Arbeitspapier

Uptake of Health Insurance and the Productive Safety Net Program in Rural Ethiopia

Due to lack of well-developed insurance, credit and labor markets, rural families in Ethiopia are exposed to a range of covariate and idiosyncratic risks. In 2005, to deal with the consequences of covariate risks, the government implemented the Productive Safety Net Program (PSNP) - an active labor market program to build rural assets, and in 2011, to mitigate the financial consequences of ill-health, the government introduced a pilot Community Based Health Insurance (CBHI) Scheme. This paper explores whether scheme uptake and retention is affected by access to the PSNP. Based on several rounds of household level panel data and qualitative information, the analysis shows that participating in the PSNP increases the probability of CBHI uptake by 24 percentage points and enhances scheme retention by 10 percentage points. Analysis of the channels through which the PSNP influences CBHI uptake indicates that the bulk of the effect may be attributed to explicit and implicit pressure applied by government officials on PSNP beneficiaries. Whether this is a desirable approach is debatable. Nevertheless, the results suggest that membership in existing social protection programs may be leveraged to spread new schemes and potentially accelerate poverty reduction efforts.

Sprache
Englisch

Erschienen in
Series: IZA Discussion Papers ; No. 9833

Klassifikation
Wirtschaft
Unemployment Insurance; Severance Pay; Plant Closings
Particular Labor Markets: Public Policy
Health Insurance, Public and Private
Thema
productive safety net program
active labor market program
Ethiopia
community based health insurance
uptake of health insurance

Ereignis
Geistige Schöpfung
(wer)
Shigute, Zemzem
Mebratie, Anagaw Derseh
Sparrow, Robert
Yilma, Zelalem
Alemu, Getnet
Bedi, Arjun S.
Ereignis
Veröffentlichung
(wer)
Institute for the Study of Labor (IZA)
(wo)
Bonn
(wann)
2016

Handle
Letzte Aktualisierung
10.03.2025, 11:46 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Shigute, Zemzem
  • Mebratie, Anagaw Derseh
  • Sparrow, Robert
  • Yilma, Zelalem
  • Alemu, Getnet
  • Bedi, Arjun S.
  • Institute for the Study of Labor (IZA)

Entstanden

  • 2016

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