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Social health insurance for the poor: Targeting and impact of Indonesia's Askeskin programme

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  • Sparrow, Robert
  • Suryahadi, Asep
  • Widyanti, Wenefrida

Abstract

A first step towards meeting Indonesia's ambition for universal health insurance was made in 2005 with the introduction of the Askeskin programme, a subsidized social health insurance targeted to the informal sector and the poor. This paper investigates targeting and impact of the Askeskin programme using panel data for 8582 households observed in 2005 and 2006, and applying difference-in-differences estimation in combination with propensity score matching. We find that the programme is indeed targeted to the poor and those most vulnerable to catastrophic out-of-pocket health payments. Social health insurance improves access to health care in that it increases utilization of outpatient among the poor, while out-of-pocket spending seems to have increased for Askeskin insured in urban areas.

Suggested Citation

  • Sparrow, Robert & Suryahadi, Asep & Widyanti, Wenefrida, 2013. "Social health insurance for the poor: Targeting and impact of Indonesia's Askeskin programme," Social Science & Medicine, Elsevier, vol. 96(C), pages 264-271.
  • Handle: RePEc:eee:socmed:v:96:y:2013:i:c:p:264-271
    DOI: 10.1016/j.socscimed.2012.09.043
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    References listed on IDEAS

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    Cited by:

    1. Sun, Xiaojie & Liu, Xiaoyun & Sun, Qiang & Yip, Winnie & Wagstaff, Adam & Meng, Qingyue, 2014. "The impact of a pay-for-performance scheme on prescription quality in rural China : an impact evaluation," Policy Research Working Paper Series 6892, The World Bank.
    2. Tohari, Achmad & Parsons, Christopher & Rammohan, Anu, 2017. "Targeting Poverty under Complementarities: Evidence from Indonesia's Unified Targeting System," IZA Discussion Papers 10968, Institute for the Study of Labor (IZA).
    3. Bergkvist, Sofi & Wagstaff, Adam & Katyal, Anuradha & Singh, Prabal V. & Samarth, Amit & Rao, Mala, 2014. "What a difference a state makes : health reform in Andhra Pradesh," Policy Research Working Paper Series 6883, The World Bank.
    4. repec:eee:socmed:v:204:y:2018:i:c:p:51-58 is not listed on IDEAS
    5. Adam Wagstaff & Daniel Cotlear & Patrick Hoang-Vu Eozenou & Leander R. Buisman, 2016. "Measuring progress towards universal health coverage: with an application to 24 developing countries," Oxford Review of Economic Policy, Oxford University Press, vol. 32(1), pages 147-189.
    6. Kartika, Dwintha Maya, 2015. "Does Indonesian National Health Insurance serve a potential for improving health equity in favour of workers in informal economy?," MPRA Paper 72054, University Library of Munich, Germany.
    7. Wagstaff, Adam & Eozenou, Patrick Hoang-Vu, 2014. "CATA meets IMPOV: a unified approach to measuring financial protection in health," Policy Research Working Paper Series 6861, The World Bank.
    8. World Bank, 2012. "Protecting Poor and Vulnerable Households in Indonesia," World Bank Other Operational Studies 13810, The World Bank.
    9. Fossati, Diego, 2016. "Beyond “Good Governance”: The Multi-level Politics of Health Insurance for the Poor in Indonesia," World Development, Elsevier, vol. 87(C), pages 291-306.
    10. Robert Sparrow & Ellen Van de Poel & Gracia Hadiwidjaja & Athia Yumna & Nila Warda & Asep Suryahadi, 2012. "Financial Consequences of Ill Health and Informal Coping Mechanisms in Indonesia," Departmental Working Papers 2012-07, The Australian National University, Arndt-Corden Department of Economics.
    11. Teguh, Dartanto & Nurkholis, Nurkholis, 2011. "Finding out of the Determinants of Poverty Dynamics in Indonesia: Evidence from Panel Data," MPRA Paper 41185, University Library of Munich, Germany.
    12. Samarakoon, Shanika & Parinduri, Rasyad, 2015. "Social health insurance improves women’s healthcare use: Evidence from Indonesia," MPRA Paper 61504, University Library of Munich, Germany.
    13. Sven Neelsen & Owen O’Donnell, 2016. "Progressive Universalism? The Impact of Targeted Coverage on Healthcare Access and Expenditures in Peru," Tinbergen Institute Discussion Papers 16-019/V, Tinbergen Institute.
    14. repec:eee:wdevel:v:104:y:2018:i:c:p:297-309 is not listed on IDEAS

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