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Health Shocks and Household Welfare in Zambia: An Assessment of Changing Risk

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  • Peter Hangoma
  • Arild Aakvik
  • Bjarne Robberstad

Abstract

This study investigates the effect of a disabling health shock, injury, on household health expenditure and welfare in Zambia before and after 2002, a year that marks an end to a period of tightening structural reforms. Results show that injury was associated with lower consumption and reduced earned income in both periods. Injury almost doubled health expenditure after 2002, an effect which was more modest before 2002. Households relied on informal borrowing and selling assets as self‐insurance strategies. These findings suggest that social protection programmes should not only focus on health insurance but also labour income protection. Copyright © 2017 John Wiley & Sons, Ltd.

Suggested Citation

  • Peter Hangoma & Arild Aakvik & Bjarne Robberstad, 2018. "Health Shocks and Household Welfare in Zambia: An Assessment of Changing Risk," Journal of International Development, John Wiley & Sons, Ltd., vol. 30(5), pages 790-817, July.
    • Handle: RePEc:wly:jintdv:v:30:y:2018:i:5:p:790-817
    DOI: 10.1002/jid.3337
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    Cited by:

    1. Manini Ojha, 2022. "Gender gap in schooling: Is there a role for health insurance?," Journal of International Development, John Wiley & Sons, Ltd., vol. 34(1), pages 29-54, January.
    2. Amina Ika Micah, 2022. "Three essays on access to credit and financial shock in Nigeria," Economics PhD Theses 0422, Department of Economics, University of Sussex Business School.
    3. Hangoma, Peter & Hachhethu, Kusum & Passeri, Silvia & Norheim, Ole Frithjof & Rivers, Johnathan & Mæstad, Ottar, 2024. "Short- and long-term food insecurity and policy responses in pandemics: Panel data evidence from COVID-19 in low- and middle-income countries," World Development, Elsevier, vol. 175(C).

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