The role of micro-insurance in the field of public health

The role of micro-insurance in the field of public health

Abstract Issue/problem It is recognized that is very important to have an instrument to mitigate risks and reduce the vulnerability of poor and low-income households, especially in disasters. Health risks are often identified by the poor people as the greatest and costliest risks they face. Millions...

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Bibliographic Details
Published in:European journal of public health Vol. 29; no. Supplement_4
Main Authors: Novakovic, T, Jevtic, M, Popović, L j, Ćosić, D j
Format: Journal Article
Language:English
Published: Oxford Oxford University Press 01-11-2019
Oxford Publishing Limited (England)
Subjects:
Access
Citizen participation
Civil society
Coping
Disasters
Financing
Fraud
Health care
Health care expenditures
Health care industry
Health care policy
Health insurance
Health problems
Health risks
Health services
Households
Income
Insurance
Insurance coverage
Labor movements
Low income areas
Low income groups
Populations
Poverty
Productivity
Public health
Quality of care
Risk management
Risk reduction
Social protection
Social reform
Social security
Social systems
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Summary:Abstract Issue/problem It is recognized that is very important to have an instrument to mitigate risks and reduce the vulnerability of poor and low-income households, especially in disasters. Health risks are often identified by the poor people as the greatest and costliest risks they face. Millions of people worldwide fall into poverty as a result of excessive healthcare costs because the state doesn’t provide them health insurance. Health problems not only impact household budget, but also reduce the productivity and reduce the opportunity for growth. Therefore the reform of social systems poses a considerable challenge. Description In order to remedy the situation, global actors like World Health Organization (WHO, International Labour Organization (ILO), the World Bank (WB) advocate for a special category of insurance, health micro-insurance (HMI), as a medium term solution for health care financing, that tends to access equitable and quality health care. HMI was created to promote insurance coverage among economically vulnerable sections of society. It is one of the potential ways that might provides the protection of low-income people against specific perils in exchange for regular premium payment proportionate to the likelihood and cost of the risks involved. Results As a health care financing mechanism, HMI has a short history, but offers the following benefits: it can improve the access of certain vulnerable populations to healthcare, develop more suitable services, facilitate the participation of civil society and limit fraud, educate populations about social security. Lessons This instrument has not been conceptualized to compete or replace public social protection. Rather, it is most effective when embedded into a comprehensive social protection framework which includes informal, private and other risk management strategies of preventive measures, mitigation and suitable coping strategies. Key messages HMI can mitigate the risks of population and groups, ill health and provides hope that the poor will receive reliable and adequate access to affordable health care. HMI can be seen as a tool for better public health in vulnerable and poor communities.
ISSN:1101-1262
1464-360X
DOI:10.1093/eurpub/ckz186.105