We present and empirically implement a dynamic discrete choice model of life insurance decisions to assess the importance of various factors in explaining life insurance lapsation. In order to explain some key features in the data, our model incorporates multiple dimensions of serially correlated unobservable state variables which we deal with using posterior distributions of the unobservables ...

decentralization is the process of dispersing decision-making closer to the point of peripheral area, service or action. basically decentralized governance, if properly planned and implemented, offers important opportunities for enhanced human development. the studies about this issue in different countries show that most of the decentralizations have been implemented in european countries and ...

health reform is the outcome of dispersed policy initiatives in different sectors, at different levels and across time. policy work which can drive coherent health reform needs to operate across the governance structures as well as the institutions that comprise healthcare systems. building policy capacity to support health reform calls for clarity regarding the nature of such policy work and t...

background informal payments for health care, which are common in many countries, can have negative effects on health care access, equity and health status as they lead people to forgo or delay seeking care, or to sell assets to pay for care. many countries are putting reforms in place with the aim of reducing informal payments. in order to be successful, such policies should be informed by the...

background & aim: prenatal care is a key strategy for achieving public health goals, primary healthcare objectives, and the millennium development goals. the aim of this study was to investigate the factors influencing the use of prenatal care services in order to design suitable interventions and promote the use of these services. methods:in this systematic quantitative literature review, stud...

This paper estimates, using a large panel data set from rural Bangladesh, the effects of health shocks on household consumption and how access to microcredit affects households’ response to such shocks. Our results suggest that even though in general consumption remains stable in many cases when households are exposed to health shocks, households that have access to microcredit appear to cope (...

background in many parts of the world, ongoing deficiencies in health systems compromise the delivery of health interventions. the world health organization (who) identified four functions that health systems need to perform to achieve their goals: efforts to strengthen health systems focus on the way these functions are carried out. while a number of studies on health systems functions have be...

In this paper we review the evidence on the impact of large shocks, such as drought, on child and adult health, with particular emphasis on Zimbabwe and Ethiopia. Our focus is on the impact of shocks on long-term outcomes, and we ask whether there are intrahousehold differences in these effects. The evidence suggests substantial fluctuations in body weight and growth retardation in response to ...