Background: Reliability on out of pocket expenditure (OOPE) for health care services is commonly seen among the Indian population. There are various determinants which affect the OOP health expenditure. Aim: The aim of this study was to identify the impact of socioeconomic, demographic, and educational factors on OOPE and distribution of it among various components of health care services and diseases among the households of Pune district of Maharashtra. Method: An observational study was considered for primary data collection. Total 415 households were surveyed and out of them 353 were considered for analysis. Cross-tabulation and chi-square test was used to find out the significant relationship between the different variables. Result: It was found that the area of residence, age, gender, and type of disease, marital status, level of education, socioeconomic status of households have significant relationship with OOPE. The medicine purchase had greatest impact on OOPE followed by OPD and IPD services. Non-communicable diseases increase the burden on OOPE. Conclusion: Households should be made aware of various modes of healthcare financing; simultaneously government should improve penetration of existing social health insurance schemes. The policy makers should consider the factors mentioned and increase spending on public health to strengthen the existing facilities to further reduce the OOPE burden related to healthcare services.
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