The Impact of Health Insurance on the Access to Health Care and Financial Protection in Rural Developing Countries : The Example of Senegal
collection.link.221 |
https://openknowledge.worldbank.org/handle/10986/12995
| |
collection.name.221 |
Health, Nutrition and Population (HNP) Discussion Papers
| |
dc.contributor.author |
Jutting, Johannes Paul
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dc.date.accessioned |
2013-06-05T15:31:45Z
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dc.date.available |
2013-06-05T15:31:45Z
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dc.date.issued |
2001-09
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dc.date.lastModified |
2021-04-23T14:03:10Z
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dc.description.abstract |
Community-based health insurance schemes
are becoming increasingly recognized as an instrument to
finance health care in developing countries. Taking the
example of "les mutuelles de santes" (mutual
health organization) in rural Senegal this paper analyzes
whether or not members in a mutual health insurance scheme
have better access to health care than nonmembers. A binary
probit model is estimated for the determinants of
participation in a mutual and a logit/log linear model is
used to measure the impact on health care utilization and
financial protection. The results show that, while the
health insurance schemes reach otherwise excluded people,
the very poorest in the communities are not covered.
Regarding the impact on the access to health care, members
have a higher probability of using hospitalization services
than nonmembers and pay substantially less when they need
care. Given the results of this study, community financing
schemes have the potential to improve the risk-management
capacity of rural households. To reduce identified
limitations of the schemes, an enlargement of the risk pool
and a scaling up or linking of the schemes is, however, a
prerequisite. Appropriate instruments to be further tested
should include reinsurance policies, subsidies for the
poorest and developing linkages to the private sector via
the promotion of group insurance policies. All these
instruments call for a stronger role of public health policy.
| en |
dc.identifier |
http://documents.worldbank.org/curated/en/2001/09/3546014/impact-health-insurance-access-health-care-financial-protection-rural-developing-countries-example-senegal
| |
dc.identifier.isbn |
1-932126-06-6
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dc.identifier.uri |
http://hdl.handle.net/10986/13774
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dc.language |
English
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dc.language.iso |
en_US
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dc.publisher |
World Bank, Washington, DC
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dc.relation.ispartofseries |
HNP discussion paper series;
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dc.rights |
CC BY 3.0 IGO
| |
dc.rights.holder |
World Bank
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dc.rights.uri |
http://creativecommons.org/licenses/by/3.0/igo/
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dc.subject |
ADVERSE SELECTION
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dc.subject |
ADVERSE SELECTION PROBLEMS
| |
dc.subject |
COMMUNITIES
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dc.subject |
COMMUNITY PARTICIPATION
| |
dc.subject |
DECENTRALIZATION
| |
dc.subject |
ECONOMIC DEVELOPMENT
| |
dc.subject |
ECONOMICS
| |
dc.subject |
EMPLOYMENT
| |
dc.subject |
EXPENDITURES
| |
dc.subject |
GENDER
| |
dc.subject |
HEALTH CARE
| |
dc.subject |
HEALTH CARE COSTS
| |
dc.subject |
HEALTH CARE FINANCING
| |
dc.subject |
HEALTH CARE PROVIDERS
| |
dc.subject |
HEALTH CARE PROVISION
| |
dc.subject |
HEALTH CARE SERVICES
| |
dc.subject |
HEALTH CARE UTILIZATION
| |
dc.subject |
HEALTH FINANCING
| |
dc.subject |
HEALTH INSURANCE
| |
dc.subject |
HEALTH POLICY
| |
dc.subject |
HEALTH SECTOR
| |
dc.subject |
HEALTH SERVICES
| |
dc.subject |
HEALTH STATUS
| |
dc.subject |
HEALTH SYSTEMS
| |
dc.subject |
HOSPITALIZATION
| |
dc.subject |
HOSPITALS
| |
dc.subject |
HOUSEHOLDS
| |
dc.subject |
INCOME
| |
dc.subject |
INFORMAL SECTOR
| |
dc.subject |
INHABITANTS
| |
dc.subject |
INNOVATION
| |
dc.subject |
INPATIENT CARE
| |
dc.subject |
INTERVENTION
| |
dc.subject |
ISOLATION
| |
dc.subject |
LOW-INCOME COUNTRIES
| |
dc.subject |
MUTUAL AID
| |
dc.subject |
NUTRITION
| |
dc.subject |
PARENTS
| |
dc.subject |
PRIMARY HEALTH CARE
| |
dc.subject |
PRIVATE SECTOR
| |
dc.subject |
PROBABILITY
| |
dc.subject |
PUBLIC HEALTH
| |
dc.subject |
PUBLIC SECTOR
| |
dc.subject |
RURAL AREAS
| |
dc.subject |
RURAL HOUSEHOLDS
| |
dc.subject |
SELECTION BIAS
| |
dc.subject |
SURGERY
| |
dc.subject |
SUSTAINABILITY
| |
dc.subject |
VILLAGES
| |
dc.subject |
WORKERS
| |
dc.title |
The Impact of Health Insurance on the Access to Health Care and Financial Protection in Rural Developing Countries : The Example of Senegal
| en |
okr.doctype |
Publications & Research :: Working Paper
| |
okr.doctype |
Publications & Research
| |
okr.docurl |
http://documents.worldbank.org/curated/en/2001/09/3546014/impact-health-insurance-access-health-care-financial-protection-rural-developing-countries-example-senegal
| |
okr.globalpractice |
Social, Urban, Rural and Resilience
| |
okr.googlescholar.linkpresent |
yes
| |
okr.identifier.externaldocumentum |
000265513_20040519145845
| |
okr.identifier.internaldocumentum |
3546014
| |
okr.identifier.report |
28886
| |
okr.language.supported |
en
| |
okr.pdfurl |
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2004/05/19/000265513_20040519145845/Rendered/PDF/288860Jutting1The0Impact0of1whole.pdf
| en |
okr.region.administrative |
Africa
| |
okr.region.country |
Senegal
| |
okr.topic |
Health Monitoring and Evaluation
| |
okr.topic |
Rural Development :: Regional Rural Development
| |
okr.topic |
Health Systems Development and Reform
| |
okr.topic |
Health Economics and Finance
| |
okr.topic |
Housing and Human Habitats
| |
okr.unit |
Health, Nutrition, and Population
| |
okr.volume |
1 of 1
|
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