A Conceptual Framework for Community-Based Health Insurance in Low-Income Countries: Social Capital and Economic Development
Summary The international policy model linking community-based health insurance (CBHI) and universal coverage for health care in low-income countries is implicitly determined by the development of mutual health insurance in 19th century Europe and Japan. The economic and health system frameworks employed in CBHI policy have not sufficiently taken into account contextual considerations. Social capital theories could contribute to understanding why generally CBHI does not achieve significant and sustainable levels of population coverage. A framework of social capital and economic development is used to organize and interpret existing evidence on CBHI. This suggests that solidarity, trust, extra-community networks, vertical civil society links, and state-society relations affect the success of CBHI. Aligning schemes to "social determinants" of CBHI could result in structures that differ from those proposed by current analytic frameworks.
If 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.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
References listed on IDEAS
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.:
- Criel, Bart & Waelkens, Maria Pia, 2003. "Declining subscriptions to the Maliando Mutual Health Organisation in Guinea-Conakry (West Africa): what is going wrong?," Social Science & Medicine, Elsevier, vol. 57(7), pages 1205-1219, October.
- Krishna, Anirudh, 2004. "Understanding, measuring and utilizing social capital: clarifying concepts and presenting a field application from India," Agricultural Systems, Elsevier, vol. 82(3), pages 291-305, December.
- van Doorslaer, Eddy & Wagstaff, Adam & van der Burg, Hattem & Christiansen, Terkel & Citoni, Guido & Di Biase, Rita & Gerdtham, Ulf-G. & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "The redistributive effect of health care finance in twelve OECD countries," Journal of Health Economics, Elsevier, vol. 18(3), pages 291-313, June.
- Alberto Alesina & Eliana La Ferrara, "undated".
"Participation in Heterogeneous Communities,"
151, IGIER (Innocenzo Gasparini Institute for Economic Research), Bocconi University.
- La Ferrara, Eliana & Alesina, Alberto, 2000. "Participation in Heterogeneous Communities," Scholarly Articles 4551796, Harvard University Department of Economics.
- Alberto Alesina & Eliana La Ferrara, 1999. "Participation in Heterogeneous Communities," NBER Working Papers 7155, National Bureau of Economic Research, Inc.
- Easterly, William, 2000.
"Can institutions resolve ethnic conflict ?,"
Policy Research Working Paper Series
2482, The World Bank.
- Devadasan, Narayanan & Ranson, Kent & Van Damme, Wim & Acharya, Akash & Criel, Bart, 2006. "The landscape of community health insurance in India: An overview based on 10 case studies," Health Policy, Elsevier, vol. 78(2-3), pages 224-234, October.
- Krishna, Anirudh, 2001. "Moving from the Stock of Social Capital to the Flow of Benefits: The Role of Agency," World Development, Elsevier, vol. 29(6), pages 925-943, June.
- Grootaert, Christiaan & Narayan, Deepa, 2004. "Local Institutions, Poverty and Household Welfare in Bolivia," World Development, Elsevier, vol. 32(7), pages 1179-1198, July.
- Atim, Chris, 1999. "Social movements and health insurance: a critical evaluation of voluntary, non-profit insurance schemes with case studies from Ghana and Cameroon," Social Science & Medicine, Elsevier, vol. 48(7), pages 881-896, April.
- Uphoff, Norman & Wijayaratna, C. M., 2000. "Demonstrated Benefits from Social Capital: The Productivity of Farmer Organizations in Gal Oya, Sri Lanka," World Development, Elsevier, vol. 28(11), pages 1875-1890, November.
- Miguel, Edward & Gugerty, Mary Kay, 2005. "Ethnic diversity, social sanctions, and public goods in Kenya," Journal of Public Economics, Elsevier, vol. 89(11-12), pages 2325-2368, December.
- Bloom, Gerald & Shenglan, Tang, 1999. "Rural health prepayment schemes in China: towards a more active role for government," Social Science & Medicine, Elsevier, vol. 48(7), pages 951-960, April.
- Evans, Peter, 1996. "Government action, social capital and development: Reviewing the evidence on synergy," World Development, Elsevier, vol. 24(6), pages 1119-1132, June.
- Matthew Jowett, 2003. "Do informal risk sharing networks crowd out public voluntary health insurance? Evidence from Vietnam," Applied Economics, Taylor & Francis Journals, vol. 35(10), pages 1153-1161.
- Fox, Jonathan, 1996. "How does civil society thicken? the political construction of social capital in rural Mexico," World Development, Elsevier, vol. 24(6), pages 1089-1103, June.
- Pablo Gottret & George Schieber, 2006. "Health Financing Revisited : A Practitioner's Guide," World Bank Publications, The World Bank, number 7094.
- Ron, Aviva, 1999. "NGOs in community health insurance schemes: examples from Guatemala and the Philippines," Social Science & Medicine, Elsevier, vol. 48(7), pages 939-950, April.
- Lyon, Fergus, 2000. "Trust, Networks and Norms: The Creation of Social Capital in Agricultural Economies in Ghana," World Development, Elsevier, vol. 28(4), pages 663-681, April.
- Brown, L. David & Ashman, Darcy, 1996. "Participation, social capital, and intersectoral problem solving: African and Asian cases," World Development, Elsevier, vol. 24(9), pages 1467-1479, September.
- Narayan, Deepa & Pritchett, Lant, 1997.
"Cents and sociability : household income and social capital in rural Tanzania,"
Policy Research Working Paper Series
1796, The World Bank.
- Narayan, Deepa & Pritchett, Lant, 1999. "Cents and Sociability: Household Income and Social Capital in Rural Tanzania," Economic Development and Cultural Change, University of Chicago Press, vol. 47(4), pages 871-897, July.
- Anderson, C. Leigh & Locker, Laura & Nugent, Rachel, 2002. "Microcredit, Social Capital, and Common Pool Resources," World Development, Elsevier, vol. 30(1), pages 95-105, January.
- weijland, Hermine, 1999. "Microenterprise Clusters in Rural Indonesia: Industrial Seedbed and Policy Target," World Development, Elsevier, vol. 27(9), pages 1515-1530, September.
- Shortt, S. E. D., 2004. "Making sense of social capital, health and policy," Health Policy, Elsevier, vol. 70(1), pages 11-22, October.
- Woolcock, Michael, 2001. "Microenterprise and social capital:: A framework for theory, research, and policy," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 30(2), pages 193-198, March.
- Zhang, Licheng & Wang, Hong & Wang, Lushang & Hsiao, William, 2006. "Social capital and farmer's willingness-to-join a newly established community-based health insurance in rural China," Health Policy, Elsevier, vol. 76(2), pages 233-242, April.
- De Allegri, Manuela & Sanon, Mamadou & Bridges, John & Sauerborn, Rainer, 2006. "Understanding consumers' preferences and decision to enrol in community-based health insurance in rural West Africa," Health Policy, Elsevier, vol. 76(1), pages 58-71, March.
- Wagstaff, Adam & van Doorslaer, Eddy & van der Burg, Hattem & Calonge, Samuel & Christiansen, Terkel & Citoni, Guido & Gerdtham, Ulf-G & Gerfin, Mike & Gross, Lorna & Hakinnen, Unto, 1999. "Equity in the finance of health care: some further international comparisons1," Journal of Health Economics, Elsevier, vol. 18(3), pages 263-290, June.
- Desmet, M. & Chowdhury, A. Q. & Islam, Md. K., 1999. "The potential for social mobilisation in Bangladesh: the organisation and functioning of two health insurance schemes," Social Science & Medicine, Elsevier, vol. 48(7), pages 925-938, April.
- Schneider, Pia, 2005. "Trust in micro-health insurance: an exploratory study in Rwanda," Social Science & Medicine, Elsevier, vol. 61(7), pages 1430-1438, October.
- Bärnighausen, Till & Sauerborn, Rainer, 2002. "One hundred and eighteen years of the German health insurance system: are there any lessons for middle- and low-income countries?," Social Science & Medicine, Elsevier, vol. 54(10), pages 1559-1587, May.
- David Dreyer Lassen, 2003. "Ethnic Divisions and the Size of the Informal Sector," EPRU Working Paper Series 03-01, Economic Policy Research Unit (EPRU), University of Copenhagen. Department of Economics.
- van Bastelaer, Thierry & Leathers, Howard, 2006. "Trust in Lending: Social Capital and Joint Liability Seed Loans in Southern Zambia," World Development, Elsevier, vol. 34(10), pages 1788-1807, October.
- Lam, Wai Fung, 1996. "Institutional design of public agencies and coproduction: A study of irrigation associations in Taiwan," World Development, Elsevier, vol. 24(6), pages 1039-1054, June.
When requesting a correction, please mention this item's handle: RePEc:eee:wdevel:v:36:y:2008:i:4:p:590-607. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu)
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.