Trujillo, Antonio

Public Health - International Health

Interventions to Increase Rural Enrollment in Social Health Insurance Schemes: A Field Experiment.

Throughout the world, access to health services is a key determinant of improving health. In many countries, health insurance is the primary vehicle for accessing care. Initially, governments can increase funding for health insurance with dramatic effects. After a certain period, however, the return on this investment falls and governments struggle to achieve universal coverage. Evidence suggests that complex individual behavior may play a role. Colombia is one such example. The uninsured rate dropped over 40% after Colombia’s 1993 reforms, but roughly 2.5 million people are still without coverage. Using a field experiment, we will explore how rural Colombians value health insurance, and whether their values differ from their urban peers. Taking this behavioral approach, we hope to shed light on why persistent gaps in rural insurance coverage remain, despite Colombia’s fiscal efforts to establish a low-cost plan. We recently completed a field experiment for urban Colombians. By expanding this work, we will explore whether insurance preferences vary between rural and urban individuals with similar demographic and income characteristics. Most previous preference work assumes that values do not vary widely across a population, as small sample sizes have been used in relatively homogenous countries. Our study will be one of the first to take a consumer-driven approach to compare insurance preferences in rural and urban areas. This research will help Colombia’s insurers and policy makers design more effective policies to achieve universal coverage. The results will enhance the understanding of insurance choices in other countries facing similar challenges.

John Bridges, SPH, HPM

People

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...
«

November 2017

»
S
M
T
W
T
F
S
·
·
·
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
·
·

Projects

Building an Enabling Environment for Vaccines in India...

This project, now in its second phase, aims to create an enabling environment for vaccines in India and contribute to...

Read More

Mpilonhle

Mpilonhle brings multi-dimensional services to adolescents in rural South Africa. Its objective is to reduce the very high...

Read More

Nutrition Innovation Lab

"Poshan", which means good nutrition in Nepali is ongoing research that involves two interlinked large-scale research studies...

Read More

Identification and Enumeration of Pathogens in Drinking...

CWH researchers are using polymerase chain reaction and mass spectrometry technologies to develop a microbial isolation and...

Read More