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Social health insurance improves women’s healthcare use: Evidence from Indonesia

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  • Samarakoon, Shanika
  • Parinduri, Rasyad

Abstract

To improve the poor’s access to healthcare services, the Indonesian government introduced Askeskin, a subsidized social health insurance for the poor. We examine the effects of this social health insurance on women’s use of healthcare—maternal, preventive, and curative healthcare—services. Using propensity- score- and difference-in-differences matching strategies, we find the insurance increases the use of public facilities for maternal healthcare, discourages the use of midwives’ services, and increases the use of contraception; it does not seem to increase the use of preventive and curative care, however.

Suggested Citation

  • Samarakoon, Shanika & Parinduri, Rasyad, 2015. "Social health insurance improves women’s healthcare use: Evidence from Indonesia," MPRA Paper 61504, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:61504
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    References listed on IDEAS

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    1. De Weerdt, Joachim & Dercon, Stefan, 2006. "Risk-sharing networks and insurance against illness," Journal of Development Economics, Elsevier, vol. 81(2), pages 337-356, December.
    2. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    3. Johar, Meliyanni, 2009. "The impact of the Indonesian health card program: A matching estimator approach," Journal of Health Economics, Elsevier, vol. 28(1), pages 35-53, January.
    4. Menno Pradhan & Fadia Saadah & Robert Sparrow, 2007. "Did the Health Card Program Ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?," The World Bank Economic Review, World Bank, vol. 21(1), pages 125-150.
    5. Sparrow, Robert & Suryahadi, Asep & Widyanti, Wenefrida, 2013. "Social health insurance for the poor: Targeting and impact of Indonesia's Askeskin programme," Social Science & Medicine, Elsevier, vol. 96(C), pages 264-271.
    6. Adam Wagstaff, 2010. "Estimating health insurance impacts under unobserved heterogeneity: the case of Vietnam's health care fund for the poor," Health Economics, John Wiley & Sons, Ltd., vol. 19(2), pages 189-208, February.
    7. World Bank, 2015. "World Development Indicators 2015," World Bank Publications - Books, The World Bank Group, number 21634.
    8. Alex Arifianto & Ruly Marianti & Sri Budiyati & Ellen Tan, 2005. "Making Services Work for the Poor in Indonesia : A Report on Health Financing Mechanisms (JPK-Gakin) Scheme in Kabupaten Purbalingga, East Sumba, and Tabanan," Development Economics Working Papers 22527, East Asian Bureau of Economic Research.
    9. Wagstaff, Adam & Lindelow, Magnus, 2008. "Can insurance increase financial risk?: The curious case of health insurance in China," Journal of Health Economics, Elsevier, vol. 27(4), pages 990-1005, July.
    10. Alex Arifianto & Ruly Marianti & Sri Budiyati & Ellen Tan, 2005. "Making Services Work for the Poor in Indonesia : A Report on Health Financing Mechanisms in Kabupaten Tabanan, Bali : A Case Study," Development Economics Working Papers 22523, East Asian Bureau of Economic Research.
    11. Smith, Kimberly V. & Sulzbach, Sara, 2008. "Community-based health insurance and access to maternal health services: Evidence from three West African countries," Social Science & Medicine, Elsevier, vol. 66(12), pages 2460-2473, June.
    12. Grant Miller & Diana Pinto & Marcos Vera-Hernández, 2013. "Risk Protection, Service Use, and Health Outcomes under Colombia's Health Insurance Program for the Poor," American Economic Journal: Applied Economics, American Economic Association, vol. 5(4), pages 61-91, October.
    13. Tim Ensor & Mardiati Nadjib & Zahid Quayyum & Amila Megraini, 2008. "Public funding for community-based skilled delivery care in Indonesia: to what extent are the poor benefiting?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 9(4), pages 385-392, November.
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    More about this item

    Keywords

    Social health Insurance; maternal healthcare; women’s preventive and curative healthcare; Indonesia; South East Asia;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development

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