the middle class only 10.64% of households included health expenditures among the top three and the upper class 8.96%. Likewise, the categories of expenditure that are associated with the different socioeconomic levels are housing, public services, health, and education. Conclusions. The multivariate method used to classify the socioeconomic level of people at the base of the pyramid, different from the traditional one, which uses a unidimensional selection criterion that defines the BoP as people with incomes of less than $3,000 per year.

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