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Impact of Community‐based Health Insurance on Access and Financial Protection: Evidence from Three Randomized Control Trials in Rural India

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  • Wameq A. Raza
  • Ellen van de Poel
  • Arjun Bedi
  • Frans Rutten

Abstract

Since the 1990s, community‐based health insurance (CBHI) schemes have been proposed to reduce the financial consequences of illness and enhance access to healthcare in developing countries. Convincing evidence on the ability of such schemes to meet their objectives is scarce. This paper uses randomized control trials conducted in rural Uttar Pradesh and Bihar (India) to evaluate the effects of three CBHI schemes on healthcare utilization and expenditure. We find that the schemes have no effect on these outcomes. The results suggest that CBHI schemes of the type examined in this paper are unlikely to have a substantial impact on access and financial protection in developing countries. Copyright © 2015 John Wiley & Sons, Ltd.

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  • Wameq A. Raza & Ellen van de Poel & Arjun Bedi & Frans Rutten, 2016. "Impact of Community‐based Health Insurance on Access and Financial Protection: Evidence from Three Randomized Control Trials in Rural India," Health Economics, John Wiley & Sons, Ltd., vol. 25(6), pages 675-687, June.
    • Handle: RePEc:wly:hlthec:v:25:y:2016:i:6:p:675-687
    DOI: 10.1002/hec.3307
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    3. Thomas Rouyard & Yukichi Mano & Bocar Mamadou Daff & Serigne Diouf & Khadidiatou Fall Dia & Laetitia Duval & Josselin Thuilliez & Ryota Nakamura, 2022. "Operational and Structural Factors Influencing Enrolment in Community-Based Health Insurance Schemes: An Observational Study Using 12 Waves of Nationwide Panel Data from Senegal," Post-Print halshs-03641124, HAL.
    4. Getahun Gebre Bogale & Ayesheshim Muluneh Kassa, 2022. "Factors associated with catastrophic health care expenditure in South Wollo province, Ethiopia: A cross‐sectional study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1694-1707, May.
    5. Asnakew Molla Mekonen & Measho Gebreslassie Gebregziabher & Alemayehu Shimeka Teferra, 2018. "The effect of community based health insurance on catastrophic health expenditure in Northeast Ethiopia: A cross sectional study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-13, October.
    6. Darius Erlangga & Marc Suhrcke & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    7. Bukari, Chei & Broermann, Shanaz & Okai, Davidson, 2021. "Energy poverty and health expenditure: Evidence from Ghana," Energy Economics, Elsevier, vol. 103(C).
    8. Lazarus MUCHABAIWA & Lloyd CHIGUSIWA & Samuel BINDU & Victoria MUDAVANHU & David DAMIYANO & Bongani Edwin MUSHANYURI, 2017. "Feasibility and Sustainability of Community Based Health Insurance in Rural Areas. Case Study of Musana, Zimbabwe," Expert Journal of Finance, Sprint Investify, vol. 5(1), pages 73-85.
    9. Owen O'Donnell & Andrew M. Jones, 2016. "Symposium: Efforts to Extend Effective Coverage in Asia," Health Economics, John Wiley & Sons, Ltd., vol. 25(6), pages 647-649, June.
    10. Rabbani, Atonu & Mehareen, Jeenat & Chowdhury, Imran Ahmed & Sarker, Malabika, 2022. "Mandatory employer-sponsored health financing scheme for semiformal workers in Bangladesh: An experimental assessment," Social Science & Medicine, Elsevier, vol. 292(C).

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