Does microinsurance help the poor? Evidence from the targeted health microinsurance program in Vietnam 2004-2008

Pham, T and Pham, T 2012, Does microinsurance help the poor? Evidence from the targeted health microinsurance program in Vietnam 2004-2008, Microinsurance Innovation Facility, European Development Research Agency, International Labor Office, Geneva, Switzerland


Document type: Commissioned Reports
Collection: Commissioned Reports

Title of report Does microinsurance help the poor? Evidence from the targeted health microinsurance program in Vietnam 2004-2008
Author(s) Pham, T
Pham, T
Year of publication 2012
Publisher Microinsurance Innovation Facility, European Development Research Agency, International Labor Office
Place of publication Geneva, Switzerland
Subjects Health Economics
Applied Economics not elsewhere classified
Abstract/Summary The present study evaluates a targeted health microinsurance program, namely the Health Care Fund for the Poor, which was initiated in Vietnam in 2003. Using the most recent data from the Vietnam Household Living Standard Surveys 2004, 2006 and 2008, the study estimates both the effect of intentionto-treat (ITT) and the effect of treatment-on-treated (TOT) of participation in the HCFP program on a variety of health-related outcomes and financial health risk indicators. The study shows that, participation in the HCFP program reduced the out-ofpocket (OOP) health care expenditure of poor participants, increased the intensity with which the poor sought health care and regular check-ups in public health facilities. The study also reveals that the HCFP helped reduce the incidence of catastrophic spending when dealing with adverse health events. The study addresses the possible selection bias of insurance participation by means of fixed-effects models and an instrument variable (IV) method within fixed-effects.
Commissioning body International Labor Organization
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