- Does health microinsurance reduce out-of-pocket
- Does health microinsurance lead to positive change
in health-seeking behavior and health outcomes?
The First Microinsurance Agency (FMiA) administers the Health Microinsurance product under the guidance of the
Aga Khan Agency for Microfinance (AKAM). AKAM's
underlying objectives are to reduce poverty, diminish the
vulnerability of poor populations and alleviate economic
and social exclusion. AKAM created FMiA in 2007.
This outcomes assessment study is part of the Financial
Services Assessment project, undertaken by the IRIS
Center at the University of Maryland and Microfinance
Opportunities with support from the Bill and Melinda
The Health Microinsurance product is a voluntary private
insurance product providing coverage for all in-patient
treatments, including hospitalization for serious illnesses,
obstetric care and accidents. The product also covers
pre-existing conditions. The premium is as little as as $5
per person per year. Members may use the benefits on a
cashless basis at most facilities, but must use them on a
reimbursement basis at government hospitals.
- Focus groups with a total of 243 microinsurance
consumers: In addition to asking questions at these
focus groups, the researchers collected some
socioeconomic data on participants via a
60 key informant interviews: health care providers,
delivery channels, microinsurance administrators,
community key informants, formal and informal
financial service providers.