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Corruption and Health Insurance for the Informal Sector in Sierra Leone

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  • Jofre-Bonet, M.
  • Kamara, J.
  • Mesnard, A.

Abstract

Most governments cannot provide the necessary health services required for their citizens either as a result of scarcity of resources or corruption (Mostert et al., 2012). Lack of credibility and trust in fund managers has been highlighted as one of the reasons why people do not join health insurance schemes in developing countries, especially in Africa (Escobar et al., 2010). This work investigates the impact of corruption on household’s willingness to participate and pay for health insurance in the presence of corruption. To do so, we use (1) a binary logit model to study the relationship between household characteristics and experienced corruption; (2) an ordered probit model to explore how household characteristics are associated to the intensity of corruption perceived; and (3) a Mixed Logit model to estimate the association of corruption and participation and willingness to pay for a health insurance scheme. We find that corruption decreases the willingness to participate and pay for a public Health Insurance Scheme (HIS). Comparing experienced and perceived corruption, we observe that experienced corruption affects less WTP for a HIS than perceived corruption. Households experiencing corruption, are willing to pay more for a public HIS than those that perceive high levels of corruption. The implications of our findings are in line with the literature and stress the perverse spillover effects of corruption. Not only corruption hinders the effectiveness of health care systems and thus health outcomes, but it also undermines the willingness to pay for them and thus imperils the sustainability of health care systems in the countries that are most in need of them.

Suggested Citation

  • Jofre-Bonet, M. & Kamara, J. & Mesnard, A., 2021. "Corruption and Health Insurance for the Informal Sector in Sierra Leone," Working Papers 21/01, Department of Economics, City University London.
    • Handle: RePEc:cty:dpaper:21/01
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    File URL: https://openaccess.city.ac.uk/id/eprint/25824/1/WP2101%20%28Corruption%20and%20Health%20Insurance%20for%20the%20Informal%20Sector%20in%20Sierra%20Leone%29.pdf
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    1. Angus Deaton & Christina Paxson, 1997. "The effects of economic and population growth on national saving and inequality," Demography, Springer;Population Association of America (PAA), vol. 34(1), pages 97-114, February.
    2. Thierry Verdier & Daron Acemoglu, 2000. "The Choice between Market Failures and Corruption," American Economic Review, American Economic Association, vol. 90(1), pages 194-211, March.
    3. Kenneth Train ., 2000. "Halton Sequences for Mixed Logit," Economics Working Papers E00-278, University of California at Berkeley.
    4. Arne Risa Hole, 2007. "Fitting mixed logit models by using maximum simulated likelihood," Stata Journal, StataCorp LP, vol. 7(3), pages 388-401, September.
    5. Kenneth E. Train, 1998. "Recreation Demand Models with Taste Differences over People," Land Economics, University of Wisconsin Press, vol. 74(2), pages 230-239.
    6. Mr. Erwin H Tiongson & Mr. Hamid R Davoodi & Mr. Sanjeev Gupta, 2000. "Corruption and the Provision of Health Care and Education Services," IMF Working Papers 2000/116, International Monetary Fund.
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