Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach
Autor: | Essa Chanie Mussa, Nathan Nshakira, Joachim von Braun, Emmanuel Nshakira-Rukundo, Nicolas Gerber |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Economics Econometrics and Finance (miscellaneous) Developing country Health administration Deworming 03 medical and health sciences 0302 clinical medicine Environmental health 0502 economics and business Preventive Health Services medicine Humans Community-Based Health Insurance Uganda Preventive health 030212 general & internal medicine Community Health Services 050207 economics Child Propensity Score Inverse probability weighting I130 I150 Service (business) Enrolment Health economics I100 Health Policy Public health 05 social sciences Rural Uganda Propensity score matching Mosquito net Business Research Article |
Zdroj: | International Journal of Health Economics and Management |
ISSN: | 2199-9031 |
Popis: | The 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. |
Databáze: | OpenAIRE |
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