Willingness to pay for health insurance in a developing economy. A pilot study of the informal sector of Ghana using contingent valuation

Asenso‐Okyere, W. K.; Osei‐Akoto, Isaac; Anum, Adote; Appiah, Ernest

doi:10.1016/s0168-8510(97)00069-9

Cited by 139 publications

(133 citation statements)

References 15 publications

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“…Villagers living in places far from the health centres were less likely to join the MHI scheme compared to those who lived nearby. The significant impact of non financial barriers has resulted in varying effects of MHI schemes in different parts of developing countries [40–45]. In designing MHI schemes for rural Bangladesh, the provider thus has to acknowledge these non financial barriers and work towards narrowing the inequities resulting from them.…”

Section: Discussionmentioning

confidence: 99%

Who enrols in voluntary micro health insurance schemes in low-resource settings? Experience from a rural area in Bangladesh

Mahmood

Hanifi

Mia

et al. 2018

Global Health Action

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Background: Micro health insurance (MHI) has proved to be a potential health-financing tool for many developing countries. Bangladesh also included MHI in its current health-financing strategy which aims to achieve universal health coverage. However, low uptake, low renewal and high dropouts have historically challenged financial sustainability of these schemes. Objective: This study aims to identify factors influencing people from low-resource settings, particularly those from Bangladesh, to enrol in MHI schemes. Methods: The study analyses the ‘Amader Shasthya’ MHI scheme operating in Chakaria, a sub-district under Cox’s Bazar district, Bangladesh. A household survey was carried out during May–June 2016 among 2,000 households from the scheme coverage area. The Outreville’s insurance-demand framework was used to identify enrolment influencing factors. Multivariate logistic regression analysis was carried out to identify significant influencing factors of enrolment. Results: Enrolment influencing factors were identified in four dimensions: economic, socio-cultural, demographic and structural. Households with the main income earner having 10+ years of schooling (odds 1.9 [CI 1.2–2.9] compared to illiterate), having financial literacy (odds 1.5 [CI 1.2–1.8] compared to financially illiterate) and being a public/private service holder (odds 1.6 [CI 1.1–2.4] compared to menial labour) were more likely to enrol. Membership in development programmes of NGOs also influenced enrolment decision significantly (odds 1.3 [CI 1.0–1.5]). The presence of chronic illness in household encouraged enrolment (odds 1.5 [CI 1.2–1.8]). Households living closer to health centres were more likely to enrol (odds 2.1 [CI 1.6–2.7]) compared to those living further away. Conclusion: The findings are expected to have significant implications in terms of designing similar health insurance schemes, particularly in terms of designing demand-driven and context adapted schemes that have greater potential to attract a larger client pool, ensure effective risk pooling and eventually expedite the achievement of universal health coverage in low-resource settings.

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Section: Discussionmentioning

confidence: 99%

Who enrols in voluntary micro health insurance schemes in low-resource settings? Experience from a rural area in Bangladesh

Mahmood

Hanifi

Mia

et al. 2018

Global Health Action

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“…Willingness to accept for a good is defined as the amount of money that must be given to an individual experiencing deterioration in environmental quality to keep his utility constant: V(y+ WTP, P, qo; Z) …………………………………………………………………. (2) In equations (1) and (2), utility is allowed to depend on a vector of individual characteristics influencing the trade-off that the individual is prepared to make between income and health quality. An important consequence of equations (1) and (2) is that WTP or WTA should, therefore, depend on; (i)…”

Section: Theoretical Models For Assesment Of Wtpmentioning

confidence: 99%

“…1 Although many countries have endorsed the principles of Bamako initiative and integrated its objectives in their national health policy, access to health care did not improve on the long term. 2 Community Based Health care financing is needed as an alternative for financing health care. The objective is to enable low -income people to work together and contribute resources to meet their health care needs and fair access to health care needs and fair access to healthcare.…”

Section: Introductionmentioning

confidence: 99%

Willingness to Pay For Community Based Health Care Financing Scheme: A Comparative Study among Rural and Urban Households in Osun State, Nigeria

Usman¹

2013

IOSR-JDMS

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“…Clients show a willingness to pay for financial services, which is proportional to their income. This has for instance been shown for health insurance for the poor, where up to 2.5% of household income might be used for financial services, depending on the level of income (Asenso-Okyere et al, 1997).…”

Section: Productsmentioning

confidence: 99%

Financial services and disaster risk finance: Examples from the community level

Warner

Bouwer

Ammann³

2007

Environmental Hazards

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Increased attention has recently been given to the possible role of financial services in the management of natural disaster risk. Local communities have been at the forefront of developing innovative disaster risk finance strategies and implementing risk-oriented incentive programs. In view of increasing risks, including the impacts of climate change, such programs will become more important. This paper examines four models and some recent experiences in using financial services at the community level. The paper offers an overview of advantages and limitations of each model to manage disaster risk in communities. Examples include a federal government initiated scheme of social protection funds, a local government risk reduction scheme, an insurance product provided by a non-governmental organization , and a micro-insurance scheme. Finally, the paper offers some directions about specific ways that the public and private sectors, in collaboration with other partners can improve finance alternatives for disaster management at the community level. It appears that a range of follow-up studies and further dialogue is needed, in order to expand the knowledge on what types of risk finance models can help manage and reduce the financial impacts of natural disasters. r

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Willingness to pay for health insurance in a developing economy. A pilot study of the informal sector of Ghana using contingent valuation

Cited by 139 publications

References 15 publications

Who enrols in voluntary micro health insurance schemes in low-resource settings? Experience from a rural area in Bangladesh

Who enrols in voluntary micro health insurance schemes in low-resource settings? Experience from a rural area in Bangladesh

Willingness to Pay For Community Based Health Care Financing Scheme: A Comparative Study among Rural and Urban Households in Osun State, Nigeria

Financial services and disaster risk finance: Examples from the community level

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