Expectations of Social Capital and Willingness to Pay for Social Health Insurance among the Bari Speakers of Central Equatoria State, South Sudan

Gwokorok, Lado (2019): Expectations of Social Capital and Willingness to Pay for Social Health Insurance among the Bari Speakers of Central Equatoria State, South Sudan.

Abstract

Abstract This study explores the effect of social capital on willingness to pay for social health insurance. Both quantitative and qualitative data were used to conceptualize; individual, community and organizational theories. Methods The data for this study is a sub sample from a dissertation study on the perspectives of social health insurance in Post Conflict Fragile State South Sudan. A sub-sample of 233 households, from C. E. State, were used. Analytical analyses of the social capital’s model were regressed. Findings An average of about $ 43.5 dollars per annum, was achieved among the five (5) counties of C.E., State: - Juba, Kejikeji, Morobo, Terekeke and Yei River. Fifty-two 52% per cent of the expected subscribers for social health insurance were at the most likely scale of paying their medical costs. The social model is statistically significant at (p-value 0.0011) of the 95% per cent confidence. Indeed, social capital is effective among post conflict C.E. state. It enhances solidarity in social health insurance. Conclusions This research has added to the literature that positive expectations of social capital among post conflict C.E. State and willingness to pay for social health insurance is doable. Assisting impoverishers at the “most likely” scale is a significant norm of the social capital tenets. The individual within the community is bonded among his / her local organizations that is fruitful to social health insurance. Households had different barriers to act and through social solidarity, self-efficacy was very significant in explaining the variations in willingness to pay.

• Item Type: MPRA Paper
• Language: English
• Keywords: Social capital, Willingness to Pay, Social health insurance, Health Inequalities, Post conflict
• Subjects: I - Health, Education, and Welfare > I1 - Health > I12 - Health Behavior; I - Health, Education, and Welfare > I1 - Health > I13 - Health Insurance, Public and Private; I - Health, Education, and Welfare > I1 - Health > I14 - Health and Inequality; I - Health, Education, and Welfare > I3 - Welfare, Well-Being, and Poverty

References

1. Abela, A. M. (2004). Solidarity and religion in the European Union: A comparative sociological perspective. In The Value(s) of a Constitution for Europe. ed. Peter G. Xuereb.

2. Anonymous. (2001, 02 15). Medical insurance in Islam. Retrieved from Islamweb:https://islamweb.net/en/fatwa/82599/

3. BALDWIN, J. M. (1911). THE INDIVIDUAL AND SOCIETY or Psychology and Sociology. (R. G. Badger, Ed.) BOSTON: The Durham Press. Retrieved February 2019

4. Bräutigam, D. A., & Knack, S. (2004). Foreign Aid, Institutions, and Governance in Sub‐Saharan Africa. (E. d. change, Ed.) Economic development and cultural change, 52(2), 255-285.

5. Cometto, G., Fritsche, G., & Egbert, S. (2010). Health sector recovery in early postconflict environments: experience from Southern Sudan. Wiley Online Library, 34(4), 885−909.

6. De Beer, P., & Koster, F. (2009). Sticking Together or Falling Apart? Solidarity in an Era of Individualization and Globalization. Amsterdam: Amsterdam University Press.

7. Donfouet, H. P., & Mahieu, P.-A. (2012). Community-based health insurance and social capital: a review. Health Economics Review , 2(5).

8. Donfouet, H., Essombe, J.-R., Mahieu, P.-A., & Malin, E. (2011). Social Capital and Willingness-to-Pay for Community-based Health Insurance in Rural Cameroon. (G. J. Science, Ed.) Global Journal of Health Science, 3(1).

9. Erasmus, V., & Nkoroi, I. (2002). Report on cost sharing in selected counties of the New Sudan. Health Secretariat of the New Sudan and International Rescue Committee.

10. Gwokorok, L. (2021). Health Believes and Willingness to Pay (WTP) for Social Health Insurance in Post Conflicts Fragile State South Sudan.

11. Hsiao, W. C., Shaw, R. P., Fraker, A., Hanvoravongchai, P., Jowett, M., Pinto, D., & Ramachandra, S. (2006). Social Health Insurance for Developing Nations. WBI Development Studies, The World Bank, Washington DC , 1-172.

12. Israel, B. A., Checkoway, B., Schulz, A., & Zimmerman, M. (1994). Health education and community empowerment: conceptualizing and measuring perceptions of individual, organizational, and community control. Health education quarterly, 21(2), 149-170.

13. Ko, H., Kim, H., Yoon, C.-g., & Kim, C.-y. (2018). Social Capital as a Key determinant of willingness to join community-based health insurance: a household survey in Nepal. (P. health, Ed.) Public Health, 160, 52-61.

14. Kumakawa, T. (2017). Altruism and Willingness to Pay for Environmental Goods: A Contingent Valuation Study. Journal of Geoscience and Environment Protection, 5, 63-68.

15. Lockman, S., Hone, N., Kenyon, T., Mwasekaga, M., Villauthapillai, M., Creek, T., Moura, I. (2003). Etiology of pulmonary infections in predominantly HIV-infected adults with suspected tuberculosis, Botswana. The International Journal of Tuberculosis and Lung Disease, 7(8), 714-723.

16. Marx, K., & Engels, F. (1848). Communist Manifesto. 541-545.

17. Mathauer, I., Schmidt, J.-O., & Wenyaa, M. (2008). Extending social health insurance to the informal sector in Kenya. An assessment of factors affecting demand. Int J Health Plann Mgmt 2008; 23:, 23(1), 51–68.

18. Mladovsky, P., Soors, W., Ndiaye, P., Ndiaye, A., & Criel, B. (2014). Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal. Social Science & Medicine, 101, 18-27.

19. Nguyen, L. H., & Hoang, A. T. (2017). Willingness to pay for social health insurance in central Vietnam (Vol. 5). Frontiers.

20. Nosratnejad, S., Rashidian, A., Mehrara, M., Sari, A. A., Mahdavi, G., & Moeini, M. (2010). Willingness to pay for social health insurance in Iran (Vol. 6). (G. j. science, Ed.) Canadian Center of Science and Education.

21. Obermanna, K., Jowettb, M. R., Alcantarac, M. O., Banzonc, E. P., & Bodart, C. (2006). Social health insurance in a developing country: The case of the Philippines. Social Science & Medicine , 62, 3177–3185.

22. Polyzou, E., Jones, N., Evangelinos, K., & Halvadakis, C. P. (2011). Willingness to pay for drinking water quality improvement and the influence of social capital. The Journal of Socio-Economics, 40(1), 74-80.

23. Portes, A. (1998). Social capital: Its origins and applications in modern sociology. (A. r. sociology, Ed.) Annu. Rev. Sociol., 24(1), 24.

24. Putnam, R. (1993). The Prosperous Community: Social capital and public life. (T. a. prospect, Ed.) The American Prospect, 13(4), 1-11. Retrieved from http://www. prospect. org/print/Vol/13

25. Reichlin, M. (2011). The role of solidarity in social responsibility for health. Medicine, Health Care and Philosophy, 14(4), 365–370. Retrieved from https://doi.org/10.1007/s11019-011-9320-5

26. Roberts, B., Guy, S., Sondorp, E., & Lee-Jone, L.(2017). A Basic Package of Health Services for Post-Conflict Countries: Implications for Sexual and Reproductive Health Services. Taylor & Francis, 57-64.

27. Saito, M., Kondo, N., Aida, J., Kawachi, I., Koyama, S., Ojima, T., & Kondo, K. (2017). Development of an instrument for community-level health related social capital among Japanese older people: The JAGES Project. Journal of Epidemiology , 27(5), 1-7. Retrieved 06 05, 2016, from http://dx.doi.org/10.1016/j.je

28. Shafie, A. A., & Hassali, M. A. (2013). Willingness to pay for voluntary community-based health insurance: Findings from an exploratory study in the state of Penang, Malaysia. Social Science & Medicine , 96, 272-276.

29. Singh, K., Osei-Akoto, I., Otchere, F., Sodzi-Tettey, S., Barrington, C., Huang, C., Speizer, I. (2015). . Ghana’s National Health insurance scheme and maternal and child health: a mixed methods study. BMC health services research, 15(1), 108.

30. Sosis, R., & Alcorta, C. (2003). Signaling, Solidarity, and the Sacred: The Evolution of Religious Behavior. Evolutionary Anthropology , 12(6), 264–274.

31. Spaan, E., Mathijssen, J., Tromp, N., McBain, F., Have, A., & Baltussen, R. (2012). The impact of health insurance in Africa and Asia: a systematic review. Bulletin of the World Health Organization, 90(9), 685-692.

32. Tundui, C., & Macha, R. (2014). Social Capital and Willingness to Pay for Community Based Health Insurance: Empirical Evidence from Rural Tanzania. Journal of Finance and Economics, 2(4), 50-67.

33. Varela, G., Cali, M., Pepe, U. J., & Rojas, E. (2016). Market Integration and Poverty Evidence from South Sudan. World Bank Group.

34. Walsh, J. A., & Warren, K. S. (1980). Selective primary health care: an interim strategy for disease control in developing countries. Social Science & Medicine. Part C: Medical Economics, 14(2), 145-163.

35. Ware, J. E., Brook, R. H., Davies, A. R., Williams, K. N., Stewart, A., Rogers, W. H., Johnston, S. A. ( 1980). Conceptualization and measurement of health for adults in the Health Insurance Study.

36. Wonga, S. (2013). From economic meltdown to social crunch: Lessons about social capital and economic crises. (P.-S. a. Sciences, Ed.) Procedia - Social and Behavioral Sciences, 72, 107 – 119.