Abstract:
OBJECTIVE:This study compares household heads' willingness-to-pay (WTP) for community-based health insurance (CBI) for themselves with their WTP for other household members, in order to provide information for policy makers on setting the premium and choosing the enrollment unit. METHOD:A random sample of 698 heads of households was interviewed in the northwest of Burkina Faso and a bidding game approach was used to elicit WTP. Factors associated with differences in WTP were identified, including characteristics of the household head and of the household. RESULTS:Mean WTP by the heads of households for insurance for themselves (3575 CFA) was twice their mean WTP per capita for the household as a whole (1759 CFA). The old have a lower WTP than the young, females have lower WTP than males, the poor have a lower WTP than the rich, and that those with less schooling have a lower WTP than those with more years of schooling. CONCLUSION:The differences in household heads' WTP for insurance for themselves and their WTP to insure their households as a whole need to be considered when setting the insurance premium. WTP information can assist decision makers with the complex problem of choosing the enrollment unit and setting the premium.
journal_name
Health Policy Planjournal_title
Health policy and planningauthors
Dong H,Kouyate B,Cairns J,Sauerborn Rdoi
10.1093/heapol/czh014subject
Has Abstractpub_date
2004-03-01 00:00:00pages
120-6issue
2eissn
0268-1080issn
1460-2237journal_volume
19pub_type
杂志文章abstract::Previous studies have consistently found an inverse relationship between household-level poverty and health status. However, what is not well understood is whether and how the average economic status at the community level plays a role in the poverty-health relationship. The purpose of this study is to investigate the...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czj008
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:This study examined whether outpatient haemodialysis providers changed their treatment practices with the establishment of an outpatient dialysis global budget (ODGB) through analysing the outpatient visits and medication received by those patients. METHODS:A sample of 4668 observations (patient year) of 13...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu119
更新日期:2015-11-01 00:00:00
abstract::There is a large body of evidence that user fees in the health sector create exclusion. Health equity funds attempt to improve access to health care services for the poorest by paying the provider on their behalf. This paper reviews four hospital-based health equity funds in Cambodia and draws lessons for future opera...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czm015
更新日期:2007-07-01 00:00:00
abstract::It is well known that cardiovascular diseases (CVD) are a growing cause of mortality and morbidity in low-and middle-income countries (LMIC). While hypertension (HTN), a leading risk factor for CVD, can be easily managed with widely available medicines, there is a huge gap in treatment for HTN in many LMIC. One such c...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czw080
更新日期:2016-12-01 00:00:00
abstract::This article examines the role of health governance in shaping the outcomes of healthcare reforms in China. The analysis shows that the failure of reforms during the 1980s and 1990s was in part due to inadequate attention to key aspects in health governance, such as strategic interactions among government, providers a...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs109
更新日期:2014-09-01 00:00:00
abstract::It is widely accepted that substantial reductions in maternal mortality and severe morbidity are impossible to achieve without an effective referral system for complicated cases. Early detection and referral to higher levels of care might also substantially reduce neonatal deaths due to the complications of childbirth...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.4.353
更新日期:2001-12-01 00:00:00
abstract::Within the existing health financing literature, males are typically categorized as the household's decision-makers. While this view accurately reflects many local sociocultural realities, approximately a quarter of sub-Saharan African households are now headed by females. In light of various efforts to expand health ...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx152
更新日期:2018-03-01 00:00:00
abstract::BACKGROUND Post-communist health care reforms and the break-up of Czechoslovakia have been studied from various perspectives, but little research has addressed the impact on health system performance. This paper investigates the quality and performance of the Slovak and Czech health systems before and after 1989, incl...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs093
更新日期:2013-08-01 00:00:00
abstract::User priorities regarding quality care in contexts of medical pluralism are poorly documented. Drawing on group and individual interviews with women, we interrogate ideas of quality maternity care in the context of Nigeria's medical pluralism. We found complex utilization patterns for conventional, complementary and a...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx131
更新日期:2018-01-01 00:00:00
abstract::The number of medical students trained in Nepal each year has increased nearly fifty-fold in the last 15 years, primarily through the creation of private medical schools. It is unknown where this expanding cohort of new physicians will ultimately practice. We distributed an anonymous survey to students in their last 2...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czr052
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVES:The Global Alliance for Vaccines and Immunization (GAVI) anticipated that growing demand for new vaccines could sufficiently impact the vaccines market to allow low-income countries (LICs) to self-finance new vaccines. But the time required to lower vaccine prices was underestimated and the amount that price...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czs123
更新日期:2013-12-01 00:00:00
abstract::Neonatal deaths account for about half of all deaths among children under 5 years of age in Bangladesh, making prevention a major priority. This paper reports on a study of neonatal deaths in 12 areas of Bangladesh served by a large NGO programme, which had high coverage of reproductive health outreach services and re...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czl024
更新日期:2006-11-01 00:00:00
abstract::Hypertension and diabetes are highly prevalent in China and pose significant health and economic burdens, but large gaps in care remain for people with such conditions. In this article, drawing on administrative insurance claim data from China's Urban Employee Basic Medical Insurance (UEBMI), we use an interrupted tim...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa087
更新日期:2020-10-01 00:00:00
abstract::The scale and severity of the impact of the global HIV/AIDS pandemic on low-income countries, mainly those in sub-Saharan Africa, is almost unimaginable to people in high-income countries. There is a particularly pressing need to understand better how to ensure the translation into policy and practice of important res...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/17.2.196
更新日期:2002-06-01 00:00:00
abstract:OBJECTIVE:To determine whether an expansion in private sector contraceptive supply is associated with increased socio-economic inequality in the modern contraceptive prevalence rate (MCPR inequality). METHODS:Multiple rounds of Demographic and Health Surveys data were analysed for five countries that experienced an in...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czn035
更新日期:2008-11-01 00:00:00
abstract::During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective impleme...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czu017
更新日期:2015-05-01 00:00:00
abstract::Measuring and tracking the quality of healthcare is a critical part of improving service delivery, clinic efficiency and health outcomes. However, no standardized or widely accepted tool exists to assess the quality of clinic-based family planning services in low- and middle-income countries. The objective of this lit...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czw123
更新日期:2017-03-01 00:00:00
abstract::Many countries have expanded insurance programmes in an effort to achieve universal health coverage (UHC). We assess a complementary path toward financial risk protection: increased access to technologies that improve health and reduce the risk of large health expenditures. Malawi has provided free HIV treatment since...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czaa023
更新日期:2020-07-01 00:00:00
abstract::While the concept of gender mainstreaming has gained acceptance among many national and international development organizations, many obstacles are faced in translating the concept into tangible improvements in the health and well-being of women and men. This paper presents two qualitative case studies, one from Kenya...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czi017
更新日期:2005-05-01 00:00:00
abstract::The decision-making process to introduce new vaccines into national immunization programmes is often complex, involving many stakeholders who provide technical information, mobilize finance, implement programmes and garner political support. Stakeholders may have different levels of interest, knowledge and motivations...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czs037
更新日期:2012-05-01 00:00:00
abstract::Although the number of direct Ebola-related deaths from the 2013 to 2016 West African Ebola outbreak has been quantified, the number of indirect deaths, resulting from decreased utilization of routine health services, remains unknown. Such information is a key ingredient of health system resilience, essential for adeq...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czx108
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:Concerns about appropriate pricing strategies and the high market share of subsidized condoms prompted Population Services International (PSI)/Myanmar to adopt a total market approach (TMA). This article presents data on the size and composition of the Myanmar condom market, identifies inefficiencies and rec...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu056
更新日期:2015-03-01 00:00:00
abstract::Formalized task shifting structures have been used to rapidly scale up antiretroviral service delivery to underserved populations in several countries, and may be a promising mechanism for accomplishing universal health coverage. However, studies evaluating the quality of service delivery through task shifting have la...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czu072
更新日期:2014-09-01 00:00:00
abstract::In Papua New Guinea, investment by the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund) has played an important role in scaling up the response to HIV and tuberculosis (TB). As part of a series of case studies on how Global Fund-supported programmes interact with national health systems, we assess...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czq058
更新日期:2010-11-01 00:00:00
abstract::Decentralization of the health care system in China has led to an increasing need for income generation at all operational levels, both for curative services and for public health programmes. In general, people have accepted the costs of curative services, although the impact of charges on health-seeking behaviour has...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/16.3.292
更新日期:2001-09-01 00:00:00
abstract::The private sector is the predominant provider of health care in Brazil, particularly for inpatient services, and financing is a mix of public (through a prospective reimbursement system) and private. Roughly a quarter of the population has private insurance coverage, reflecting rapid growth in the past decade fuelled...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/10.4.362
更新日期:1995-12-01 00:00:00
abstract::Growing evidence suggests that early life investments in health are associated with improved human capital and economic outcomes. Various recent global studies have simulated the expected economic returns from alternative packages of interventions in reproductive, maternal, newborn and child health (RMNCH). However, v...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czw078
更新日期:2016-12-01 00:00:00
abstract::There is increasing interest among health policymakers, planners and donors in how corruption affects health care access and outcomes, and what can be done to combat corruption in the health sector. Efforts to explain the risk of abuse of entrusted power for private gain have examined the links between corruption and ...
journal_title:Health policy and planning
pub_type: 杂志文章,评审
doi:10.1093/heapol/czm048
更新日期:2008-03-01 00:00:00
abstract::In Chile, workers are mandated to choose either public or private health insurance coverage. Although private insurance premiums depend on health risk, public insurance premiums are solely linked to income. This structure implies that individuals with higher health risks may tend to avoid private insurance, leaving th...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/czt017
更新日期:2014-05-01 00:00:00
abstract::Reproduction is a dual commitment, but so often in much of the world, it is seen as wholly the woman's responsibility. She bears the burden not only of pregnancy and childbirth but also the threats from excessive child bearing, some responsibility for contraception, infertility investigation and often undiagnosed sexu...
journal_title:Health policy and planning
pub_type: 杂志文章
doi:10.1093/heapol/11.1.84
更新日期:1996-03-01 00:00:00