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Community Based Health Insurance Schemes and Protection of the Rural Poor: Empirical evidence from Tanzania

African Journal of Economic Review

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Title Community Based Health Insurance Schemes and Protection of the Rural Poor: Empirical evidence from Tanzania
 
Creator Macha, RR
 
Subject catastrophic expenditure, social protection, community based health insurance, community health fund.
 
Description The objectives of this study are two folds: firstly to explore the magnitude of catastrophic expenditure, and secondly to determine its contributing factor,s including the protective impact of the voluntary  community based health insurance schemes in Tanzania. The study covered 274 respondents. Study  findings have shown that the estimated poverty line was Tsh.35,064.6 (US$21.25). Of the sampled  respondents, 30.3% experienced catastrophic expenditure in the range of 10-20% of their capacity to pay, and 26.6% of the insured respondents experienced catastrophic expenditure. The average  catastrophic expenditure for the sample is 26.64%. We used logistic regression to predict the factors  influencing catastrophic health expenditure. Our results have shown that households with heads  involved in social organisations or networks were more protected against catastrophic health  expenditures. On the other hand, households headed by a female and involved in farming, were more  likely to experience catastrophic health expenditure. Further, in households whose heads had low  levels of education and households having members with recurring or chronic illness were more likely  to experience catastrophic health expenditure. While households with insurance cover were more likely to be protected from the risk of catastrophic health expenditure compared with those not covered by  insurance schemes, there are no significant differences in terms of lessened catastrophic expenditure  that poor participants and non-participants enjoyed from their participation in CHF.Keywords: catastrophic expenditure, social protection, community based health insurance, community health fund.
 
Publisher Centre for Economics and Community Economic Development
 
Contributor —
 
Date 2014-07-14
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier https://www.ajol.info/index.php/ajer/article/view/119429
 
Source African Journal of Economic Review; Vol 3, No 2 (2015); 38-56
1821-8148
 
Language eng
 
Relation https://www.ajol.info/index.php/ajer/article/view/119429/108887
 
Rights The copyright belongs to: African Journal of Economic Review, Centre for Economics and Community Economic Development, The Open University of Tanzania, P.O.Box 23409, Dar es salaam, Tanzania