Title |
The impact of subsidized private health insurance and health facility upgrades on healthcare utilization and spending in rural Nigeria
|
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Published in |
International Journal of Health Economics and Management, December 2017
|
DOI | 10.1007/s10754-017-9231-y |
Pubmed ID | |
Authors |
Emily Gustafsson-Wright, Gosia Popławska, Zlata Tanović, Jacques van der Gaag |
Abstract |
This paper analyzes the quantitative impact of an intervention that provides subsidized low-cost private health insurance together with health facility upgrades in Nigeria. The evaluation, which measures impact on healthcare utilization and spending, is based on a quasi-experimental design and utilizes three population-based household surveys over a 4-year period. After 4 years, the intervention increased healthcare use by 25.2 percentage points in the treatment area overall and by 17.7 percentage points among the insured. Utilization of modern healthcare facilities increased after 4 years by 20.4 percentage points in the treatment area and by 18.4 percentage points among the insured due to the intervention. After 2 years of program implementation, the intervention reduced healthcare spending by 51% compared with baseline, while after 4 years, spending resumed to pre-intervention levels. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
India | 1 | 14% |
Nigeria | 1 | 14% |
Netherlands | 1 | 14% |
United States | 1 | 14% |
Unknown | 3 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 73 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 12 | 16% |
Student > Master | 11 | 15% |
Researcher | 8 | 11% |
Student > Bachelor | 6 | 8% |
Student > Doctoral Student | 5 | 7% |
Other | 12 | 16% |
Unknown | 19 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Economics, Econometrics and Finance | 14 | 19% |
Medicine and Dentistry | 8 | 11% |
Social Sciences | 5 | 7% |
Nursing and Health Professions | 4 | 5% |
Computer Science | 3 | 4% |
Other | 8 | 11% |
Unknown | 31 | 42% |