Can’t afford to be sick: Assessing the cost of ill-health in North Kivu, Eastern Democratic Republic of Congo

During Valid Evaluations’ four-year study of multiyear humanitarian financing (MYHF), ill-health repeatedly emerged as a factor maintaining people in poverty and vulnerability. However, there is currently insufficient information about the economic cost of ill-health for households to inform policy, either for health or livelihoods. In the Democratic Republic of Congo (DRC), a national-level survey has established the level of direct expenditure on healthcare, often known as ‘out-of-pocket’ (OOP) health expenditure, but the scope of this information is restricted in two significant ways.