Why have the members gone? Explanations for dropout from a community-based insurance scheme

Tara Sinha, M. Kent Ranson, Falguni Patel and Anne Mills
Additional contact information
Tara Sinha: SEWA Insurance, Self-Employed Women's Association, Ahmedabad, India, Postal: SEWA Insurance, Self-Employed Women's Association, Ahmedabad, India
M. Kent Ranson: Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK, Postal: Health Policy Unit, London School of Hygiene and Tropical Medicine, London, UK
Falguni Patel: SEWA Insurance, Self-Employed Women's Association, Ahmedabad, India, Postal: SEWA Insurance, Self-Employed Women's Association, Ahmedabad, India
Anne Mills: Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK, Postal: Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK

Journal of International Development, 2007, vol. 19, issue 5, 653-665

Abstract: A common challenge faced by voluntary community based insurance (CBI) schemes is ensuring re-enrolment of their members. This study examines factors that may explain dropout from a CBI scheme targeting poorer self-employed women in Gujarat. Members who exited from the scheme were poorer and less educated; had weaker links with the promoting institution; and used the scheme less in the preceding year. The primary reason for dropping out was that members were not contacted by programme staff to re-enrol. Scheme administrators can reduce dropout rates by maintaining better contact with scheme members and systematically seeking them out at the time of enrolment. Such relatively simple improvements in scheme administration can enhance the efficiency and equity of the scheme. Copyright © 2006 John Wiley & Sons, Ltd.

Date: 2007
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Persistent link: https://EconPapers.repec.org/RePEc:wly:jintdv:v:19:y:2007:i:5:p:653-665

DOI: 10.1002/jid.1346

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