Effect of Community Based Health Insurance on the Livelihood of Rural Households in Kwara State, Nigeria
Year 2016,
Volume: 33 Issue: 2, 19 - 27, 26.09.2016
Raphael Olanrewaju Babatunde
Oluwafemi Oyedeji
Esther Omonıwa
Adewale Henry Adenuga
Abstract
Hygeia Community Based Health Insurance is an option of financing healthcare which gives opportunity to community members in Kwara state, Nigeria to have access to quality healthcare at an affordable price. Given the importance of such pre-payment scheme, this study was carried out to assess the impact of the Hygeia community based health insurance scheme on the livelihood of rural households in Kwara State. A three-stage sampling technique was used to proportionately draw 115 beneficiaries and 60 non-beneficiaries from Shonga, Lafiagi and Bacita districts of Edu local government area of the state. Descriptive statistics and the Propensity score matching econometric model were the major analytical tools employed for the study. The findings from this research showed that rural household benefitting from the Hygeia Community Based Health Insurance scheme had a higher per capita income and were more food secured compared to the non-beneficiaries of the scheme. The study recommended the establishment of community based health insurance schemes in the rural areas so as to help improve the per capita income and calorie intake of the rural farming households. The study concluded that the government should support the growth of community health insurance schemes in the rural communities by providing the enabling environment and making it more accessible to the rural populace.
References
- Aggarwal, A. (2010). Impact evaluation of India’s ‘Yeshasvini’ community-based health insurance programme. Health Econ. 19: 5–35.
- Asfaw, A. (2003). How poverty affects the health status and the health care demand behaviour of households: the case of rural Ethiopia, conference paper, Chronic Poverty Research Centre (CPRC).
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- Nguyen KT, Khuat OT, Ma S, Pham DC, Khuat GT, Ruger JP. (2012). Impact of health insurance on health care treatment and cost in Vietnam: A health capability approach to financial protection. Am J Public Health. 102(8):1450–1461.
- Pauly, M.V., Zweifel, P., Scheffler, R.M., Preker, A.S., and Bassett, M. (2006). Adverse selection and impacts of health insurance in a developing country: evidence from a randomized experiment in Cambodia, Health Affairs, 25(2),369-379.
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Year 2016,
Volume: 33 Issue: 2, 19 - 27, 26.09.2016
Raphael Olanrewaju Babatunde
Oluwafemi Oyedeji
Esther Omonıwa
Adewale Henry Adenuga
References
- Aggarwal, A. (2010). Impact evaluation of India’s ‘Yeshasvini’ community-based health insurance programme. Health Econ. 19: 5–35.
- Asfaw, A. (2003). How poverty affects the health status and the health care demand behaviour of households: the case of rural Ethiopia, conference paper, Chronic Poverty Research Centre (CPRC).
- Babatunde O., Akande T., Salaudeen A., Aderibigbe S., Elegbede O. and Ayodele L.(2011). Willingness to pay for community health insurance and its determinants among household heads in rural communities in North central , Nigeria, International Review of Social Sciences and Humanities 2(2):133-142.
- Cutler, D. M., and Reber, S.J. (1998). Paying for health insurance: The trade-off between competition and adverse Selection, The Quarterly Journal of Economics, 113(2):433-466.
- Jutting, J. P. (2004). Do community-based health insurance schemes improve poor people's access to health care? Evidence from rural Senegal, World Development, 32(2): 273-288.
- Kai Liu (2013). Health insurance coverage for low-income households: consumption smoothing and investment. Department of Economics, Norwegian School of Economics, ISSN:0804-6824
- Nguyen KT, Khuat OT, Ma S, Pham DC, Khuat GT, Ruger JP. (2012). Impact of health insurance on health care treatment and cost in Vietnam: A health capability approach to financial protection. Am J Public Health. 102(8):1450–1461.
- Pauly, M.V., Zweifel, P., Scheffler, R.M., Preker, A.S., and Bassett, M. (2006). Adverse selection and impacts of health insurance in a developing country: evidence from a randomized experiment in Cambodia, Health Affairs, 25(2),369-379.
- WHO (2006): “The world health report” The state of world health organization.