ArticleSSM - population health2021
Reassessing the demand for community-based health insurance in rural Senegal: Geographic distance and awareness.
Article in SSM - population health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Exploring individual and structural factors influencing healthcare seeking behavior in the context of the Senegal's Universal Health Coverage program: a multilevel analysis from the ANRS-12399 Soignants Sénégal study.BMC health services research · 2025Article
- Socioeconomic impacts of community-based health insurance: evidence from Gondar Zuria District, Amhara Regional State, Ethiopia.Health research policy and systems · 2025Article
- Uptake of and willingness to pay for health insurance in rural Senegal: a reinforcement effect.BMJ public health · 2025Article
- Community-Based Health Insurance Utilization and Its Determinants among Informal Workers: Cross-Sectional Study.Ethiopian journal of health sciences · 2023Article
- Predicting health services utilization using a score of perceived barriers to medical care: evidence from rural Senegal.BMC health services research · 2023Article
- Mandatory membership of community-based mutual health insurance in Senegal: A national survey.PLOS global public health · 2023Article
- Effects of a free health insurance programme for the poor on health service utilisation and financial protection in Senegal.BMJ global health · 2022Article
- Factors determining membership in community-based health insurance in West Africa: a scoping review.Global health research and policy · 2022Article
- The Impact of Long-Term Care Insurance on Medical Utilization and Expenditures: Evidence from Jingmen, China.International journal of environmental research and public health · 2022Article
- Public trust in the long-term care insurance pilot program in China: An analysis of mediating effects.Frontiers in public health · 2022Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Limited access to information is one of the main health insurance market imperfections in developing countries. Differential access to information may determine individuals' awareness of health insurance schemes, thereby influencing their probability of enrollment. Relying on primary data collected in 2019-2020 in rural Senegal, we estimate the uptake of community-based health insurance using a Heckman-type model to correct for awareness-based sample selection bias. Besides showing that health insurance awareness is a precondition for effective enrollment in community-based health insurance schemes, we also bring new evidence on the roles which geographic factors and individual risk preference play in health insurance uptake by rural dwellers. We show that geographic distance prevents individuals from accessing information on health insurance schemes, and discourage those who are informed from enrolling, because of the additional distance they must travel to benefit from covered healthcare services. Results also show that individual risk preference influences health insurance uptake, but only when information barriers are taken into account. Overall, our results could help decision-makers better shape the universal health coverage roadmap, as policies to improve health insurance awareness differ substantially from policies to improve the features of health insurance schemes.
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