scholarly journals Adverse Selection in Community Based Health Insurance among Informal Workers in Bangladesh: An EQ-5D Assessment

2018 ◽  
Vol 15 (2) ◽  
pp. 242 ◽  
Author(s):  
Sayem Ahmed ◽  
Abdur Sarker ◽  
Marufa Sultana ◽  
Sanchita Chakrovorty ◽  
Md. Hasan ◽  
...  
Keyword(s):  
Health Insurance ◽  
Adverse Selection ◽  
Community Based ◽  
Informal Workers ◽  
Community Based Health Insurance

scholarly journals The effect of a community-based health insurance on the out-of-pocket payments for utilizing medically trained providers in Bangladesh

2019 ◽  
Vol 12 (4) ◽  
pp. 287-298 ◽  
Author(s):  
Jahangir A M Khan ◽  
Sayem Ahmed ◽  
Marufa Sultana ◽  
Abdur Razzaque Sarker ◽  
Sanchita Chakrovorty ◽  
...  
Keyword(s):  
Health Insurance ◽  
Health Coverage ◽  
Community Based ◽  
Quality Healthcare ◽  
Informal Workers ◽  
Community Based Health Insurance ◽  
Out Of Pocket Payments ◽  
Significant Difference ◽  
Case Comparison ◽  
Quasi Experimental

Abstract Background We aimed to estimate the effect of the community-based health insurance (CBHI) scheme on the magnitude of out-of-pocket (OOP) payments for the healthcare of the informal workers and their dependents. The CBHI scheme was piloted through a cooperative of informal workers, which covered seven unions in Chandpur Sadar Upazila, Bangladesh. Methods A quasi-experimental study was conducted using a case-comparison design. In total 1292 (646 insured and 646 uninsured) households were surveyed. Propensity score matching was done to minimize the observed baseline differences in the characteristics between the insured and uninsured groups. A two-part regression model was applied using both the probability of OOP spending and magnitude of such spending for healthcare in assessing the association with enrolment status in the CBHI scheme while controlling for other covariates. Results The OOP payment was 6.4% (p < 0.001) lower for medically trained provider (MTP) utilization among the insured compared with the uninsured. However, no significant difference was found in the OOP payments for healthcare utilization from all kind of providers, including the non-trained ones. Conclusions The CBHI scheme could reduce OOP payments while providing better quality healthcare through the increased use of MTPs, which consequently could push the country towards universal health coverage.

scholarly journals Willingness-to-Pay for Community-Based Health Insurance among Informal Workers in Urban Bangladesh

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0148211 ◽  
Author(s):  
Sayem Ahmed ◽  
Mohammad Enamul Hoque ◽  
Abdur Razzaque Sarker ◽  
Marufa Sultana ◽  
Ziaul Islam ◽  
...  
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Community Based ◽  
Informal Workers ◽  
Community Based Health Insurance

scholarly journals The impact of community-based health insurance on the utilization of medically trained healthcare providers among informal workers in Bangladesh

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0200265 ◽  
Author(s):  
Sayem Ahmed ◽  
Abdur Razzaque Sarker ◽  
Marufa Sultana ◽  
Sanchita Chakrovorty ◽  
Mohammad Wahid Ahmed ◽  
...  
Keyword(s):  
Health Insurance ◽  
Healthcare Providers ◽  
Community Based ◽  
Informal Workers ◽  
Community Based Health Insurance ◽  
The Impact

scholarly journals The failure of community-based health insurance schemes in Tanzania: opening the black box of the implementation process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramadhani Kigume ◽  
Stephen Maluka
Keyword(s):  
Health Insurance ◽  
Community Health ◽  
Rural Areas ◽  
Health Coverage ◽  
Access To Health Services ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Urban Districts ◽  
Health Fund ◽  
The Government

Abstract Background Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fund (CHF) in 2001 for rural areas; and Tiba Kwa Kadi (TIKA) for urban population since 2009. This study investigated the implementation of TIKA scheme in urban districts of Tanzania. Methods A descriptive qualitative case study was conducted in four urban districts in Tanzania in 2019. Data were collected using semi-structured interviews, focus group discussions and review of documents. A thematic approach was used to analyse the data. Results While TIKA scheme was important in increasing access to health services for the poor and other disadvantaged groups, it faced many challenges which hindered its performance. The challenges included frequent stock-out of drugs and medical supplies, which frustrated TIKA members and hence contributed to non-renewal of membership. In addition, the scheme was affected by poor collections and management of the revenue collected from TIKA members, limited benefit packages and low awareness of the community. Conclusions Similar to rural-based Community Health Fund, the TIKA scheme faced structural and operational challenges which subsequently resulted into low uptake of the schemes. In order to achieve universal health coverage, the government should consider integrating or merging Community-Based Health Insurance schemes into a single national pool with decentralised arms to win national support while also maintaining local accountability.

scholarly journals Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach

2021 ◽  
Author(s):  
Emmanuel Nshakira-Rukundo ◽  
Essa Chanie Mussa ◽  
Nathan Nshakira ◽  
Nicolas Gerber ◽  
Joachim von Braun
Keyword(s):  
Developing Countries ◽  
Health Insurance ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Information Diffusion ◽  
Preventive Health ◽  
Financial Protection ◽  
Community Based ◽  
Research Attention ◽  
Community Based Health Insurance

AbstractThe effect of voluntary health insurance on preventive health has received limited research attention in developing countries, even when they suffer immensely from easily preventable illnesses. This paper surveys households in rural south-western Uganda, which are geographically serviced by a voluntary Community-based health insurance scheme, and applied propensity score matching to assess the effect of enrolment on using mosquito nets and deworming under-five children. We find that enrolment in the scheme increased the probability of using a mosquito net by 26% and deworming by 18%. We postulate that these findings are partly mediated by information diffusion and social networks, financial protection, which gives households the capacity to save and use service more, especially curative services that are delivered alongside preventive services. This paper provides more insight into the broader effects of health insurance in developing countries, beyond financial protection and utilisation of hospital-based services.

scholarly journals Preferences for benefit packages for community-based health insurance: an exploratory study in Nigeria

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Obinna Onwujekwe ◽  
Chima Onoka ◽  
Nkoli Uguru ◽  
Tasie Nnenna ◽  
Benjamin Uzochukwu ◽  
...  
Keyword(s):  
Health Insurance ◽  
Exploratory Study ◽  
Community Based ◽  
Community Based Health Insurance
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