ehealth digital library

Digital library of
the Tanzania
health
community

Willingness to Pay for Voluntary Health Insurance in Tanzania

Kuwawenaruwa,, A., Macha, J. and Borghi, J. (2011) Willingness to Pay for Voluntary Health Insurance in Tanzania. East African Medical Journal, 88 (2). pp. 54-64. ISSN 0012-835X

[img]
Preview
PDF
Ifakara5.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (365kB)

Abstract

To assess how willing people would be to join a voluntary health insurance scheme and to see how they respond to changes in the benefit package. We also examined willingness to cross-subsidise the poor. Cross-sectional study. Two thousand two hundread and twenty four households comprising of 1,163 uninsured household heads asked about their willingness to pay for insurance in seven districts/councils (three urban and four rural) and 1,061 insured households were asked about their willingness to pay for insurance premiums for the poor in their community. Uninsured respondents were presented with two scenarios, the first reflected the current design of the Community Health Fund/Tiba Kwa Kadi (CHF/TIKA), the second offered expanded benefits, and included inpatient care in public facilities and transport. Only 30 % of uninsured rural households were willing to pay more than Tsh 5,000 the current premium level, their average amount was Tsh 10,741, while in urban areas one percent of households were willing to pay more than Tsh 5,000. There was very limited willingness to pay more than 5,000 Tsh, even with an expanded package in rural areas. Household from rural areas were more willing to cross-subsidise the poor, but contribution levels were higher in urban areas. Communities need to be sensitised about the existence of the CHF/TIKA to encourage enrollment. Expanding the benefit package would further increase enrollment. However, few people would be willing to pay more than the current premium.

Item Type: Article
Keywords: Health Insurance;Willingness to Pay
Subjects: Health Systems > Health financing & economics
Divisions: Ifakara Health Institute > Health Systems
Depositing User: Mr Joseph Madata
Date Deposited: 20 Nov 2012 08:48
Last Modified: 20 Nov 2012 08:48
URI: http://ihi.eprints.org/id/eprint/912

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics