The Social Value of Health Insurance: Results from Ghana

Garcia-Mandicó, Sílvia; Reichert, Arndt; Strupat, Christoph

doi:10.1016/j.jpubeco.2020.104314

Cited by 20 publications

(6 citation statements)

References 44 publications

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“…Whereas CBHI provides needed protection in times of health shocks, it does not put cash in the hands of households. It therefore can only increase household consumption of food and other goods through its effect on labor markets [ 29 , 67 ]. On the other hand, CCT puts cash directly in the hands of poor households and therefore household food consumption is immediately positively affected.…”

Section: Discussionmentioning

confidence: 99%

Combining social protection interventions for better food security: Evidence from female-headed households in Amhara region, Ethiopia

Mussa,

Agegnehu,

Nshakira-Rukundo

2024

PLoS ONE

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Ethiopia introduced its flagship poverty-targeted social protection program, the Productive safety net program (PSNP), in 2005 and Community-Based Health Insurance (CBHI) in 2011. Although both programs operate in several districts with some overlaps, evidence is scarce on how these large-scale programs jointly affect the food security of vulnerable groups. This study examines the impacts of a combination of these programs on food security outcomes among female-headed households in a chronically food-insecure and drought-prone district. Cross-sectional data were collected from 365 female-headed households selected through multi-stage sampling technique and analyzed using Inverse-probability-weighted regression adjustment (IPWRA) strategy to assess the effect of the programs on food security. The results show that while 63.6% of sample households are enrolled in CBHI and 48.8% are beneficiaries of PSNP’s conditional cash transfer (CCT) component, membership in both social protection programs was 38.9%. The IPWRA analysis finds that inclusion in the CCT combined with CBHI, on average, increased dietary diversity score by 0.918 (95% CI 0.779–1.057) and food consumption score by 0.576 (95% CI 0.464–0.688). It also reduced household food insecurity access scale by 8.658 (95% CI -9.775 – -7.541). In all assessments, a combination of CBHI and CCT always produced results of a larger magnitude than each of CBHI and CCT alone. The findings provide evidence of the potentials of integrating social protection programs to increase food security outcomes among the most vulnerable and marginalized groups in a developing country. In addition, the results have also useful implications to achieve sustainable development goals related to ending hunger and achieving food security among vulnerable groups.

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Section: Discussionmentioning

confidence: 99%

Combining social protection interventions for better food security: Evidence from female-headed households in Amhara region, Ethiopia

Mussa,

Agegnehu,

Nshakira-Rukundo

2024

PLoS ONE

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“…The most prominent health insurance scheme in Africa is the national health insurance scheme in Ghana that was implemented between 2003 and 2005 and covers 40 per cent of the population. and Garcia-Mandicó et al (2021) investigated whether the health insurance scheme has affected the probability of being sick and the number of sick days in the last 14 days. Neither study found any effect on these self-reported health outcomes.…”

Section: Health Insurancementioning

confidence: 99%

Handbook on Social Protection Systems

Schüring¹,

Loewe²

2021

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and currently General Coordinator of the public health master degree programmes and Manager of the Gaza branch. Bassam is also Associate Director-MENA region of the longitudinal research programme Gender and Adolescence: Global Evidence. Bassam focuses on social determinants of health, economics, psychosocial, disability and cash transfers in conflict-affected settings with an emphasis on gender and adolescence.Niza Aragundi has been working in the social protection field since 1996 and has experience in the investigation, design, implementation, and evaluation of social protection programmes such as conditional and unconditional cash transfers, emergency programmes, as well as linkages and referrals. She is an economist from the Universidad Catolica in Quito, Ecuador. She has two master's degrees, one in Social, Economic and Financial Evaluation of Projects from the Universidad De los Andes in Colombia and the second in Social Intervention in Knowledge Cities from the University of La Rioja in Spain.Salla Atkins is a social scientist trained in South Africa and Sweden. She is Associate Professor of Global Health and Development at Tampere University. Since 2002, her work has focused on inequalities in health and wellbeing. She has worked collaboratively with researchers in low-, middle-and high-income contexts globally. She is an active researcher in the Health and Social Protection Action Research and Knowledge Sharing network (www . sparksnetwork .ki .se).Francisco V. Ayala has participated in the design and implementation of social protection programmes in more than 50 countries around the world. He has over 25 years of experience and has overseen social protection programmes focused on cash and in-kind transfers, emergencies, health, education and housing. He is an engineer from the Polytechnic School in Ecuador, a masters in business administration from the University of Texas as well as doctorate studies from George Washington University in Washington, DC. He has also collaborated in various social protection publications.

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“…The most prominent health insurance scheme in Africa is the national health insurance scheme in Ghana that was implemented between 2003 and 2005 and covers 40 per cent of the population. Strupat and Klohn (2018) and Garcia-Mandicó et al (2021) investigated whether the health insurance scheme has affected the probability of being sick and the number of sick days in the last 14 days. Neither study found any effect on these self-reported health outcomes.…”

Section: Health Insurancementioning

confidence: 99%

Effects of social protection on health

Strupat¹

2021

Handbook on Social Protection Systems

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The Social Value of Health Insurance: Results from Ghana

Cited by 20 publications

References 44 publications

Combining social protection interventions for better food security: Evidence from female-headed households in Amhara region, Ethiopia

Combining social protection interventions for better food security: Evidence from female-headed households in Amhara region, Ethiopia

Handbook on Social Protection Systems

Effects of social protection on health

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