Community based health insurance schemes in Africa: The case of Rwanda
AbstractCommunity-based health insurance schemes (Mutuelles) in Rwanda are one of the largest experiments in community based risk-sharing mechanisms in Sub-Saharan Africa for health related problems. This study examines the impact of the program on demand for modern health care, mitigation of out-of-pocket catastrophic health expenditure and social inclusiveness based on a nationally representative household survey using traditional regression approach and matching estimator popular in the evaluation literature. Our findings suggest that Mutuelles have been successful in increasing utilization of modern health care services and reducing catastrophic health related expenditure. According to our preferred method, higher utilization of health care services was found among the insured non-poor than insured poor households, with comparable effect in reducing health-related expenditure shocks. This reinforces the inequity already inherent in the Mutuelles system.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper provided by University of Gothenburg, Department of Economics in its series Working Papers in Economics with number 463.
Length: 23 pages
Date of creation: 06 Aug 2010
Date of revision:
Contact details of provider:
Postal: Department of Economics, School of Business, Economics and Law, University of Gothenburg, Box 640, SE 405 30 GÖTEBORG, Sweden
Phone: 031-773 10 00
Web page: http://www.handels.gu.se/econ/
More information through EDIRC
demand for health services; catastrophic health expenditure; average treatment effects; endogenous dummy variable; matching estimator;
Find related papers by JEL classification:
- I10 - Health, Education, and Welfare - - Health - - - General
This paper has been announced in the following NEP Reports:
- NEP-AFR-2010-08-14 (Africa)
- NEP-ALL-2010-08-14 (All new papers)
- NEP-DEV-2010-08-14 (Development)
- NEP-HEA-2010-08-14 (Health Economics)
- NEP-IAS-2010-08-14 (Insurance Economics)
- NEP-MFD-2010-08-14 (Microfinance)
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Heckman, James J, 1978.
"Dummy Endogenous Variables in a Simultaneous Equation System,"
Econometric Society, vol. 46(4), pages 931-59, July.
- James J. Heckman, 1977. "Dummy Endogenous Variables in a Simultaneous Equation System," NBER Working Papers 0177, National Bureau of Economic Research, Inc.
- Guido W. Imbens, 2009.
"Better LATE Than Nothing: Some Comments on Deaton (2009) and Heckman and Urzua (2009),"
NBER Working Papers
14896, National Bureau of Economic Research, Inc.
- Guido W. Imbens, 2010. "Better LATE Than Nothing: Some Comments on Deaton (2009) and Heckman and Urzua (2009)," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 399-423, June.
- Alberto Abadie & Guido W. Imbens, 2006. "Large Sample Properties of Matching Estimators for Average Treatment Effects," Econometrica, Econometric Society, vol. 74(1), pages 235-267, 01.
- Binagwaho, Agnes & Hartwig, Renate & Ingeri, Denyse & Makaka, Andrew, 2012. "Mutual health insurance and its contribution to improving child health in Rwanda," Passauer Diskussionspapiere, Volkswirtschaftliche Reihe V-66-12, University of Passau, Faculty of Business and Economics.
- Mthuli Ncube & Zuzana Brixiova & Zorobabel Bicaba, 2014.
"Can Dreams Come True? Eliminating Extreme Poverty In Africa By 2030,"
William Davidson Institute Working Papers Series
wp1076, William Davidson Institute at the University of Michigan.
- Ncube, Mthuli & Brixiova, Zuzana & Bicaba, Zorobabel, 2014. "Can Dreams Come True? Eliminating Extreme Poverty in Africa by 2030," IZA Discussion Papers 8120, Institute for the Study of Labor (IZA).
- Derseh, A. & Sparrow, R.A. & Debebe, Z.Y. & Alemu, G. & Bedi, A.S., 2013. "Enrolment in Ethiopia’s Community Based Health Insurance Scheme," ISS Working Papers - General Series 578, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
- Léonce Ndikumana, 2013. "Overcoming Low Political Equilibrium in Africa: Institutional Changes for Inclusive Development," Working Papers wp331, Political Economy Research Institute, University of Massachusetts at Amherst.
- Mebratie, A.D. & Sparrow, R.A. & Alemu, G. & Bedi, A.S., 2013. "Community-Based Health Insurance Schemes," ISS Working Papers - General Series 568, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
- BONAN Jacopo & LEMAY-BOUCHER Philippe & TENIKUE Michel, 2013. "Household's willingness to pay for health microinsurance and its impact on actual take-up: results from a field experiment in Senegal," CEPS/INSTEAD Working Paper Series 2013-15, CEPS/INSTEAD.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Marie Andersson).
If references are entirely missing, you can add them using this form.