Differential willingness of household heads to pay community-based health insurance premia for self and other members of the household

H. Dong, B. Kouyate, John Alexander Cairns, R. Sauerborn

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    Objective: This study compares household heads' willingness-to-pay (WTP) for community-based health insurance (CBI) for themselves with their WTP for other household members, in order to provide information for policy makers on setting the premium and choosing the enrolment unit.

    Method: A random sample of 698 heads of households was interviewed in the northwest of Burkina Faso and a bidding game approach was used to elicit WTP. Factors associated with differences in WTP were identified, including characteristics of the household head and of the household.

    Results: Mean WTP by the heads of households for insurance for themselves (3575 CFA) was twice their mean WTP per capita for the household as a whole (1759 CFA). The old have a lower WTP than the young, females have lower WTP than males, the poor have a lower WTP than the rich, and that those with less schooling have a lower WTP than those with more years of schooling.

    Conclusion: The differences in household heads' WTP for insurance for themselves and their WTP to insure their households as a whole need to be considered when setting the insurance premium. WTP information can assist decision makers with the complex problem of choosing the enrolment unit and setting the premium.

    Original languageEnglish
    Pages (from-to)120-126
    Number of pages6
    JournalHealth Policy and Planning
    Publication statusPublished - 2004


    • willingness to pay
    • contingent valuation method
    • community-based health insurance
    • preference
    • health care financing
    • Burkina Faso
    • TO-PAY
    • CARE

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