OBJECTIVE To examine whether the community-based health insurance (CBHI) scheme in Burkina Faso has been effective in providing equitable healthcare access to poor individuals, women, children and those living far from health facilities. METHODS We used the Nouna Health District Household Survey to collect panel data on 990 households during 2004-08. By applying a series of random effects reg...

BACKGROUND North American patients are experiencing difficulties in securing affiliations with family physicians. Centralized waiting lists are increasingly being used in Organisation for Economic Co-operation and Development countries to improve access. In 2011, the Canadian province of Quebec introduced new financial incentives for family physicians' enrolment of orphan patients through centr...

We evaluate the effect of the federal students’ financial assistance scheme (BAfoeG) on enrolment rates by exploiting exogenous variation introduced through a discrete shift in repayment regulations. Supported students had to repay the full loan after graduation from their future earnings until 1990. Thereafter, only 50 percent of the loan has become due, the other half of student aid has been ...

This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five 'imidugudu' or small villages. While comprehensive service upgrades were introduced in the Mayange...

Agglomeration bonus schemes have become important policy tools when the environmental benefit hinges on spatial coordination of conservation sites. We here analyse how factors affect uptake an agglomeration payment scheme in a Swiss mountain region, which seeks to establish network areas conserve favourable conditions for biodiversity. use combination spatially explicit farm census (44,279 parc...

BACKGROUND Despite universal population coverage and equity being a stated policy goal of its NHIS, over a decade since passage of the first law in 2003, Ghana continues to struggle with how to attain it. The predominantly (about 70 %) tax funded NHIS currently has active enrolment hovering around 40 % of the population. This study explored in-depth enablers and barriers to enrolment in the NHI...

BACKGROUND Access to affordable and effective health care is a challenge in low- and middle- income countries. Out-of-pocket expenditure for health care is a major cause of impoverishment. One way to facilitate access and overcome catastrophic expenditure is through a health insurance mechanism, whereby risks are shared and financial inputs pooled by way of contributions. This study examined fa...

Background Micro health insurance schemes have been implemented across developing countries as a means of facilitating access to modern medical care, with the ultimate aim of improving health. This effect, however, has not been explored sufficiently. Objective We investigated the effect of enrolment into community-based health insurance on mortality in children under 5 years of age in a health ...