scholarly journals Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach

2021 ◽  
Author(s):  
Emmanuel Nshakira-Rukundo ◽  
Essa Chanie Mussa ◽  
Nathan Nshakira ◽  
Nicolas Gerber ◽  
Joachim von Braun
Keyword(s):  
Developing Countries ◽  
Health Insurance ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Information Diffusion ◽  
Preventive Health ◽  
Financial Protection ◽  
Community Based ◽  
Research Attention ◽  
Community Based Health Insurance

AbstractThe effect of voluntary health insurance on preventive health has received limited research attention in developing countries, even when they suffer immensely from easily preventable illnesses. This paper surveys households in rural south-western Uganda, which are geographically serviced by a voluntary Community-based health insurance scheme, and applied propensity score matching to assess the effect of enrolment on using mosquito nets and deworming under-five children. We find that enrolment in the scheme increased the probability of using a mosquito net by 26% and deworming by 18%. We postulate that these findings are partly mediated by information diffusion and social networks, financial protection, which gives households the capacity to save and use service more, especially curative services that are delivered alongside preventive services. This paper provides more insight into the broader effects of health insurance in developing countries, beyond financial protection and utilisation of hospital-based services.

scholarly journals Community based health insurance in developing countries

BMJ ◽  
2007 ◽  
Vol 334 (7607) ◽  
pp. 1282-1283 ◽  
Author(s):  
Manuela De Allegri ◽  
Rainer Sauerborn
Keyword(s):  
Developing Countries ◽  
Health Insurance ◽  
Community Based ◽  
Community Based Health Insurance

scholarly journals Determinants of Community-Based Health Insurance Scheme Enrolment in Developing Countries: A Systematic Review

2019 ◽  
pp. 1-14 ◽  
Author(s):  
G. T. Olowe
Keyword(s):  
Developing Countries ◽  
Health Insurance ◽  
Low Income ◽  
Mixed Method ◽  
Community Based ◽  
Quality Healthcare ◽  
Thematic Synthesis ◽  
Community Based Health Insurance ◽  
The People ◽  
The Third World

In developing Nations, the Community-based Health Insurance (CBHI) scheme is a potential approach to increasing access to quality healthcare. It has the potency of generating financial resources for health services; plus improve on the standard of life of the people. Evidence based reports suggest that enrolment into the CBHI is still low, particularly among low income earners of the third world nations. Thus, this study was undertaken to review and help formulate policies by existential evidence on the factors that determines enrolment into the CBHI in developing countries. Study adopted the thematic synthesis of both qualitative and mixed method studies that report the above measure of interest. Study relied on Ovid Medline In-Process and other Non-Indexed citations till present. Study sourced the web of Knowledge, Google Scholar for articles relating to enrolment into CBHI in developing countries. Six studies (qualitative and mixed method studies) reporting qualitative results on the factors determining enrolment into CBHI in developing countries met the inclusion criteria. Quality assessment was carried out on each study and findings were synthesised with the aid of thematic synthesis. Four major themes were identified by interpreting and categorizing the themes across all selected studies; Individual factors, Scheme factors, Service provider factors and Requirement to team up with others before enrolment. In the end, study observed enrolment into CBHI scheme in developing countries to be driven by several factors including age and policy making, most of which positively or negatively influence decisions made by households to enrol or not in the CBHI scheme. Findings from this review are expected to contribute to policy and decision making for health care centres under CBHI scheme in developing countries.

Health Insurance in an Era of Declining Social Capital

World Affairs ◽  
2020 ◽  
Vol 183 (4) ◽  
pp. 343-358
Author(s):  
Jackson Williams
Keyword(s):  
United States ◽  
Social Capital ◽  
Developing Countries ◽  
Health Insurance ◽  
Social Trust ◽  
The United States ◽  
Healthy People ◽  
Sharp Decline ◽  
Community Based ◽  
Community Based Health Insurance

Putnam’s seminal work on social capital focused on early forms of health insurance as both a result, and accelerator, of the norms of reciprocity and social trust that foster cooperation. Yet, while social capital has been studied as a factor supporting community-based health insurance in developing countries, there has been no analysis of its role in U.S. health insurance. With repeal of the mandate to carry health insurance, this product is once again a purely voluntary purchase, and bears analysis as a cooperation problem. Putnam later documented a sharp decline in social capital in the United States. If social capital undergirds participation in health insurance, we can expect reduced reciprocity to lower willingness to cross-subsidize the sick. Waning social capital could also manifest itself in reduced trust that other healthy people will purchase insurance and lack of trust in the providers and manufacturers who make claims on the insurance pool.

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