IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0286374.html
   My bibliography  Save this article

Potential demand for National Health Insurance in Zimbabwe: Evidence from selected urban informal sector clusters in Harare

Author

Listed:
  • Tamisai Chipunza
  • Senia Nhamo

Abstract

Background: Zimbabwe’s tax-based healthcare financing model has been characterised by perennial financing deficits and widespread application of user fees and has thus been socially exclusive. The country’s urban informal sector population is not spared from these challenges. The study explored the potential demand for National Health Insurance (NHI) among respondents from selected urban informal sector clusters of Harare. The following clusters were targeted: Glenview furniture complex, Harare home industries, Mupedzanhamo flea market, Mbare new wholesale market and Mbare retail market. Methods: A cross-sectional survey was administered to 388 respondents from the selected clusters, and data on the determinants of Willingness to Join (WTJ) and Willingness to Pay (WTP) was gathered. Respondents were recruited via a multi-stage sampling procedure. In the first stage, the five informal sector clusters were purposely selected. The second stage involved a proportional allocation of respondents by cluster size. Finally, based on the stalls allocated by municipal authorities in each area, respondents were selected using systematic sampling. The sampling interval (k) was determined by dividing the total number of allocated stalls in a cluster (N) by the sample size proportionate to that cluster (n). For each cluster, the first stall (respondent) was randomly chosen, and thereafter, a respondent from every 10th stall was selected and interviewed at their workplace. Contingent valuation was adopted to elicit WTP. Logit models and interval regression were applied for the econometric analyses. Results: A total of 388 respondents participated in the survey. The dominant informal sector activity among the surveyed clusters was the sale of clothing and shoes (39.2%), followed by the sale of agricultural products (27.1%). Concerning employment status, the majority were own-account workers (73.1%). Most of the respondents (84.8%) completed secondary school. On monthly income from informal sector activities, the highest frequency (37.1%) was observed in the Zw$(1000 to

Suggested Citation

  • Tamisai Chipunza & Senia Nhamo, 2023. "Potential demand for National Health Insurance in Zimbabwe: Evidence from selected urban informal sector clusters in Harare," PLOS ONE, Public Library of Science, vol. 18(5), pages 1-28, May.
    • Handle: RePEc:plo:pone00:0286374
    DOI: 10.1371/journal.pone.0286374
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0286374
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0286374&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0286374?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mustefa Glagn Abdilwohab & Zeleke Hailemariam Abebo & Wanzahun Godana & Dessalegn Ajema & Manaye Yihune & Hadiya Hassen, 2021. "Factors affecting enrollment status of households for community based health insurance in a resource-limited peripheral area in Southern Ethiopia. Mixed method," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-16, January.
    2. Artem Korzhenevych & Charles Kofi Owusu, 2021. "Renewable Minigrid Electrification in Off-Grid Rural Ghana: Exploring Households Willingness to Pay," Sustainability, MDPI, vol. 13(21), pages 1-17, October.
    3. Leandro Medina & Mr. Friedrich Schneider, 2018. "Shadow Economies Around the World: What Did We Learn Over the Last 20 Years?," IMF Working Papers 2018/017, International Monetary Fund.
    4. Lopez-Feldman, Alejandro, 2012. "Introduction to contingent valuation using Stata," MPRA Paper 41018, University Library of Munich, Germany.
    5. Lin Song & Yi Xue & Yaqiong Jing & Jincan Zhang, 2021. "Visitor’s Willingness to Pay for National Park Entrance Fees in China: Evidence from a Contingent Valuation Method," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    6. Jofre-Bonet, Mireia & Kamara, Joseph, 2018. "Willingness to pay for health insurance in the informal sector of Sierra Leone," LSE Research Online Documents on Economics 89836, London School of Economics and Political Science, LSE Library.
    7. Kelvin J. Lancaster, 1966. "A New Approach to Consumer Theory," Journal of Political Economy, University of Chicago Press, vol. 74(2), pages 132-132.
    8. Mcintyre, Di & Meheus, Filip & Røttingen, John-Arne, 2017. "What level of domestic government health expenditure should we aspire to for universal health coverage?," Health Economics, Policy and Law, Cambridge University Press, vol. 12(2), pages 125-137, April.
    9. Mireia Jofre-Bonet & Joseph Kamara, 2018. "Willingness to pay for health insurance in the informal sector of Sierra Leone," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-18, May.
    10. Michael Hanemann & John Loomis & Barbara Kanninen, 1991. "Statistical Efficiency of Double-Bounded Dichotomous Choice Contingent Valuation," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 73(4), pages 1255-1263.
    11. Stephane Hess & Andrew Daly & Richard Batley, 2018. "Revisiting consistency with random utility maximisation: theory and implications for practical work," Theory and Decision, Springer, vol. 84(2), pages 181-204, March.
    12. Massimo Florio & Francesco Giffoni, 2020. "A contingent valuation experiment about future particle accelerators at CERN," PLOS ONE, Public Library of Science, vol. 15(3), pages 1-24, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gebreegziabher, Z. & Mekonnen, A. & Beyene, A.D. & Hagos, F., 2018. "Valuation of access to irrigation water in rural Ethiopia: application of choice experiment and contingent valuation methods," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277168, International Association of Agricultural Economists.
    2. Alemu Mekonnen & Zenebe Gebreegziabher & Abebe D. Beyene & Fitsum Hagos, 2019. "Valuation of Access to Irrigation Water in Rural Ethiopia: Application of Choice Experiment and Contingent Valuation Methods," Water Economics and Policy (WEP), World Scientific Publishing Co. Pte. Ltd., vol. 6(01), pages 1-26, September.
    3. Christine Wamuyu Mwangi & Josiah Ateka & Robert Mbeche & Luke Oyugi & Elijah Ateka, 2022. "Comparing farmers’ willingness to pay with costs of clean sweet potato seed multiplication in Kenya," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 14(5), pages 1279-1293, October.
    4. Chiara Mazzocchi & Guido Sali, 2016. "Sustainability and Competitiveness of Agriculture in Mountain Areas: A Willingness to Pay (WTP) Approach," Sustainability, MDPI, vol. 8(4), pages 1-13, April.
    5. Richard T. Carson & Miko_aj Czajkowski, 2014. "The discrete choice experiment approach to environmental contingent valuation," Chapters, in: Stephane Hess & Andrew Daly (ed.), Handbook of Choice Modelling, chapter 9, pages 202-235, Edward Elgar Publishing.
    6. Faruque As Sunny & Linlin Fu & Md Sadique Rahman & Zuhui Huang, 2022. "Determinants and Impact of Solar Irrigation Facility (SIF) Adoption: A Case Study in Northern Bangladesh," Energies, MDPI, vol. 15(7), pages 1-17, March.
    7. Hanke Ndau & Elizabeth Tilley, 2018. "Willingness to Pay for Improved Household Solid Waste Collection in Blantyre, Malawi," Economies, MDPI, vol. 6(4), pages 1-21, October.
    8. Acey, Charisma & Kisiangani, Joyce & Ronoh, Patrick & Delaire, Caroline & Makena, Evelyn & Norman, Guy & Levine, David & Khush, Ranjiv & Peletz, Rachel, 2019. "Cross-subsidies for improved sanitation in low income settlements: Assessing the willingness to pay of water utility customers in Kenyan cities," World Development, Elsevier, vol. 115(C), pages 160-177.
    9. Artem Korzhenevych & Charles Kofi Owusu, 2021. "Renewable Minigrid Electrification in Off-Grid Rural Ghana: Exploring Households Willingness to Pay," Sustainability, MDPI, vol. 13(21), pages 1-17, October.
    10. Deutschmann, Joshua W. & Postepska, Agnieszka & Sarr, Leopold, 2021. "Measuring willingness to pay for reliable electricity: Evidence from Senegal," World Development, Elsevier, vol. 138(C).
    11. Vilela, Thais & Malky Harb, Alfonso & Mendizábal Vergara, Carla, 2022. "Chileans' willingness to pay for protected areas," Ecological Economics, Elsevier, vol. 201(C).
    12. Deborah Bentivoglio & Adele Finco & Giorgia Bucci & Giacomo Staffolani, 2020. "Is There a Promising Market for the A2 Milk? Analysis of Italian Consumer Preferences," Sustainability, MDPI, vol. 12(17), pages 1-16, August.
    13. Musiliu O. Oseni, 2017. "Self-Generation and Households' Willingness to Pay for Reliable Electricity Service in Nigeria," The Energy Journal, International Association for Energy Economics, vol. 0(Number 4).
    14. Changsok Yoo & Yelim Kim & Jee Hoon Sohn, 2021. "Evaluating the Social Cost of Conflict between New Media and Society: The Case of Gaming Disorder in South Korea," Sustainability, MDPI, vol. 13(14), pages 1-13, July.
    15. Day, Brett & Bateman, Ian J. & Carson, Richard T. & Dupont, Diane & Louviere, Jordan J. & Morimoto, Sanae & Scarpa, Riccardo & Wang, Paul, 2012. "Ordering effects and choice set awareness in repeat-response stated preference studies," Journal of Environmental Economics and Management, Elsevier, vol. 63(1), pages 73-91.
    16. Jang-Hwan Jo & Chang-Bae Lee & Hye-Jung Cho & Jukwan Lee, 2021. "Estimation of Citizens’ Willingness to Pay for the Implementation of Payment for Local Forest Ecosystem Services: The Case of Taxes and Donations," Sustainability, MDPI, vol. 13(11), pages 1-14, May.
    17. Kofi Britwum & Amalia Yiannaka, 2019. "Labeling food safety attributes: to inform or not to inform?," Agricultural and Food Economics, Springer;Italian Society of Agricultural Economics (SIDEA), vol. 7(1), pages 1-21, December.
    18. K.S. , A. & Khan, T. & Kishore, A., 2018. "Willingness to pay for Weather Based Crop Insurance in Punjab," 2018 Conference, July 28-August 2, 2018, Vancouver, British Columbia 277516, International Association of Agricultural Economists.
    19. Mirzobobo Yormirzoev & Ramona Teuber & Daniil Baranov, 2018. "Is Tajikistan a Potential Market for Genetically Modified Potatoes?," Economy of region, Centre for Economic Security, Institute of Economics of Ural Branch of Russian Academy of Sciences, vol. 1(1), pages 216-226.
    20. Jerop, Rebecca, 2012. "Consumer Willingness to Pay for Dairy Goat Milk in Siaya County, Kenya," Research Theses 243449, Collaborative Masters Program in Agricultural and Applied Economics.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0286374. See general information about how to correct material in RePEc.

    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 CitEc recognized a bibliographic reference but did not link an item in RePEc 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 RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.