Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness

Limited access to information is one of the main health insurance market imperfections in developing countries. Differential access to information may determine individuals’ awareness of health insurance schemes, thereby influencing their probability of enrollment. Relying on primary data collected...

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Autores principales:	Marwân-al-Qays Bousmah, Sylvie Boyer, Richard Lalou, Bruno Ventelou
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Health insurance Awareness Geographic distance Risk preference Selection bias Senegal Public aspects of medicine RA1-1270 Social sciences (General) H1-99
Acceso en línea:	https://doaj.org/article/dd86e7123e0e41ab9948422fc165bdc8
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spelling	oai:doaj.org-article:dd86e7123e0e41ab9948422fc165bdc82021-11-22T04:27:17ZReassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness2352-827310.1016/j.ssmph.2021.100974https://doaj.org/article/dd86e7123e0e41ab9948422fc165bdc82021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352827321002494https://doaj.org/toc/2352-8273Limited access to information is one of the main health insurance market imperfections in developing countries. Differential access to information may determine individuals’ awareness of health insurance schemes, thereby influencing their probability of enrollment. Relying on primary data collected in 2019–2020 in rural Senegal, we estimate the uptake of community-based health insurance using a Heckman-type model to correct for awareness-based sample selection bias. Besides showing that health insurance awareness is a precondition for effective enrollment in community-based health insurance schemes, we also bring new evidence on the roles which geographic factors and individual risk preference play in health insurance uptake by rural dwellers. We show that geographic distance prevents individuals from accessing information on health insurance schemes, and discourage those who are informed from enrolling, because of the additional distance they must travel to benefit from covered healthcare services. Results also show that individual risk preference influences health insurance uptake, but only when information barriers are taken into account. Overall, our results could help decision-makers better shape the universal health coverage roadmap, as policies to improve health insurance awareness differ substantially from policies to improve the features of health insurance schemes.Marwân-al-Qays BousmahSylvie BoyerRichard LalouBruno VentelouElsevierarticleHealth insuranceAwarenessGeographic distanceRisk preferenceSelection biasSenegalPublic aspects of medicineRA1-1270Social sciences (General)H1-99ENSSM: Population Health, Vol 16, Iss , Pp 100974- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Health insurance Awareness Geographic distance Risk preference Selection bias Senegal Public aspects of medicine RA1-1270 Social sciences (General) H1-99
spellingShingle	Health insurance Awareness Geographic distance Risk preference Selection bias Senegal Public aspects of medicine RA1-1270 Social sciences (General) H1-99 Marwân-al-Qays Bousmah Sylvie Boyer Richard Lalou Bruno Ventelou Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness
description	Limited access to information is one of the main health insurance market imperfections in developing countries. Differential access to information may determine individuals’ awareness of health insurance schemes, thereby influencing their probability of enrollment. Relying on primary data collected in 2019–2020 in rural Senegal, we estimate the uptake of community-based health insurance using a Heckman-type model to correct for awareness-based sample selection bias. Besides showing that health insurance awareness is a precondition for effective enrollment in community-based health insurance schemes, we also bring new evidence on the roles which geographic factors and individual risk preference play in health insurance uptake by rural dwellers. We show that geographic distance prevents individuals from accessing information on health insurance schemes, and discourage those who are informed from enrolling, because of the additional distance they must travel to benefit from covered healthcare services. Results also show that individual risk preference influences health insurance uptake, but only when information barriers are taken into account. Overall, our results could help decision-makers better shape the universal health coverage roadmap, as policies to improve health insurance awareness differ substantially from policies to improve the features of health insurance schemes.
format	article
author	Marwân-al-Qays Bousmah Sylvie Boyer Richard Lalou Bruno Ventelou
author_facet	Marwân-al-Qays Bousmah Sylvie Boyer Richard Lalou Bruno Ventelou
author_sort	Marwân-al-Qays Bousmah
title	Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness
title_short	Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness
title_full	Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness
title_fullStr	Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness
title_full_unstemmed	Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness
title_sort	reassessing the demand for community-based health insurance in rural senegal: geographic distance and awareness
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/dd86e7123e0e41ab9948422fc165bdc8
work_keys_str_mv	AT marwanalqaysbousmah reassessingthedemandforcommunitybasedhealthinsuranceinruralsenegalgeographicdistanceandawareness AT sylvieboyer reassessingthedemandforcommunitybasedhealthinsuranceinruralsenegalgeographicdistanceandawareness AT richardlalou reassessingthedemandforcommunitybasedhealthinsuranceinruralsenegalgeographicdistanceandawareness AT brunoventelou reassessingthedemandforcommunitybasedhealthinsuranceinruralsenegalgeographicdistanceandawareness
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Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness

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