Social capital and farmer's willingness-to-join a newly established community-based health insurance in rural China

Zhang, Licheng; Hong, Wang; Wang, Lushang; Hsiao, William C.

doi:10.1016/j.healthpol.2005.06.001

Cited by 103 publications

(107 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This hypothesis is supported by a study which found that higher degrees of generalised trust were correlated with Chinese farmers' willingness to join community financing (Zhang, Wang, Wang, & Hsiao, 2006).…”

Section: Variablesmentioning

confidence: 78%

Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal

Mladovsky¹,

Soors²,

Ndiaye³

et al. 2014

Social Science & Medicine

View full text Add to dashboard Cite

Original citation:Mladovsky, Philipa, Soors, Werner, Ndiaye, Pascal, Ndiaye, Alfred and Criel, Bart (2014) 2 Abstract CBHI has achieved low population coverage in West Africa and elsewhere. Studies seeking to explain this point to inequitable enrolment, adverse selection, lack of trust in scheme management and information and low quality of health care. Interventions to address these problems have been proposed yet enrolment rates remain low. This exploratory study proposes that an underresearched determinant of CBHI enrolment is social capital. Fieldwork comprising a household survey and qualitative interviews was conducted in Senegal in 2009. Levels of bonding and bridging social capital among 720 members and non-members of CBHI across three case study schemes are compared. The results of the logistic regression suggest that, controlling for age and gender, in all three case studies members were significantly more likely than non-members to be enrolled in another community association, to have borrowed money from sources other than friends and relatives and to report having control over all community decisions affecting daily life. In two case studies, having privileged social relationships was also positively correlated with enrolment. After controlling for additional socioeconomic and health variables, the results for borrowing money remained significant. Additionally, in two case studies, reporting having control over community decisions and believing that the community would cooperate in an emergency were significantly positively correlated with enrolment. The results suggest that CBHI members had greater bridging social capital which provided them with solidarity, risk pooling, financial protection and financial credit. Qualitative interviews with 109 individuals selected from the household survey confirm this interpretation. The results ostensibly suggest that CBHI schemes should build on bridging social capital to increase coverage, for example by enrolling households through community associations.However, this may be unadvisable from an equity perspective. It is concluded that since enrolment in CBHI was less common not only among the poor, but also among those with less social capital and less power, strategies should focus on removing social as well as financial barriers to obtaining financial protection from the cost of ill health.

show abstract

Section: Variablesmentioning

confidence: 78%

Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal

Mladovsky¹,

Soors²,

Ndiaye³

et al. 2014

Social Science & Medicine

View full text Add to dashboard Cite

show abstract

“…This is because social capital facilitates the effective functioning and sustainability of CBHI (Donfouet, Essombè, Mahieu, & Malin, 2011a; Zhang, Wang, Wang, & Hsiao, 2006). Earlier studies, for example, Hsiao (2001) have also reported that people are more willing to pay for CBHI in communities that have sufficient stocks of social capital.…”

Section: Social Capital and Cbhimentioning

confidence: 99%

Social Capital and Willingness to Pay for Community Based Health Insurance: Empirical Evidence from Rural Tanzania

Tundui

Macha²

2014

JFE

View full text Add to dashboard Cite

This study examines the effect of social capital on willingness to pay (WTP) for health services provided through community based health insurance schemes (Community Health Fund) in Tanzania. The study covered 274 household heads. We use probit regression analysis to model the relationship between the predictors and our outcome variable. Our results have shown that with the exception of religion, all other social capital variables have a positive and significant impact on the WTP for the Community Health Fund (CHF). Specifically, membership in social organisations and networks, trust among community members and trust of community members on scheme management are positively and significantly related to WTP. On the other hand, the age, education level, household size and number of children and participation in health insurance are not predicting WTP for CHF. Taken together, these results suggest that enhancing access to health care services in the rural areas and the sustainability of CHF would require building appropriate forms of social capital at individual and community levels. Specifically, CHF may increase enrolment through the existing social organisations and associations. Similarly, CHFs may well increase their membership if the avenues for trust building are created and nurtured. JEL Classifications: I1, I3

show abstract

“…By reviewing the CBHI literature, we identified a core set of studies that consider the social context of CBHI schemes (Atim, 1999, Bloom and Shenglan, 1999, Criel and Waelkens, 2003, Franco, 2004, Hsiao, 2001, Jowett, 2003, Meessen, 2002, Ron, 1999, Schneider, 2004, Zhang et al, 2006. In the remainder of the paper, the adapted, simplified version of Woolcock's framework is populated with these studies.…”

Section: Understanding the Feasibility Of Cbhi Through The Lens Of Thmentioning

confidence: 99%

“…However, research in China (Hsiao, 2001, Zhang et al, 2006) is one of only two explicit attempts take this up and measure the effect of social capital on CBHI (the other is a study in Vietnam (Jowett, 2003) (see below). In the Chinese research, social capital is employed only in the Putnamian sense to mean a stock of "social cohesion and solidarity".…”

Section: 1mentioning

confidence: 99%

“…A statistically significant association between indicators of social capital (degrees of trust and reciprocity) and farmers' willingness to join community financing was demonstrated, controlling for other socio-demographic characteristics (Zhang et al, 2006). According to Hsiao (Hsiao, 2001), the pathway linking levels of trust and reciprocity to willingness to pay in the Chinese schemes is that members with higher levels of solidarity are more ready to accept the cross-subsidization which is implicit in the insurance mechanism.…”

Section: 1mentioning

confidence: 99%

See 1 more Smart Citation

A Conceptual Framework for Community-Based Health Insurance in Low-Income Countries: Social Capital and Economic Development

Mladovsky

Mossialos

2008

World Development

View full text Add to dashboard Cite

Current thinking in major international development agencies construes community-based health insurance (CBHI) as a transitional mechanism to achieving universal coverage for health care in lowincome countries. The policy link between CBHI and universal coverage is implicitly determined by the historical experience of mutual health insurance in countries such as Germany and Japan in the 19 th century, where the socioeconomic context was dramatically different to that of today's much less successful schemes. This paper argues that the economic and health system frameworks employed in the analysis of CBHI have not taken into account context-dependent considerations such as goals, values and power. It is proposed that a critical engagement with social capital theories could contribute to our understanding of why CBHI schemes do not appear on course to develop according to the 19 th century precedent, achieving significant levels of population coverage in a sustainable way.A framework of social capital and economic development is used to organize and interpret existing evidence and information on CBHI. This process suggests that solidarity, trust, extra-community networks, vertical civil society links and state-society relations at the local level affect the possibility of success of CBHI. To this extent, it may be possible to talk of "social determinants of CBHI". In order to align themselves to local community goals and values, CBHI schemes may need to actively foster certain types of vertical and horizontal bridging relations which could result in the evolution of structures and operations quite different to those proposed by current models of CBHI.

show abstract

Social capital and farmer's willingness-to-join a newly established community-based health insurance in rural China

Cited by 103 publications

References 26 publications

Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal

Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal

Social Capital and Willingness to Pay for Community Based Health Insurance: Empirical Evidence from Rural Tanzania

A Conceptual Framework for Community-Based Health Insurance in Low-Income Countries: Social Capital and Economic Development

Contact Info

Product

Resources

About