The Impact of Health Insurance on the Access to Health Care and Financial Protection in Rural Developing Countries : The Example of Senegal

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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
dc.date.accessioned
2013-06-05T15:31:45Z
dc.date.available
2013-06-05T15:31:45Z
dc.date.issued
2001-09
dc.date.lastModified
2021-04-23T14:03:10Z
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
dc.identifier.uri
http://hdl.handle.net/10986/13774
dc.language
English
dc.language.iso
en_US
dc.publisher
World Bank, Washington, DC
dc.relation.ispartofseries
HNP discussion paper series;
dc.rights
CC BY 3.0 IGO
dc.rights.holder
World Bank
dc.rights.uri
http://creativecommons.org/licenses/by/3.0/igo/
dc.subject
ADVERSE SELECTION
dc.subject
ADVERSE SELECTION PROBLEMS
dc.subject
COMMUNITIES
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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