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Increasing utilization of public health insurance programs: Evidence from an experiment in India

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  • Puri, Raghav
  • Sun, Changqing

Abstract

Unlike most social programs that involve regular delivery of benefits (such as subsidized food or monthly cash transfers), public health insurance programs are used based on need. When households face health shocks, they are often unaware of how to avail health insurance benefits. This is especially true for households in remote rural regions of developing countries where the likelihood of low awareness about public health insurance programs is higher due to low levels of literacy, distance from healthcare facilities and limited opportunities to learn from others’ experiences. Conventional information, education and communication (IEC) methods such as information pamphlets and outreach through health camps are not always effective in disseminating information to these hard-to-reach populations. In this paper, we present results from a quasi-experiment that uses village-level awareness meetings to disseminate information about a public health insurance program in 61 villages of a district in southern India. We find that awareness meetings, though relatively more expensive than conventional IEC methods, not only increase utilization of the program but also provide government agencies a unique opportunity to monitor the implementation of the program in remote locations.

Suggested Citation

  • Puri, Raghav & Sun, Changqing, 2021. "Increasing utilization of public health insurance programs: Evidence from an experiment in India," World Development, Elsevier, vol. 139(C).
  • Handle: RePEc:eee:wdevel:v:139:y:2021:i:c:s0305750x20304484
    DOI: 10.1016/j.worlddev.2020.105321
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    References listed on IDEAS

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    1. Sengupta, Reshmi & Rooj, Debasis, 2019. "The effect of health insurance on hospitalization: Identification of adverse selection, moral hazard and the vulnerable population in the Indian healthcare market," World Development, Elsevier, vol. 122(C), pages 110-129.
    2. Azam, Mehtabul, 2018. "Does Social Health Insurance Reduce Financial Burden? Panel Data Evidence from India," World Development, Elsevier, vol. 102(C), pages 1-17.
    3. Jean Philippe Platteau & Darwin Ugarte Ontiveros, 2013. "Understanding and Information Failures in Insurance: Evidence from India," Development Research Working Paper Series 07/2013, Institute for Advanced Development Studies.
    4. Jean Philippe Platteau & Darwin Ugarte Ontiveros, 2013. "Understanding and Information Failures: Lessons from a Health Microinsurance Program in India," Working Papers 1301, University of Namur, Department of Economics.
    5. Shankar Prinja & Akashdeep Singh Chauhan & Anup Karan & Gunjeet Kaur & Rajesh Kumar, 2017. "Impact of Publicly Financed Health Insurance Schemes on Healthcare Utilization and Financial Risk Protection in India: A Systematic Review," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-19, February.
    6. Gerard La Forgia & Somil Nagpal, 2012. "Government-Sponsored Health Insurance in India : Are You Covered?," World Bank Publications - Books, The World Bank Group, number 11957.
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