Is informality an irrevocable obstacle to Universal Health Coverage (UHC)? Evidence from Tunisia

Khaled Makhloufi, Mohammad Abu-Zaineh () and Bruno Ventelou
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Khaled Makhloufi: AMU - Aix Marseille Université
Mohammad Abu-Zaineh: AMSE - Aix-Marseille Sciences Economiques - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique
Bruno Ventelou: CNRS - Centre National de la Recherche Scientifique

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Abstract: In many developing countries and in particular in the context of Middle East and North Africa (MENA) region, large fractions of the population are deprived of access to any social security system, mainly because they are working in the informal sector. This paper shows that even among the most precarious workers, the willingness-to-pay for a health insurance system is substantial but varies according to the three different healthcare insurance plans proposed in the survey (giving access to public provider, to private providers, or reimbursement), associated or not with a pension scheme. This suggests that informality, by and in itself, is not an incurable impediment behind the achievement of the UHC goal in Tunisia as long as appropriate insurance plans are offered to the uncovered populations.

Keywords: Health Insurance; Public and Private; Social Security and Public Pensions; Informality; Field Experiments (search for similar items in EconPapers)
Date: 2019-01
Note: View the original document on HAL open archive server: https://hal.science/hal-05717807v1
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Published in FEMISE MED BRIEF. 2019

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