Willingness-to-Pay for Community-Based Health Insurance among Informal Workers in Urban Bangladesh

PloS One
Sayem AhmedJahangir Am Khan

Abstract

Reliance on out-of-pocket payment for healthcare may lead poor households to undertake catastrophic health expenditure, and risk-pooling mechanisms have been recommended to mitigate such burdens for households in Bangladesh. About 88% of the population of Bangladesh depends on work in the informal sector. We aimed to estimate willingness-to-pay (WTP) for CBHI and identify its determinants among three categories of urban informal workers rickshaw-pullers, shopkeepers and restaurant workers. The bidding game version of contingent valuation method was used to estimate weekly WTP. In three urban locations 557 workers were interviewed using a structured questionnaire during 2010 and 2011. Multiple-regression analysis was used to predict WTP by demographic and household characteristics, occupation, education level and past illness. WTP for a CBHI scheme was expressed by 86.7% of informal workers. Weekly average WTP was 22.8 BDT [Bangladeshi Taka; 95% confidence interval (CI) 20.9-24.8] or 0.32 USD and varied significantly across occupational groups (p = 0.000) and locations (p = 0.003). WTP was highest among rickshaw-pullers (28.2 BDT or 0.40 USD; 95% CI: 24.7-31.7), followed by restaurant workers (20.4 BDT 0.29 USD; 95% CI: 17.0-23....Continue Reading

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Dec 23, 2017·International Journal of Environmental Research and Public Health·Qun WangXiaohua Ying
Nov 22, 2017·Health Economics Review·Javad Javan-NoughabiMohammad Khammarnia
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Nov 21, 2021·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Nouf Sahal Alharbi

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