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- W2186125433 abstract "Access to and utilization of health services continues to be concerns in poor countries such as Ghana. Particularly susceptible are young children, for whom negative health shocks can generate nutritional deficits and cognitive disabilities. If implemented correctly, health insurance systems may help solve this challenge. However it has been difficult to determine whether joining a health insurance scheme improves medical care-seeking behaviors because of selection bias and omitted variable bias. This paper examines how parental participation in the National Health Insurance Scheme (NHIS) affects vaccine utilization in Ghana, using an instrumental variable approach to estimate whether enrollment affects vaccine uptake. The exogenous variation in enrollment comes from variations in the membership rules in the District Mutual Health Insurance Schemes (DMHIS). The main data sets employed are the 2008 Ghana Demographic and Health Survey and a census of DMHIS in existence in 2008. The paper finds participation in the NHIS increases the probability of getting vaccinated. The instrumental variable estimations show positive and statistically significant coefficients. These estimates are bigger than the ones obtained using OLS regressions possibly indicating underlying heterogeneity in returns to NHIS participation. Finally, the paper explores channels through which NHIS enrollment increases vaccination rates." @default.
- W2186125433 created "2016-06-24" @default.
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- W2186125433 date "2008-01-01" @default.
- W2186125433 modified "2023-09-26" @default.
- W2186125433 title "The Effect of NHIS Parental Enrollment on Vaccine Utilization: Evidence from Ghana" @default.
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