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The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Review

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dc.contributor.authorAcharya, Arnab
dc.contributor.authorVellakkal, Sukumar
dc.contributor.authorTaylor, Fiona
dc.contributor.authorMasset, Edoardo
dc.contributor.authorSatija, Ambika
dc.contributor.authorBurke, Margaret
dc.contributor.authorEbrahim, Shah
dc.date.accessioned2015-02-11T22:43:06Z
dc.date.available2015-02-11T22:43:06Z
dc.date.issued2013-08-01
dc.description.abstractThis paper summarizes the literature on the impact of state subsidized or social health insurance schemes that have been offered, mostly on a voluntary basis, to the informal sector in low- and middle-income countries. A substantial number of papers provide estimations of average treatment on the treated effect for insured persons. We summarize papers that correct for the problem of self-selection into insurance and papers that estimate the average intention to treat effect. Summarizing the literature was difficult because of the lack of (1) uniformity in the use of meaningful definitions of outcomes that indicate welfare improvements and (2) clarity in the consideration of selection issues. We find the uptake of insurance schemes, in many cases, to be less than expected. In general, we find no strong evidence of an impact on utilization, protection from financial risk, and health status. However, a few insurance schemes afford significant protection from high levels of out-of-pocket expenditures. In these cases, however, the impact on the poor is weaker. More information is needed to understand the reasons for low enrollment and to explain the limited impact of health insurance among the insured.en
dc.identifier.citationWorld Bank Research Observer
dc.identifier.doi10.1596/21431
dc.identifier.issn1564-6971
dc.identifier.urihttps://hdl.handle.net/10986/21431
dc.language.isoen_US
dc.publisherPublished by Oxford University Press on behalf of the World Bank
dc.relation.ispartofseriesWorld Bank Research Observer
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo/
dc.subjectaging population
dc.subjectanxiety
dc.subjectdiabetes
dc.subjecthealth care
dc.subjecthealth services
dc.subjectmortality
dc.subjectnutrition
dc.subjectpublic health
dc.subjectrandomized controlled trials
dc.subjecthealth insurance
dc.titleThe Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries : A Systematic Reviewen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.date.disclosure2015-02-01
okr.date.doiregistration2025-05-06T10:57:26.805377Z
okr.doctypePublications & Research
okr.doctypePublications & Research::Journal Article
okr.globalpracticeHealth, Nutrition, and Population
okr.identifier.doi10.1093/wbro/lks009
okr.journal.nbpages236-66
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.topicHealth, Nutrition and Population::Health Insurance
okr.topicHealth, Nutrition and Population::Health Monitoring & Evaluation
okr.topicHealth, Nutrition and Population::Health and Poverty
okr.unitDevelopment Research Group
okr.volume28(2)
relation.isJournalIssueOfPublicationf7d87114-400f-478d-bc12-d97e3c76e0fc
relation.isJournalIssueOfPublication.latestForDiscoveryf7d87114-400f-478d-bc12-d97e3c76e0fc
relation.isJournalOfPublication9e5fbe82-492f-4142-8378-17d50245d9de
relation.isJournalVolumeOfPublication4ef9768a-855c-4610-b1c4-e16fde1262ff
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