The impact of subsidized private health insurance and health facility upgrades on healthcare utilization and spending in rural Nigeria
Emily Gustafsson-Wright (),
Gosia Popławska (),
Zlata Tanović () and
Jacques Gaag ()
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Emily Gustafsson-Wright: Brookings Institution
Gosia Popławska: University of Oxford
Zlata Tanović: Vrije University (VU)
Jacques Gaag: Brookings Institution
International Journal of Health Economics and Management, 2018, vol. 18, issue 3, No 1, 276 pages
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.
Keywords: Health insurance; Financial risk; Nigeria; Impact evaluation (search for similar items in EconPapers)
JEL-codes: I1 I3 (search for similar items in EconPapers)
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