The Demand for Health Insurance in a Poor Economy: Evidence from Burkina Faso

Hillebrecht, Michael; Klonner, Stefan; Sauerborn, Rainer; Sié, Alie; Souares, Aurélia

doi:10.1086/706341

Cited by 4 publications

(8 citation statements)

References 49 publications

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“…22,23,25 Method-wise, 10 of the studies were RCTs, 17,20-28 while the remaining two were quasi experiments. 18,19…”

Section: Overview Of the Included Studiesmentioning

confidence: 99%

“…20,25 As mentioned earlier, the two quasi-experiments from Burkina Faso were based on a 50-percent subsidy provided to poor households. 18,19…”

Section: Commonly Tested Strategies and Their Effectivenessmentioning

confidence: 99%

“…The two quasi-experimental studies, both from Burkina Faso, estimated the effect of a premium subsidy on insurance enrollment using a regression discontinuity (RD) design. 18,19 In early 2000s, the government of Burkina Faso provided a 50-percent subsidy on the insurance premium to poor households. The eligibility for the subsidy was determined by a community-based wealth ranking.…”

Section: Overview Of the Included Studiesmentioning

confidence: 99%

“…Three studies were conducted in Burkina Faso [17][18][19] and one study was conducted in each of the following countries: Ghana, 20 India, 21 Indonesia, 22 Kenya, 23 Mexico, 24 Nicaragua, 25 the Philippines, 26 Senegal, 27 and Vietnam. 28 In terms of the type of insurance program, three of the studies examined the effect of their interventions on the uptake of CBHI programs, 17,19,27 six on the uptake of SHI, 18,20,21,24,26,28 and three on NHI. 22,23,25 Method-wise, 10 of the studies were RCTs, 17,[20][21][22][23][24][25][26][27][28] while the remaining two were quasi experiments.…”

Section: Overview Of the Included Studiesmentioning

confidence: 99%

“…22,23,25 Method-wise, 10 of the studies were RCTs, 17,[20][21][22][23][24][25][26][27][28] while the remaining two were quasi experiments. 18,19 Before synthesizing the studies' findings, a brief summary of each study is in order. In Africa, Bocoum et al (2019) analyzed the effect of providing information through multiple avenues (specifically, a brochure presenting factual information, a video presenting a hypothetical health episode and a personalized phone call reminder) by trained agents on the adoption of CBHI in rural Burkina Faso.…”

Section: Overview Of the Included Studiesmentioning

confidence: 99%

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Increasing Health Insurance Enrollment in Low- and Middle-Income Countries: What Works, What Does Not, and Research Gaps: A Scoping Review

James

Acharya

2022

INQUIRY

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Health insurance programs have the potential to shield individuals in low- and middle-income countries from catastrophic health expenses and reduce their vulnerability to poverty. However, the uptake of insurance programs remains low in these countries. We reviewed existing evidence from experimental studies on approaches that researchers have tested in order to raise the uptake. In the 12 studies we synthesized, educational programs and subsidies were the dominant interventions. Consistent with findings from previous studies on other health products, subsidies were effective in raising the uptake of insurance programs in many contexts. Conversely, education interventions—in their current forms—were largely ineffective, although they bolstered the effect of subsidies. Other strategies, such as the use of microfinance institutions and social networks for outreach and enrollment, showed mixed results. Additional research is needed on effective approaches to raise the uptake of insurance programs, including tools from behavioral economics that have shown promise in other areas of health behavior.

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