Evidence map›Paper›PMID 29222608›Full record

ArticleInternational journal of health economics and management2018

The impact of subsidized private health insurance and health facility upgrades on healthcare utilization and spending in rural Nigeria.

Emily Gustafsson-Wright, Gosia Popławska, Zlata Tanović, Jacques van der Gaag

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of health economics and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Rural-urban disparities in Emergency Medical Services: a qualitative study of barriers and opportunities in Rivers State, Nigeria.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. National health insurance and the choice of delivery facility among expectant mothers in Ghana.International journal of health economics and management · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Emily Gustafsson-WrightBrookings Institution, Washington, DC, USA. egustafssonwright@brookings.edu.
Gosia PopławskaDepartment of Primary Health Care, Center for Health Service Economics and Organisation, University of Oxford, Oxford, UK.
Zlata TanovićVrije University (VU), Amsterdam, The Netherlands.
Jacques van der GaagBrookings Institution, Washington, DC, USA.

Funding

FP7 People: Marie-Curie Actions 608109
6 · The paper itself

Abstract

This paper analyzes the quantitative impact of an intervention that provides subsidized low-cost private health insurance together with health facility upgrades in Nigeria. The evaluation, which measures impact on healthcare utilization and spending, is based on a quasi-experimental design and utilizes three population-based household surveys over a 4-year period. After 4 years, the intervention increased healthcare use by 25.2 percentage points in the treatment area overall and by 17.7 percentage points among the insured. Utilization of modern healthcare facilities increased after 4 years by 20.4 percentage points in the treatment area and by 18.4 percentage points among the insured due to the intervention. After 2 years of program implementation, the intervention reduced healthcare spending by 51% compared with baseline, while after 4 years, spending resumed to pre-intervention levels.

Indexed as

AdultFemaleFinancing, PersonalHealth ExpendituresHealth FacilitiesHumansInsurance CoverageInsurance, HealthMaleNational Health ProgramsNigeriaPatient Acceptance of Health CareRural PopulationSocioeconomic FactorsFinancial riskHealth insuranceImpact evaluationNigeria

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.