Impact of Community-based Health Insurance in Rural India on Self-Medication and Financial Protection of the Insured

Author(s):  
Emmanuel Nshakira-Rukundo ◽  
Essa Chanie Mussa ◽  
Nathan Nshakira ◽  
Nicolas Gerber ◽  
Joachim von Braun

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.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Bayu Begashaw Bekele ◽  
Shibiru Tesema Berkesa ◽  
Enyew Tefera ◽  
Abera Kumalo

Background. Self-medication, which is a form of self-care, is an important initial response to illness, and many illnesses can be successfully treated at this stage. It is practiced by a considerable proportion of the population and is affected by sociodemographic and economic factors. This study was conducted to assess the practice of self-medication and associated factors in Limmu Genet’s town households, Jimma Zone, Southwest Ethiopia. Methods and Materials. A community based cross-sectional study was done. Systematic sampling technique was used to select participants. Data was collected by face-to-face interviews by using structured questionnaires. After checking the completeness, missing values, and coding of questionnaires, data was tabulated and calculated on SPSS version 20.0. Finally data was presented in tables, graphs frequency, percentage, and cross-tabulation with different variables. Result. In this study, both self-medication and the prevalence of diseases among households were 78.1%. That constituted any kind of illness reported by participants. Conclusion. Self-medication practice is common among community members regardless of being community based health insurance members. Therefore, it needs pertinent health education on legal prescriptions and use of medicines as well as strengthening the access of community based insurance.


2016 ◽  
Vol 31 (10) ◽  
pp. 1433-1444 ◽  
Author(s):  
Pradeep Panda ◽  
Arpita Chakraborty ◽  
Wameq Raza ◽  
Arjun S. Bedi

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