A short-term impact evaluation of the Health Insurance Fund program in Central Kwara State, Nigeria
This report presents the findings of the first rigorous impact evaluation of the health programs funded by the Health Insurance Fund (HIF) and implemented by the PharmAccess Foundation (PharmAccess) in Africa. This research is part of a multi-year operational research program on subsidized low-cost private health insurance and clinic-upgrades in several countries in Sub-Saharan Africa (SSA) led by the Amsterdam Institute for International Development (AIID) and the Amsterdam Institute for Global Health and Development (AIGHD).1 The report evaluates the basic short-term impact of the Hygeia Community Health Care (HCHC) program in Central Kwara State, Nigeria, based on two (of three) population-based household surveys in Kwara Central: a baseline survey in 2009 and a follow-up survey in 2011. The focus is on the impact of the HCHC among households in the program area on three main outcomes: (1) access and utilization of health care, (2) financial protection, and (3) health status. The report does not cover impacts of the program beyond the household such as impacts on providers or on the health system overall.
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