The inequitable impact of health shocks on the uninsured in Namibia

Health Policy and Planning

Volumn 26, Issue 2, 2011, Pages 142-156

  Gustafsson Wright, Emily ^a   Janssens, Wendy ^b   Van Der Gaag, Jacques ^a  

^a BROOKINGS INSTITUTION   (United States)

^b Amsterdam Institute for International Development (AIID)   (Netherlands)

Author keywords

coping strategies; developing countries; Health insurance; HIV; household expenditure

Indexed keywords

ADAPTIVE BEHAVIOR; ARTICLE; ECONOMICS; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH SERVICE; HUMAN; LIFE EVENT; MALE; NAMIBIA; PATIENT; PSYCHOLOGICAL ASPECT; SERODIAGNOSIS; STATISTICS;

ADAPTATION, PSYCHOLOGICAL; AIDS SERODIAGNOSIS; FEMALE; FINANCING, PERSONAL; HEALTH EXPENDITURES; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; LIFE CHANGE EVENTS; MALE; MEDICALLY UNINSURED; NAMIBIA;

EID: 79951872387     PISSN: 02681080     EISSN: 14602237     Source Type: Journal    
DOI: 10.1093/heapol/czq029     Document Type: Review

References (38)

1. Ainsworth M, Beegle K, Koda G. 2005. The impact of adult mortality and parental deaths on primary schooling in North-Western Tanzania. Journal of Development Studies 41: 412-39. (Pubitemid 40162148)
2. Beegle K, de Weerdt J, Dercon S. 2006. Orphanhood and the long-run impact on children. American Journal of Agricultural Economics 88: 1266-72. (Pubitemid 44782183)
3. Beegle K, de Weerdt J, Dercon S. 2008. Adult mortality and consumption growth in the age of HIV/AIDS. Economic Development and Cultural Change 56: 299-326.
4. Case A, Garrib A, Menendez A, Olgiati A. 2008. Paying the piper: the high cost of funerals in South Africa. NBER working paper 14456. Cambridge, MA: National Bureau of Economic Research.
5. De Beer I. 2009. The story of Okambilimbili. Mimeo. Amsterdam: PharmAccess Foundation.
6. Dekker M, Wilms A. 2010. Health insurance and other risk-coping strategies in Uganda: the case of Microcare Insurance Ltd. World Development 38: 369-78.
7. Dercon S. 2002. Income risks, coping strategies and safety nets. World Bank Research Observer 17: 141-66. (Pubitemid 35409839)
8. Ekman B. 2004. Community-based health insurance in low-income countries: a systematic review of the evidence. Health Policy and Planning 19: 249-70. (Pubitemid 39150130)
9. Ekman B, Liem NT, Duc HA, Axelson H. 2008. Health insurance reform in Vietnam: a review of recent developments and future challenges. Health Policy and Planning 23: 252-63. (Pubitemid 351881994)
10. Feeley F, de Beer I, Rinke de Wit T, van der Gaag J. 2006. The Health Insurance Industry in Namibia, Baseline Report. June 2006. Boston University, Amsterdam Institute for International Development and PharmAccess Foundation.
11. Fox MP, Rosen S, Macleod WB et al. 2004. The impact of HIV/AIDS on labour productivity in Kenya. Tropical Medicine and International Health 9: 318-24. (Pubitemid 38365729)
12. Gertler P, Gruber J. 2002. Insuring consumption against illness. American Economic Review 92: 51-70.
13. Giedion U, Diaz Y. 2008. The impact of insurance in the developing world: a review of the existing evidence. Mimeo. Washington, DC: Brookings Institution.
14. Graff Zivin J, Thirumurthy H, Goldstein M. 2006. AIDS treatment and intrahousehold resource allocations: children's nutrition and schooling in Kenya. NBER Working Paper 12689. Cambridge, MA: National Bureau of Economic Research.
15. Gustafsson-Wright E, van der Gaag J, van Rooy G. 2007. Baseline data findings for the Okambilimbili Health Insurance Evaluation Project in Namibia. August 2007. Amsterdam: Amsterdam Institute for International Development and Multi-Disciplinary Research and Consultancy Center of the University of Namibia.
16. Habyarimana J, Mbakile B, Pop-Eleches C. 2007. HIV/AIDS, ARV treatment and worker absenteeism: evidence from a large African firm. Mimeo. Washington, DC: Georgetown University.
17. Janssens W, Rinke de Wit T, van der Gaag J. 2007. Bio-Medical Baseline Report 2006-2007: Okambilimbili Health Insurance Project in Windhoek, Namibia. November 2007. Amsterdam: Amsterdam Institute for International Development and PharmAccess Foundation.
18. Janssens W, van der Gaag J, Rinke de Wit T. 2008. Pitfalls in the estimation of HIV prevalence rates. AIID Research Series 08-03. Amsterdam: Amsterdam Institute for International Development.
19. Kruse I, Pradhan M, Sparrow R. 2009. Determinants and benefits of decentralized health spending. Mimeo. November, 2009. Johns Hopkins University, Baltimore, and Vrije University, Amsterdam.
20. Lindelow M, Wagstaff A. 2005. Health shocks in China: are the poor and uninsured less protected? World Bank Policy Research Working Paper 3740. Washington, DC: World Bank.
21. MOHSS. 2007. Results of the 2006 National Sentinel Survey Among Pregnant Women. Press Release, 17 April 2007. Windhoek: Ministry of Health and Social Services, Government of the Republic of Namibia.
22. Morduch J. 1995. Income smoothing and consumption smoothing. Journal of Economic Perspectives 9: 103-14.
23. Neri M, Gustafsson-Wright E, Sedlacek G, Ribeiro da Costa D, Pinto A. 2000. Microeconomic instability and children's human capital accumulation: the effects of idiosyncratic shocks to father's income on child labour, school drop-outs and repetition rates in Brazil. Washington, DC: World Bank.
24. Preker S, Scheffler RM, Bassett MC (eds). 2007. Private voluntary health insurance in development: friend or foe? Washington, DC: World Bank.
25. Schellekens O, de Beer I, Lindner M et al. 2009. Innovation in Namibia: preserving private health insurance and HIV/AIDS treatment. Health Affairs 28: 1799-806.
26. Sekhri N, Savedoff W. 2005. Private health insurance: implications for developing countries. Bulletin of the World Health Organization 83: 127-34. (Pubitemid 40239005)
27. Thirumurthy H, Graff Zivin J, Goldstein M. 2005. The economic impact of AIDS treatment: labour supply in Western Kenya. NBER Working Paper 11871. Cambridge, MA: National Bureau of Economic Research.
28. Van der Gaag J, Stimac V. 2008. Towards a new paradigm for health sector development. AIID Discussion Series 08-02/1. Amsterdam: Amsterdam Institute for International Development.
29. UNAIDS. 2008a. Epidemiological Fact Sheets on HIV and AIDS: Namibia, 2008 Update. July 2008. Geneva: UNAIDS.
30. UNAIDS. 2008b. Namibia Country Progress Report 2008. Geneva: WHO/UNAIDS.
31. Wagstaff A. 2007. The economic consequences of health shocks: evidence from Vietnam. Journal of Health Economics 26: 82-100. (Pubitemid 44908723)
32. Wagstaff A, Lindelow M. 2008. Can insurance increase financial risk? The curious case of health insurance in China. Journal of Health Economics 27: 990-1005.
33. Wagstaff A, Pradhan M. 2005. Health insurance impacts on health and nonmedical consumption in a developing country. World Bank Policy Research Working Paper 3563. Washington, DC: World Bank.
34. WHO. 2004. WHO Country Cooperation Strategy, Republic of Namibia, 2004-2007. Geneva: World Health Organization.
35. WHO. 2005. Namibia country profile: overview of malaria control activities and programme progress. Geneva: World Health Organization.
36. WHO. 2008a. World Health Statistics, 2008. Geneva: World Health Organization.
37. WHO. 2008b. TB Country Profile: Namibia. Geneva: World Health Organization.
38. WHO. 2009. World Health Statistics, 2009. Geneva: World Health Organization.