ArticleHealth economics review2013
Impact of educational intervention on willingness-to-pay for health insurance: A study of informal sector workers in urban Bangladesh.
Article in Health economics review, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Willingness to pay for National Health Insurance Services and Associated Factors in Africa and Asia: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Pooled it
- Valuing health across groups: a cross-sectional population-based willingness-to-pay survey in Bhutan.BMJ global health · 2025Article
- Determinants of enrolment for community-based health insurance in Somali region of Ethiopia.Journal of public health in Africa · 2025Article
- Exploring Factors Influencing Family's Enrollment in Community-Based Health Insurance in the City of Gondar Peri-Urban Community, Northwest Ethiopia: A Health Belief Model Approach.Risk management and healthcare policy · 2024Article
- Preference and willingness to pay for reproductive health services among adults in Urban-Rural transition settings of a developing country: evidence from a cross-sectional study in a rural district of Hanoi, Vietnam.BMC health services research · 2023Article
- Demographic and economic correlates of health security in West Sumatra province - Indonesia.Heliyon · 2023Article
- Determinants of community-based health insurance membership renewal decision among rural households in Kellem Wollega zone, Oromia regional state, Ethiopia: a community-based cross-sectional study.Frontiers in public health · 2023Article
- Factors influencing drop-out of households from community based health insurance membership in rural districts of Gurage Zone, Southern Ethiopia: Community based case-control study.Frontiers in public health · 2022Article
- Why did informal sector workers stop paying for health insurance in Indonesia? Exploring enrollees' ability and willingness to pay.PloS one · 2021Article
- The effect of a community-based health insurance on the out-of-pocket payments for utilizing medically trained providers in Bangladesh.International health · 2020Article
- Determinants of enrollment decision in the community-based health insurance, North West Ethiopia: a case-control study.Globalization and health · 2020Article
- Community-Based Health Insurance Membership Dropout Rate and Associated Factors in Dera District, Northwest Ethiopia.Risk management and healthcare policy · 2020Article
- Extension of mandatory health insurance to informal sector workers in Togo.Health economics review · 2018Article
- Adverse Selection in Community Based Health Insurance among Informal Workers in Bangladesh: An EQ-5D Assessment.International journal of environmental research and public health · 2018Article
- Article
- Determinants of enrollment of informal sector workers in cooperative based health scheme in Bangladesh.PloS one · 2017Article
- Effects of occupational illness on labor productivity: A socioeconomic aspect of informal sector workers in urban Bangladesh.Journal of occupational health · 2016Article
- Willingness to pay for health insurance among the elderly population in Germany.The European journal of health economics : HEPAC : health economics in prevention and care · 2016Article
- Willingness-to-Pay for Community-Based Health Insurance among Informal Workers in Urban Bangladesh.PloS one · 2016Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe reliance on out-of-pocket payments for health services leads to a catastrophic burden for many households in Bangladesh. The World Health Organization suggests that risk-pooling mechanisms should be used for financing healthcare. Like many low-income countries (LIC), a large share of employment in Bangladesh is in the informal sector (88%). Inclusion of these workers in health insurance is a big challenge. Among other barriers, the "literacy gap" for health insurance" is a reason for the low insurance uptake in Bangladesh. The aim of this study is, therefore, to assess the impact of an educational intervention on willingness-to-pay (WTP) for health insurance among informal sector workers in urban Bangladesh.
methodAn educational intervention on occupational solidarity and health insurance is offered to groups of informal workers. Educational sessions take place once a week (3-4 hours) during three subsequent weeks for each occupational group. For assessing the impact of the educational intervention, WTP for joining health insurance using occupational solidarity between workers in "pre- and post-treatment" periods as well as between "control and treatment" groups were compared. Multiple-regression analysis is applied for predicting WTP by educational intervention, while controlling for demographic and socioeconomic characteristics.
resultsThe coefficient of variation (CoV) of the WTP is estimated in control and treatment groups and expected to be lower in the latter. The WTP for health insurance is higher (33.8%) among workers who joined the educational intervention in comparison with those who did not (control group). CoV of WTP is found to be generally lower in post-treatment period and in treatment group compared to pre-treatment period and control group respectively.
conclusionEducational interventions can be used for increasing demand for health insurance scheme using occupational solidarity among informal sector workers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.