scholarly journals Social capital as a key determinant of willingness to join community-based health insurance: a household survey in Nepal

Public Health ◽  
2018 ◽  
Vol 160 ◽  
pp. 52-61 ◽  
Author(s):  
Hansoo Ko ◽  
Hwajun Kim ◽  
Chang-gyo Yoon ◽  
Chang-yup Kim
Keyword(s):  
Social Capital ◽  
Health Insurance ◽  
Household Survey ◽  
Community Based ◽  
Community Based Health Insurance

scholarly journals Social Capital and Willingness-to-Pay for Community-Based Health Insurance in Rural Cameroon

2011 ◽  
Vol 3 (1) ◽  
Author(s):  
Hermann Pythagore Donfouet ◽  
Jean-Roger Essombè Edimo ◽  
Pierre-Alexandre Mahieu ◽  
Eric Malin
Keyword(s):  
Social Capital ◽  
Health Insurance ◽  
Willingness To Pay ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Rural Cameroon

scholarly journals Community-based health insurance and social capital: a review

2012 ◽  
Vol 2 (1) ◽  
Author(s):  
Hermann Pierre Pythagore Donfouet ◽  
Pierre-Alexandre Mahieu
Keyword(s):  
Social Capital ◽  
Health Insurance ◽  
Community Based ◽  
Community Based Health Insurance

Determinants Perception and Experiences of Beneficiaries of a Hospital-based Community Health Insurance in Coastal Karnataka in India

2017 ◽  
Vol 19 (2) ◽  
pp. 244-254 ◽  
Author(s):  
Bhageerathy Reshmi ◽  
Sreekumaran Nair ◽  
Bhaskaran Unnikrishnan
Keyword(s):  
Health Insurance ◽  
Risk Sharing ◽  
Group Discussion ◽  
Health Care Financing ◽  
Preventive Treatment ◽  
Household Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance ◽  
Study Results

The objective of this study was to find out the perceptions of beneficiaries in comparison to non-beneficiaries of a community-based health insurance scheme. Both quantitative and qualitative methods were used to carry out this study; a cross-sectional household survey on 1,639 households was carried out, where the respondents were required to rate the services and facilities of the scheme A focus group discussion (FGD) with both the beneficiaries and non-beneficiaries was also carried out. Overall, the services were rated good except in the case of treatment and inpatient services where the responses were rated average. The study results provide evidence that Community Based Health Insurance (CBHI) schemes can be a viable risk sharing mechanism for the informal sector people who would have otherwise not been covered under any health insurance or health care financing mechanism. Maintaining an affordable premium and including outpatient facilities and preventive treatment would improve the satisfaction level of those who have acceptability towards CBHI schemes.

Health Insurance in an Era of Declining Social Capital

World Affairs ◽  
2020 ◽  
Vol 183 (4) ◽  
pp. 343-358
Author(s):  
Jackson Williams
Keyword(s):  
United States ◽  
Social Capital ◽  
Developing Countries ◽  
Health Insurance ◽  
Social Trust ◽  
The United States ◽  
Healthy People ◽  
Sharp Decline ◽  
Community Based ◽  
Community Based Health Insurance

Putnam’s seminal work on social capital focused on early forms of health insurance as both a result, and accelerator, of the norms of reciprocity and social trust that foster cooperation. Yet, while social capital has been studied as a factor supporting community-based health insurance in developing countries, there has been no analysis of its role in U.S. health insurance. With repeal of the mandate to carry health insurance, this product is once again a purely voluntary purchase, and bears analysis as a cooperation problem. Putnam later documented a sharp decline in social capital in the United States. If social capital undergirds participation in health insurance, we can expect reduced reciprocity to lower willingness to cross-subsidize the sick. Waning social capital could also manifest itself in reduced trust that other healthy people will purchase insurance and lack of trust in the providers and manufacturers who make claims on the insurance pool.

scholarly journals The failure of community-based health insurance schemes in Tanzania: opening the black box of the implementation process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramadhani Kigume ◽  
Stephen Maluka
Keyword(s):  
Health Insurance ◽  
Community Health ◽  
Rural Areas ◽  
Health Coverage ◽  
Access To Health Services ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Urban Districts ◽  
Health Fund ◽  
The Government

Abstract Background Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fund (CHF) in 2001 for rural areas; and Tiba Kwa Kadi (TIKA) for urban population since 2009. This study investigated the implementation of TIKA scheme in urban districts of Tanzania. Methods A descriptive qualitative case study was conducted in four urban districts in Tanzania in 2019. Data were collected using semi-structured interviews, focus group discussions and review of documents. A thematic approach was used to analyse the data. Results While TIKA scheme was important in increasing access to health services for the poor and other disadvantaged groups, it faced many challenges which hindered its performance. The challenges included frequent stock-out of drugs and medical supplies, which frustrated TIKA members and hence contributed to non-renewal of membership. In addition, the scheme was affected by poor collections and management of the revenue collected from TIKA members, limited benefit packages and low awareness of the community. Conclusions Similar to rural-based Community Health Fund, the TIKA scheme faced structural and operational challenges which subsequently resulted into low uptake of the schemes. In order to achieve universal health coverage, the government should consider integrating or merging Community-Based Health Insurance schemes into a single national pool with decentralised arms to win national support while also maintaining local accountability.

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