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http://hdl.handle.net/123456789/498
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DC Field | Value | Language |
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dc.contributor.author | Abiiro, G. A. | - |
dc.contributor.author | Torbica, A. | - |
dc.contributor.author | Kwalamasa, K. | - |
dc.contributor.author | Allegri, M. D. | - |
dc.date.accessioned | 2016-02-23T12:37:24Z | - |
dc.date.available | 2016-02-23T12:37:24Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0277-9536 | - |
dc.identifier.uri | http://hdl.handle.net/123456789/498 | - |
dc.description | For full version of this document contact the author, Gilbert Abotisem Abiiro through this email gilbiiro@yahoo.com or gilbert.abiiro@uni-heidelberg.de | en_US |
dc.description.abstract | There is a limited understanding of preferences for micro health insurance (MHI) as a strategy for moving towards universal health coverage. Using a discrete choice experiment (DCE), we explored community preferences for the attributes and attribute-levels of a prospective MHI scheme, aimed at filling health coverage gaps in Malawi. Through a qualitative study informed by a literature review, we identified six MHI attributes (and attribute-levels): unit of enrollment, management structure, health service benefit package, copayment levels, transportation coverage, and monthly premium per person. Qualitative data was collected from 12 focus group discussions and 8 interviews in AugusteSeptember, 2012. We constructed a D-efficient design of eighteen choice-sets, each comprising two MHI choice alternatives and an opt-out. Using pictorial images, trained interviewers administered the DCE in MarcheMay, 2013, to 814 household heads and/or their spouse(s) in two rural districts. We estimated preferences for attributelevels and relative importance of attributes using conditional and nested logit models. The results showed that all attribute-levels except management by external NGO significantly influenced respondents' choice behavior (P < 0.05). These included: enrollment as core nuclear family (odds ratio (OR) ¼ 1.1574), extended family (OR ¼ 1.1132), compared to individual; management by community committee (OR ¼ 0.9494) compared to local micro finance institution; comprehensive health service package (OR ¼ 1.4621), medium service package (OR ¼ 1.2761), compared to basic service package; no copayment (OR ¼ 1.1347), 25% copayment (OR ¼ 1.1090), compared to 50% copayment; coverage of all transport (OR ¼ 1.5841), referral and emergency transport (OR ¼ 1.2610), compared to no transport; and premium (OR ¼ 0.9994). The relative importance of attributes is ordered as: transport, health services benefits, enrollment unit, premium, copayment, and management. To maximize consumer utility and encourage community acceptance of MHI, potential MHI schemes should cover transport costs, offer a comprehensive benefit package, define the core family as the unit of enrollment, avoid high copayments, and be managed by a competent financial institution. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.relation.ispartofseries | Vol. 120; | - |
dc.subject | Malawi | en_US |
dc.subject | Rural communities | en_US |
dc.subject | Discrete choice experiment | en_US |
dc.subject | Preferences | en_US |
dc.subject | Micro health insurance | en_US |
dc.title | ELICITING COMMUNITY PREFERENCES FOR COMPLEMENTARY MICRO HEALTH INSURANCE: A DISCRETE CHOICE EXPERIMENT IN RURAL MALAWI | en_US |
dc.type | Article | en_US |
Appears in Collections: | Faculty of Planning and Land Mangement |
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File | Description | Size | Format | |
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ELICITING COMMUNITY PREFERENCES FOR COMPLEMENTARY MICRO HEALTH INSURANCE A DISCRETE CHOICE EXPERIMENT IN RURAL MALAWI.pdf | 130.04 kB | Adobe PDF | View/Open |
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