Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach
The 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 vol...
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| Format: | Article |
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International Journal of Health Economics and Management
2021
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| Online Access: | http://hdl.handle.net/20.500.12493/494 |
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| author | Emmanuel, Nshakira-Rukundo Essa, Mussa Chanie Nathan, Nshakira Joachim, von Braun |
| author_facet | Emmanuel, Nshakira-Rukundo Essa, Mussa Chanie Nathan, Nshakira Joachim, von Braun |
| author_sort | Emmanuel, Nshakira-Rukundo |
| collection | KAB-DR |
| description | The 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. |
| format | Article |
| id | oai:idr.kab.ac.ug:20.500.12493-494 |
| institution | KAB-DR |
| publishDate | 2021 |
| publisher | International Journal of Health Economics and Management |
| record_format | dspace |
| spelling | oai:idr.kab.ac.ug:20.500.12493-4942024-01-17T04:45:51Z Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach Emmanuel, Nshakira-Rukundo Essa, Mussa Chanie Nathan, Nshakira Joachim, von Braun Community-based health insurance · Enrolment · Preventive health · Inverse probability weighting · Rural Uganda The 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. Kabale University 2021-06-04T12:33:23Z 2021-06-04T12:33:23Z 2021 Article https://doi.org/10.1007/s10754-021-09294-6 http://hdl.handle.net/20.500.12493/494 application/pdf International Journal of Health Economics and Management |
| spellingShingle | Community-based health insurance · Enrolment · Preventive health · Inverse probability weighting · Rural Uganda Emmanuel, Nshakira-Rukundo Essa, Mussa Chanie Nathan, Nshakira Joachim, von Braun Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach |
| title | Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach |
| title_full | Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach |
| title_fullStr | Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach |
| title_full_unstemmed | Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach |
| title_short | Impact of community‑based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach |
| title_sort | impact of community based health insurance on utilisation of preventive health services in rural uganda a propensity score matching approach |
| topic | Community-based health insurance · Enrolment · Preventive health · Inverse probability weighting · Rural Uganda |
| url | http://hdl.handle.net/20.500.12493/494 |
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