Economic valuation of setting up a social health enterprise in urban poor-resource setting in Kenya

Autor: Shukri F. Mohamed, Goodarz Danaei, Elvis Omondi Achach Wambiya, Martin K. Mutua, Peter O Otieno, Hermann Pythagore Pierre Donfouet
Přispěvatelé: Centre de recherche en économie et management (CREM), Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU), African Population and Health Research Center, Inc (APHRC Campus), Harvard T.H. Chan School of Public Health, Harvard T.H. Chan School of Public Health, HSPH: -1806 #BLSCHP-1806, Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-Université de Rennes (UR)-Centre National de la Recherche Scientifique (CNRS), Normandie Université (NU)-Normandie Université (NU)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Social Science and Medicine
Social Science and Medicine, Elsevier, 2020, 266, pp.113294. ⟨10.1016/j.socscimed.2020.113294⟩
Social Science and Medicine, 2020, 266, pp.113294. ⟨10.1016/j.socscimed.2020.113294⟩
ISSN: 0277-9536
DOI: 10.1016/j.socscimed.2020.113294⟩
Popis: International audience; The failure of the market and government to provide quality healthcare services have been the motivation to set up social health enterprise. However, the value for money associated with setting up a social health enterprise in sub-Sahara African countries has been relatively unexplored in the literature. The study presents the first empirical estimates of the mean willingness-to-pay (WTP) for setting up a social health enterprise that will simultaneously run a health center and provide health insurance scheme in an urban resource-poor setting and explores whether the benefits outweigh the costs. The contingent valuation method is used to estimate the mean WTP for the health insurance scheme proposed by the social health enterprise in Viwandani slum (Nairobi, Kenya). The survey was conducted between June and July 2018 on 300 households. We find that the feasibility of setting up a social health enterprise could be promising with 97 percent of respondents willing to pay about US$ 2 per person per month for a scheme that would provide quality healthcare services. More importantly, setting up the social health enterprise will yield a positive net profit, and investors could expect US$ 1.11 in benefits for each US$ 1 of costs of investment in setting up the social health enterprise. We, therefore, conclude that this health policy in this urban resource-poor setting could be a viable solution to reach the neglected urban households in the Kenyan slums.
Databáze: OpenAIRE