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Moderation effects of co-operative institutions’ capabilities on the relationship between health insurance literacy and participation in health insurance among co-operative members in Tanzania

Author

Listed:
  • Petro G. Nzowa

    (Moshi Co-Operative University (MoCU))

  • Felix A. Nandonde

    (Sokoine University of Agriculture (SUA))

  • Somo M. L. Seimu

    (Moshi Co-Operative University (MoCU))

Abstract

The rationality of the decision to use health insurance depends on the individuals' level of health insurance literacy (HIL). HIL facilitates health information-seeking behaviour among individuals and helps providers and intermediaries offer clients timely and suitable health insurance. This study adopted the institutional theory of organisations as the theoretical lens to analyse the relationship between HIL and participation in health insurance amongst members of co-operatives. The study also assessed the moderation effect of co-operative institutions' capabilities on the relationship between HIL and participation in health insurance among co-operative members. Using the sample of 480 co-operative members, partial least squares structural equation modelling was used to test for the direct influence of HIL on participation in Ushirika Afya health insurance and the moderation role of co-operative institutions' capabilities in this relationship. Findings indicate that HIL is a significant factor influencing participation in health insurance, particularly in Ushirika Afya. On the moderation effect, the link between HIL and participation in Ushirika Afya health insurance is strong when the co-operative institutions' capabilities level is high. It weakens when the institutions' capabilities level is low. For sustainable participation in health insurance among co-operative members, it is crucial to formulate awareness programmes and continuous training to increase HIL. Moreover, to build strong co-operative institutional capabilities, there is a need to increase initiatives in such aspects as management training in various dimensions relating to health insurance operations.

Suggested Citation

  • Petro G. Nzowa & Felix A. Nandonde & Somo M. L. Seimu, 2022. "Moderation effects of co-operative institutions’ capabilities on the relationship between health insurance literacy and participation in health insurance among co-operative members in Tanzania," DECISION: Official Journal of the Indian Institute of Management Calcutta, Springer;Indian Institute of Management Calcutta, vol. 49(4), pages 381-394, December.
    • Handle: RePEc:spr:decisn:v:49:y:2022:i:4:d:10.1007_s40622-023-00331-6
    DOI: 10.1007/s40622-023-00331-6
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    References listed on IDEAS

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    1. Suzanne Bartholomae & Mia B. Russell & Bonnie Braun & Teresa McCoy, 2016. "Building Health Insurance Literacy: Evidence from the Smart Choice Health Insurance™ Program," Journal of Family and Economic Issues, Springer, vol. 37(2), pages 140-155, June.
    2. Randall D. Cebul & James B. Rebitzer & Lowell J. Taylor & Mark E. Votruba, 2011. "Unhealthy Insurance Markets: Search Frictions and the Cost and Quality of Health Insurance," American Economic Review, American Economic Association, vol. 101(5), pages 1842-1871, August.
    3. Krammer, Sorin M.S. & Strange, Roger & Lashitew, Addisu, 2018. "The export performance of emerging economy firms: The influence of firm capabilities and institutional environments," International Business Review, Elsevier, vol. 27(1), pages 218-230.
    4. John Effah, 2016. "Institutional Effects on E-payment Entrepreneurship in a Developing Country: Enablers and Constraints," Information Technology for Development, Taylor & Francis Journals, vol. 22(2), pages 205-219, April.
    5. Nayak, Bishwajit & Bhattacharyya, Som Sekhar & Krishnamoorthy, Bala, 2021. "Explicating the role of emerging technologies and firm capabilities towards attainment of competitive advantage in health insurance service firms," Technological Forecasting and Social Change, Elsevier, vol. 170(C).
    6. Jiwei Qian & Zhuoyi Wen, 2021. "Extension of social insurance coverage to informal economy workers in China: An administrative and institutional perspective," International Social Security Review, John Wiley & Sons, vol. 74(1), pages 79-102, January.
    7. Freeman, Toby & Baum, Fran & Javanparast, Sara & Ziersch, Anna & Mackean, Tamara & Windle, Alice, 2021. "Challenges facing primary health care in federated government systems: Implementation of Primary Health Networks in Australian states and territories," Health Policy, Elsevier, vol. 125(4), pages 495-503.
    8. Genevieve Elizabeth O'Connor & Sertan Kabadayi, 2020. "Examining Antecedents of Health Insurance Literacy: The Role of Locus of Control, Cognitive Style, and Financial Knowledge," Journal of Consumer Affairs, Wiley Blackwell, vol. 54(1), pages 227-260, March.
    9. Abdullah Al Mamun & Muhammad Khalilur Rahman & Uma Thevi Munikrishnan & P. Yukthamarani Permarupan, 2021. "Predicting the Intention and Purchase of Health Insurance Among Malaysian Working Adults," SAGE Open, , vol. 11(4), pages 21582440211, November.
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    More about this item

    Keywords

    Health insurance literacy; Health insurance; Institutional theory of organisations; Institutional capabilities; Co-operatives; PLS-SEM;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • Q13 - Agricultural and Natural Resource Economics; Environmental and Ecological Economics - - Agriculture - - - Agricultural Markets and Marketing; Cooperatives; Agribusiness

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