Uptake of and willingness to pay for health insurance in rural Senegal: a reinforcement effect.

ABSTRACT:

Introduction

Expanding health insurance is viewed as a core strategy for achieving universal health coverage. In Senegal, as in many other developing countries, this strategy has been implemented by creating community-based health insurance (CBHI) schemes with voluntary enrolment and a fixed premium paid by enrollees. Yet little is known about how the individuals' experience of CBHI enrolment further influences their willingness to pay (WTP). In this paper, we test the existence of a reinforcement effect between effective enrolment in a CBHI and WTP for health insurance by analysing their mutual relationship.

Methods

We rely on primary survey data collected in 2019-2020 in the rural area of Niakhar in Senegal. We use an econometric methodology involving: (1) Heckman-type sel

SUBMITTER: Bousmah MA 

PROVIDER: S-EPMC11883874 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature