The impact of subsidized private health insurance and health facility upgrades on healthcare utilization and spending in rural Nigeria

Emily Gustafsson-Wright*, Gosia Popławska, Zlata Tanović, Jacques van der Gaag

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

This paper analyzes the quantitative impact of an intervention that provides subsidized low-cost private health insurance together with health facility upgrades in Nigeria. The evaluation, which measures impact on healthcare utilization and spending, is based on a quasi-experimental design and utilizes three population-based household surveys over a 4-year period. After 4 years, the intervention increased healthcare use by 25.2 percentage points in the treatment area overall and by 17.7 percentage points among the insured. Utilization of modern healthcare facilities increased after 4 years by 20.4 percentage points in the treatment area and by 18.4 percentage points among the insured due to the intervention. After 2 years of program implementation, the intervention reduced healthcare spending by 51% compared with baseline, while after 4 years, spending resumed to pre-intervention levels.

Original languageEnglish
Pages (from-to)221-276
Number of pages56
JournalInternational Journal of Health Economics and Management
Volume18
Issue number3
DOIs
Publication statusPublished - Sep 2018

Keywords

  • Financial risk
  • Health insurance
  • Impact evaluation
  • Nigeria

Fingerprint

Dive into the research topics of 'The impact of subsidized private health insurance and health facility upgrades on healthcare utilization and spending in rural Nigeria'. Together they form a unique fingerprint.

Cite this