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Impact of Mutual Health Insurance on Urban Households Health Expenses and Vulnerability in Burkina Faso

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  • Koloma, Yaya

Abstract

The objective of this paper is to assess the effects of long-term participation in a mutual health insurance programme on urban households health expenses and vulnerability in Burkina Faso. With data collected in 2013 from a series of interviews with beneficiaries of two mutual health insurance, the study performs a descriptive approach and an econometric technique (propensity score matching). The mutual health insurance program is highly valued, with 90.7% of short term (STB) and 98.3% long-term (LTB) beneficiaries willing to renew their policy insurance. They considered mutual health insurance schemes to be a good mechanism for covering disease risks, as 63.5% of STB and 79.3% of LTB were ready to take out insurance with another company if their mutual insurance no longer offered it. With a higher vulnerability incidence among STB (48.2%) compared to LTB (41.4%), access to mutual health insurance services seems to have a different impact on the well-being of beneficiary households. Indeed, long-term participation in a mutual health insurance has a positive impact on reducing household health expenses (ATT=0.185; t = 2.152**) and no statistically significant effect on their vulnerability (ATT=0.002; t=0.022). More efforts should be made to improve its effect on vulnerability, especially for the poorest.

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  • Koloma, Yaya, 2021. "Impact of Mutual Health Insurance on Urban Households Health Expenses and Vulnerability in Burkina Faso," EconStor Preprints 234465, ZBW - Leibniz Information Centre for Economics.
  • Handle: RePEc:zbw:esprep:234465
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    References listed on IDEAS

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    1. Dong, Hengjin & Kouyate, Bocar & Cairns, John & Sauerborn, Rainer, 2005. "Inequality in willingness-to-pay for community-based health insurance," Health Policy, Elsevier, vol. 72(2), pages 149-156, May.
    2. Dong, Hengjin & Kouyate, Bocar & Snow, Rachel & Mugisha, Frederick & Sauerborn, Rainer, 2003. "Gender's effect on willingness-to-pay for community-based insurance in Burkina Faso," Health Policy, Elsevier, vol. 64(2), pages 153-162, May.
    3. World Bank, 2013. "Burkina Faso : Perceived Shocks, Vulnerability, Food Insecurity, and Poverty," World Bank Publications - Reports 15988, The World Bank Group.
    4. Lavers, Tom, 2019. "Towards Universal Health Coverage in Ethiopia's ‘developmental state’? The political drivers of health insurance," Social Science & Medicine, Elsevier, vol. 228(C), pages 60-67.
    5. Chemouni, Benjamin, 2018. "The political path to universal health coverage: Power, ideas and community-based health insurance in Rwanda," World Development, Elsevier, vol. 106(C), pages 87-98.
    6. Zelalem Yilma & Anagaw Mebratie & Robert Sparrow & Marleen Dekker & Getnet Alemu & Arjun S. Bedi, 2015. "Impact of Ethiopia's Community Based Health Insurance on Household Economic Welfare," The World Bank Economic Review, World Bank, vol. 29(suppl_1), pages 164-173.
    7. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    8. Syed Abdul Hamid & Jennifer Roberts & Paul Mosley, 2011. "Can Micro Health Insurance Reduce Poverty? Evidence From Bangladesh," Journal of Risk & Insurance, The American Risk and Insurance Association, vol. 78(1), pages 57-82, March.
    9. Panda, P. & Chakraborty, A. & Raza, W.A. & Bedi, A.S., 2015. "Renewing membership in three community-based health insurance schemes in rural India," ISS Working Papers - General Series 608, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    10. Andinet Woldemichael, 2020. "Working Paper 332 - The Impacts of Community-Based Health Insurance on Poverty Reduction," Working Paper Series 2458, African Development Bank.
    11. Agier, Isabelle & Ly, Antarou & Kadio, Kadidiatou & Kouanda, Seni & Ridde, Valéry, 2016. "Endorsement of universal health coverage financial principles in Burkina Faso," Social Science & Medicine, Elsevier, vol. 151(C), pages 157-166.
    12. Platteau, Jean-Philippe & De Bock, Ombeline & Gelade, Wouter, 2017. "The Demand for Microinsurance: A Literature Review," World Development, Elsevier, vol. 94(C), pages 139-156.
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    Keywords

    Mutual Health Insurance; Vulnerability; Households; Impact; Burkina Faso;
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