International Institute of Social Studies, Erasmus University Rotterdam, The Netherlands.
Erasmus University Rotterdam, The Netherlands; Wageningen University, The Netherlands.
Soc Sci Med. 2017 Mar;176:133-141. doi: 10.1016/j.socscimed.2017.01.035. Epub 2017 Jan 23.
Due to lack of well-developed insurance and credit markets, rural families in Ethiopia are exposed to a range of covariate and idiosyncratic risks. In 2005, to deal with the consequences of covariate risks, the government implemented the Productive Safety Net Program (PSNP), and in 2011, to mitigate the financial consequences of ill-health, the government introduced a pilot Community Based Health Insurance (CBHI) Scheme. This paper explores whether scheme uptake and retention is affected by access to the PSNP. Based on household panel data and qualitative information, the analysis shows that participating in the PSNP increases the probability of CBHI uptake by 24 percentage points and enhances scheme retention by 10 percentage points. A large proportion of this effect may be attributed to explicit and implicit pressure applied by government officials on PSNP beneficiaries. Whether this is a desirable approach is debatable. Nevertheless, the results suggest that membership in existing social protection programs may be leveraged to spread new schemes and potentially accelerate poverty reduction efforts.
由于缺乏发达的保险和信贷市场，埃塞俄比亚农村家庭面临着一系列的协变量和特质风险。2005 年，为了应对协变量风险的后果，政府实施了生产安全网计划（PSNP），2011 年，为了减轻健康不良的经济后果，政府推出了一个试点社区为基础的健康保险（CBHI）计划。本文探讨了获得 PSNP 是否会影响计划的参与和保留。基于家庭面板数据和定性信息，分析表明，参与 PSNP 使 CBHI 的参与率提高了 24 个百分点，保留率提高了 10 个百分点。这一效应的很大一部分可能归因于政府官员对 PSNP 受益人的明确和隐含的压力。这种做法是否可取是有争议的。然而，结果表明，利用现有社会保护计划的成员资格可以推广新计划，并有可能加速减贫工作。
