2014
DOI: 10.1016/j.socscimed.2014.02.008
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Why do people drop out of community-based health insurance? Findings from an exploratory household survey in Senegal

Abstract: AcknowledgementsThe author would like to thank Bart Criel, Pascal Ndiaye, Alfed Ndiaye, Werner Soors and all national stakeholders in Senegal for their contributions to the research project, the team of fieldwork assistants and supervisors, staff of the three CBHI schemes who gave up their time to facilitate the research, all the interviewees who also gave their time, the Institute of Tropical Medicine, Antwerp and the Stewart Halley Trust for providing funding for the research, and the two anonymous reviewers… Show more

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Cited by 80 publications
(132 citation statements)
references
References 21 publications
(32 reference statements)
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“…Out of the 42 quantitative studies (36 quantitative [21,23,27–29,36–37,39–47,49–52,54–59,61,63,65–66,68–69,7374] and 6 mixed methods with quantitative (and qualitative) data [25,38,60,62,70,72]) one dealt with a randomized control trial (RCT), 5 with case-control methods and cohort studies, and the remaining 31 were cross-sectional surveys based on random samples. Twenty-nine studies examined correlates of uptake and renewal using multivariate analyses (logit/probit/tobit).…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…Out of the 42 quantitative studies (36 quantitative [21,23,27–29,36–37,39–47,49–52,54–59,61,63,65–66,68–69,7374] and 6 mixed methods with quantitative (and qualitative) data [25,38,60,62,70,72]) one dealt with a randomized control trial (RCT), 5 with case-control methods and cohort studies, and the remaining 31 were cross-sectional surveys based on random samples. Twenty-nine studies examined correlates of uptake and renewal using multivariate analyses (logit/probit/tobit).…”
Section: Resultsmentioning
confidence: 99%
“…Meta-analysis was conducted for 18 [21–23,28,35,40,44–45,49–50,52,61,63,65,68–69,7374] quantitative studies. We studied in depth the following variables:…”
Section: Resultsmentioning
confidence: 99%
“…There are various factors such as age, education, households’ head, household size, awareness about CBHI, self-related health, economic status, health provider characteristics which are often affect the CBHI enrolment [6,31,32,33]. Furthermore, perceived quality of health care services is the most vital single factor directly linked with participating in CBHI in many settings [33,34].…”
Section: Discussionmentioning
confidence: 99%
“…To understand the reasons behind this low uptake, researchers have been assessing what determines enrolment on both the demand and the supply side. The common demand side features that influence enrolment decisions include social‐economic and demographic factors, especially those related to access to and quality of healthcare; knowledge on health insurance; and willingness and ability to pay . On the supply side, attention has been paid to schemes' design and management issues, where premium prices, benefit packages, methods of premium collection, and administration capabilities have been reported to affect CBHI uptake .…”
Section: Introductionmentioning
confidence: 99%
“…The common demand side features that influence enrolment decisions include social-economic and demographic factors, especially those related to access to and quality of healthcare; knowledge on health insurance; and willingness and ability to pay. [11][12][13][14][15] On the supply side, attention has been paid to schemes' design and management issues, where premium prices, benefit packages, methods of premium collection, and administration capabilities have been reported to affect CBHI uptake. [16][17][18] The voluntary nature of CBHI schemes has also been described as challenging their sustainability, since people who experience illness appear to be more interested, resulting in a low rate of participation of healthy population groups.…”
Section: Introductionmentioning
confidence: 99%