Do Social Protection Programs Improve Health Related Outcomes of the Poor in Tunisia?

Mohamed Marouani, Phuong Le Minh and Nidhal Ben Cheikh
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Phuong Le Minh: Vietnam Academy of Social Sciences
Nidhal Ben Cheikh: University of Paris

No 1579, Working Papers from Economic Research Forum

Abstract: In this study, we analyze the impact of the PNAFN, a Tunisian social protection program combining a cash transfer and access to a free healthcare insurance program. The outcomes of interest are healthcare out-of-pocket spending, financial risk associated to illness, and healthcare utilization. Using the nationally representative household survey, we implement various regression techniques taking into account the endogeneity of selection into the program. We find that the access to PNAFN reduces the risks of incurring high and catastrophic out-of-pocket expenses. It also encourages the PNAFN families to spend more on medications than any of three control groups. However, PNAFN beneficiaries have a higher probability to be unable to visit the doctor when having an illness due to a higher demand for health facilities coupled with financial deficiencies.

Pages: 21
Date: 2022-09-20, Revised 2022-09-20
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Published by The Economic Research Forum (ERF)

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Working Paper: Do social protection programs improve health related outcomes of the poor in Tunisia? (2022)
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