Assessment of Health Microinsurance Outcomes in Pakistan

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Research Questions
  • Does health microinsurance reduce out-of-pocket healthcare costs?
  • Does health microinsurance lead to positive change in health-seeking behavior and health outcomes?

Partner organizations

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 Gates Foundation.

Product

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.

Evaluation design

Non-experimental.

Data Sources:

  • 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 questionnaire.
  • 60 key informant interviews: health care providers, delivery channels, microinsurance administrators, community key informants, formal and informal financial service providers.

Location
Pakistan, Ghizar

Timeframe
November 2008 - summer 2010 (expected)

Status
Data collection

Type of insurance
Health

Researchers
Elizabeth McGuinness
Microfinance Opportunities

Jennifer Mandel
Formerly with Microfinance Opportunities

Holly Korda
Independent consultant

Ayesha Tayyab
Independent consultant

Funder
Bill and Melinda Gates FoundationBill and Melinda Gates Foundation