The demand for health microinsurance services: assessment of the contribution effort using microeconomic data

El Aida, Kawtar and El Kadiri, Mounir and Mourji, Fouzi (2015): The demand for health microinsurance services: assessment of the contribution effort using microeconomic data. Published in: E-Journal of Economics & Complexity , Vol. 1, No. 1 (September 2015): pp. 73-97.

Abstract

This paper analyzes subscription and willingness to pay (WTP) effort decisions among microcredit clients for a health microinsurance service in Morocco. We use data from a survey conducted among 562 microcredit clients belonging to two instututions. To estimate clients WTPs’ efforts, we choose the contingent valuation method. We analyze the different steps of decision by using simple and generalized Tobit. The results highlight the effect of socio-economic and financial variables including clients’ participation in formal and informal insurance mechanisms. We explain that they think in terms of substitution in one case, and complementarity in the other. The effect of savings reveals that clients want to maximize the collective utility of their households.

• Item Type: MPRA Paper
• Language: English
• Keywords: health microinsurance, contingent valuation, Tobit, willingness to pay
• Subjects: C - Mathematical and Quantitative Methods > C3 - Multiple or Simultaneous Equation Models ; Multiple Variables > C34 - Truncated and Censored Models ; Switching Regression Models; I - Health, Education, and Welfare > I1 - Health > I11 - Analysis of Health Care Markets; I - Health, Education, and Welfare > I1 - Health > I13 - Health Insurance, Public and Private; Q - Agricultural and Natural Resource Economics ; Environmental and Ecological Economics > Q5 - Environmental Economics > Q51 - Valuation of Environmental Effects

References

Akaike H. (1973), "Information Theory and an Extension of the Maximum Likelihood Principle", Second International Symposium on Information Theory. Budapest: Akademiai Kiado, p. 267–281.

Allen F. Demiguc-Kunt A., Klapper L. and Peria, M. (2012), "The Foundations of Financial Inclusion: Understanding Ownership and Use of Formal Accounts", Policy Research Working Paper n° 6290.

Banthia A., Johnson S., Mccord M. and Mathews B. (2009), "Microinsurance that works for women: Making gender sensitive microinsurance programs", ILO Microinsurance Paper n°3.

Belsley D.A., Kuh E. and Welsch R.E. (1980), Regression Diagnostics. Identifying Influential Data and Sources of Collinearity, John Wiley & Sons, New Jersey.

Blomquist G. (1979), "Value of Life Savings: Implications of Consumption Activities", Journal of Political Economy, 87(3), p. 540-558.

Bonan J., Dagnelie O., Lemay-Boucher P. and Tenikue M. (2012), "Is it all about money? a randomized evaluation of the impact of insurance literacy and marketing treatments on the demand for health microinsurance in senegal", ILO Research Paper n°14.

Bonnieux F., Le Goffe P. and Vermersch D. (1995), "La méthode d’évaluation contingente : application à la qualité des eaux littorales", Economie et Prévision, 117-118, p. 89-106.

Dahir n° 1-02-296 du 25 rejeb 1423 (3 October 2002) portant promulgation de la loi n° 65-00 portant code de la couverture médicale de base.

Décret n° 2-08-177 du 28 ramadan 1429 (29 September 2008) portant application des dispositions du livre III de la loi n° 65-00 relatives au régime d’assistance médicale.

Dror D. M., Radermacher R. and Koren R. (2006), "Willingness to pay for health insurance among rural and poor persons: Field Evidence from seven micro health insurance units in India", Health Policy, 82 (1), p. 12-27.

El Aida K. and El Kadiri M. (2014), "Les clients du microcrédit au Maroc et les services de microassurance: étude du consentement à payer à partir du processus décisionnel", Mémoire de Master-FSJES, Université Hassan II Ain Chôck, Casablanca.

El Fellousse A. and Kherbach F. (2013), "Transition d’une couverture facultative vers une couverture médicale obligatoire de base qui se réalise progressivement", Centre Jacques Berque, Etudes et Essais n°16.

Giesbert L., Steiner S. And Bendig M. (2011), "Participation in micro life insurance and the use of other financial services in Ghana", Journal of Risk and Insurance, 78(1), p. 7-35.

Giné X., Townsend R. And Vickery J. (2008), "Patterns of rainfall insurance participation in rural India", The World Bank Economic Review, 22(3), p. 539-566.

Haut Commissariat au Plan (2007), "Enquête nationale sur le secteur informel. Rapport de synthèse".

Heckman J. (1979), "Sample selection bias as a specification error", Econometrica, 47(1), p. 153-161.

Jehu-Appiah C., Aryeetey G., Agyepong I., Spaan E., And Baltussen R. (2012), "Household perceptions and their implications for enrolment in the national health insurance scheme in Ghana", Health Policy and Planning, 27(1), p. 222-233.

Lofgren C., Thanh N., Tk Chuc N., Emmelin A. And Lindholm L. (2008), "People's willingness to pay for health insurance in rural Vietnam", Cost Effectiveness and Resource Allocation, 6(16).

Luchini S. (2002), "De la singularité de la méthode d'évaluation contingente", Economie et statistique, 357-358, p. 141-152.

Makaudze E., Mahieu P. And Malin E. (2011), "The Determinants of the Willingness-to-pay for Community-Based Prepayment Scheme in Rural Cameroon", Selected Paper Prepared For Presentation on the International Conference on New Evidence on Poverty Traps, 6-7 October 2011, University of Paris I, France.

Mao Z. (2000), "Farmer’s willingness to pay for cooperative medical system", Department of health economics school of public health, west China university of medical sciences, Research paper n° 167.

Ministère de la santé (2010), "Santé en chiffres". Direction de la Planification et des Ressources Financières Division de la Planification et des Etudes Service des Etudes et de l’Information Sanitaire.

Ministère de la santé (2012), "Stratégie sectorielle 2012-2016". Ministère de la santé (2013), "Comptes Nationaux de la santé (2010)". Direction de la Planification et des Ressources Financières.

Mitchell R. C. And Carson T. R. (1989), "Using Surveys to Value Public Goods: The Contingent Valuation Method", Resources for the Future, Washington D. C.

Mourji F. (1998), Le développement des microentreprises en question, Edition REMALD, Casablanca.

Mourji F. (2001), "Étude d’impact d’un programme de microcrédit", PNUD(UNCDF) et LASAARE, Document de travail n°1.

Mourji F. (2002), "Le financement semi formel du secteur informel au Maroc: le micro-crédit, une alternative à l’impasse?", Les Cahiers du Gratice, n° 22(1), p. 259-295.

N'Guessan C. F. J. (2008), "Le consentement des ménages ruraux à payer une prime d'assurance maladie en Côte d'Ivoire", Revue d'économie du développement, 22(1) p. 101-124.

Ridker R. G. and Henning J. A. (1967), "The Determinants of Residential Property Values with Special Reference to Air Pollution", Review of Economic and Statistics, 49(2), p. 246-257.

Rutherford S. (2000), The Poor and their money, Oxford University Press, New Delhi.

Samuelson P. A. (1948), "Consumption Theory in Terms of Revealed Preference", Economica, New Series, Vol. 15 (60), p. 243-253.

Sartori A. E. (2003), "An Estimator for some Binary-Outcome selection Models without Exclusion Restrictions", Political Analysis, 11(2), p. 111-138.

Schwarz G. (1978), "Estimating the Dimension of a Model", The Annals of Statistics, 62(2), p.461–464.

Tobin J. (1958), "Estimation of relationship for limited dependent variables", Econometrica, 26(1), pp. 24-36.

Thomas A. (2000), Econométrie des Variables Qualitatives, Dunod, Paris. Wang H., Yip W., Zhang L., Wang L, And Hsiao

W. (2005), Community based health insurance in poor rural China: the distribution of net benefits,. The London School of Hygiene and Tropical Medecine.

Wooldridge J. M. (2002), Econometric Analysis of Cross Section and Panel Data, MIT Press, Cambridge.