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Synopsis of Results on the Impact of Community-Based Health Insurance on Financial Accessibility to Health Care in Rwanda

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dc.contributor.authorSchneider, Pia
dc.contributor.authorDiop, François
dc.date.accessioned2013-06-05T19:08:55Z
dc.date.available2013-06-05T19:08:55Z
dc.date.issued2001-09
dc.description.abstractThis paper evaluates the impact of prepayment schemes on access to health care for poor households, based on household survey data. Rwanda is one of the poorest countries in the world. After the genocide in 1994, public health care services were provided for free to patients, financed by donors and the government. In 1996, the Ministry of Health reintroduced prewar level user charges. By 1999, utilization of primary health care services had dropped from 0.3 in 1997 to a national average of 0.2 annual consultations per capita. This sharp drop in health service use combined with growing concerns about rising poverty, poor health outcome indicators, and a worrisome HIV prevalence among all population groups motivated the Rwandan government to develop community-based health insurance to assure access to the modern health system for the poor. The findings presented in this paper reveal that insurance enrollment is determined by household characteristics such as the health district of household residence, education level of household head, family size, distance to the health facility, and radio ownership, whereas health and economic indicators did not influence enrollment. Insurance members report up to five times higher health service use than nonmembers.en
dc.identifierhttp://documents.worldbank.org/curated/en/2001/09/3916689/synopsis-results-impact-community-based-health-insurance-financial-accessibility-health-care-rwanda
dc.identifier.doi10.1596/1-932126-08-2
dc.identifier.isbn1-932126-08-2
dc.identifier.urihttps://hdl.handle.net/10986/13798
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHNP discussion paper series;
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectACCESSIBILITY
dc.subjectAGRICULTURE
dc.subjectAVERAGE AGE
dc.subjectBASIC HEALTH CARE
dc.subjectCAPITATION
dc.subjectCOMMUNITIES
dc.subjectCOMMUNITY PARTICIPATION
dc.subjectDATA COLLECTION
dc.subjectDATA SOURCES
dc.subjectDEBT RELIEF
dc.subjectDEPENDENT VARIABLE
dc.subjectDEVELOPMENT NETWORK
dc.subjectDISTRICTS
dc.subjectDONOR COMMUNITY
dc.subjectECONOMIC CHARACTERISTICS
dc.subjectECONOMIC DEVELOPMENT
dc.subjectEDUCATION LEVEL
dc.subjectEXPENDITURE DATA
dc.subjectFAMILIES
dc.subjectFINANCES
dc.subjectFINANCIAL CONTRIBUTION
dc.subjectFINANCIAL SUSTAINABILITY
dc.subjectFINANCING MECHANISMS
dc.subjectGENDER
dc.subjectHEALTH CENTER
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH REFORM
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH STATUS
dc.subjectHEALTH SURVEY
dc.subjectHEALTH SYSTEM
dc.subjectHOSPITAL COSTS
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD CHARACTERISTICS
dc.subjectHOUSEHOLD EXPENDITURES
dc.subjectHOUSEHOLD HEAD
dc.subjectHOUSEHOLD QUESTIONNAIRE
dc.subjectHOUSEHOLD SIZE
dc.subjectHOUSEHOLD SURVEY
dc.subjectHOUSEHOLDS
dc.subjectHUMAN DEVELOPMENT
dc.subjectIMPROVED ACCESS
dc.subjectINCOME COUNTRIES
dc.subjectINCOME POPULATIONS
dc.subjectINFORMAL SECTOR
dc.subjectISOLATION
dc.subjectLAWS
dc.subjectLOCAL LEVEL
dc.subjectMALARIA
dc.subjectMANAGEMENT CAPACITY
dc.subjectMANAGERS
dc.subjectMORAL HAZARD
dc.subjectNATIONAL AVERAGE
dc.subjectNATIONAL POPULATION
dc.subjectNUTRITION
dc.subjectPARTNERSHIP
dc.subjectPATIENTS
dc.subjectPEDIATRICS
dc.subjectPOLICY MEASURES
dc.subjectPOLICY OPTIONS
dc.subjectPOOR BENEFIT
dc.subjectPOOR COMMUNITIES
dc.subjectPOOR COUNTRIES
dc.subjectPOOR HOUSEHOLDS
dc.subjectPOPULATION GROUPS
dc.subjectPOVERTY ALLEVIATION
dc.subjectPREGNANCY
dc.subjectPRIMARY HEALTH CARE
dc.subjectPROBABILITY
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC POLICY
dc.subjectPUBLIC SECTOR
dc.subjectRADIO
dc.subjectREGRESSION MODELS
dc.subjectRESOURCE ALLOCATION
dc.subjectSAMPLE HOUSEHOLDS
dc.subjectSAMPLE SIZE
dc.subjectSAMPLING FRAME
dc.subjectSOCIAL PROTECTION
dc.subjectSUSTAINABILITY
dc.subjectTECHNICAL ASSISTANCE
dc.subjectTECHNICAL SUPPORT
dc.subjectWORKERS
dc.titleSynopsis of Results on the Impact of Community-Based Health Insurance on Financial Accessibility to Health Care in Rwandaen
dspace.entity.typePublication
okr.date.doiregistration2025-05-05T12:45:01.717716Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2001/09/3916689/synopsis-results-impact-community-based-health-insurance-financial-accessibility-health-care-rwanda
okr.globalpracticeSocial, Urban, Rural and Resilience
okr.globalpracticePoverty
okr.guid688371468780938130
okr.identifier.externaldocumentum000265513_20040602160133
okr.identifier.internaldocumentum3916689
okr.identifier.report28903
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/06/02/000265513_20040602160133/Rendered/PDF/289030Schneide1sis0of0Results1whole.pdfen
okr.region.administrativeAfrica
okr.region.countryRwanda
okr.topicRural Development::Regional Rural Development
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicHousing and Human Habitats
okr.topicPoverty Reduction::Poverty Assessment
okr.unitHealth, Nutrition, and Population (HDNHE)
okr.volume1 of 1
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