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Micro Health Insurance in Bangladesh: Innovations in Design, Delivery and Distribution Channels


  • Syed M. Ahsan
  • Syed Abdul Hamid
  • Shubhasish Barua
  • Mohammad Rifat Haider
  • Chowdhury Abdullah Al Asif


Bangladesh needs to start afresh with innovative means of financing the provision of health care since in its absence the poor end up relying largely on self-insurance devices to mitigate health risks, which entails high implicit premiums. Existing insurance type programmes essentially consist of subsidy-oriented interventions, not necessarily in kind, requiring upfront cash at each stage of service delivery, hence failing to overcome the incidence of high out-of-pocket (OOP) payments, nor do the existing programmes succeed in dealing with events leading to catastrophic payments. Given this vacuum, an innovative micro health insurance (MHI) scheme has been designed keeping in view the targets of adequate risk protection, inclusivity of access, affordability and programme sustainability. The research design embracing the methods of cluster randomised trial allows for identification of direct and indirect effects of MHI on actual OOP incurred by the insured vis-à-vis the non-insured households who are otherwise similar in economic, educational and social dimensions. Such an analysis holds the promise of determining whether MHI type of intervention may eventually lead to large-scale implementation so that quality health care reach the poor en masse thereby contributing to the cause of universal health coverage. Key Words: Micro Health Insurance, Cluster Randomised Trials, Out-of-Pocket Payments, Cost of Risks JEL Classification Code: C83, G21, G22 and I18

Suggested Citation

  • Syed M. Ahsan & Syed Abdul Hamid & Shubhasish Barua & Mohammad Rifat Haider & Chowdhury Abdullah Al Asif, 2013. "Micro Health Insurance in Bangladesh: Innovations in Design, Delivery and Distribution Channels," Working Papers 17, Institute of Microfinance (InM).
  • Handle: RePEc:imb:wpaper:17

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    JEL classification:

    • C83 - Mathematical and Quantitative Methods - - Data Collection and Data Estimation Methodology; Computer Programs - - - Survey Methods; Sampling Methods
    • G21 - Financial Economics - - Financial Institutions and Services - - - Banks; Other Depository Institutions; Micro Finance Institutions; Mortgages
    • G22 - Financial Economics - - Financial Institutions and Services - - - Insurance; Insurance Companies; Actuarial Studies
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health


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