The Impact of Price Subsidies on Child Health Care Use : Evaluation of the Indonesian Healthcard

The Impact of Price Subsidies on Child Health Care Use : Evaluation of the Indonesian Healthcard

Financial barriers to seeking care are frequently cited as one of the main causes of underutilization of child health care services. This paper estimates the impact of Indonesia's healthcard on health care use by children. Evaluation of the he...

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Bibliographic Details
Main Author:	Somanathan, Aparnaa
Format:	Policy Research Working Paper
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	ACCESS TO HEALTH CARE AGE GROUPS BASIC HEALTH SERVICES CAPITAL INVESTMENTS CARE FOR CHILDREN CATASTROPHIC HEALTH EXPENDITURE CHILD HEALTH CHILD HEALTH CARE CHILD HEALTH SERVICES COMMUNITIES CONTRACEPTIVES CULTURAL CHANGE DEBT DEMAND FOR HEALTH DEMAND FOR HEALTH CARE DEMAND FOR HEALTH SERVICES DESCRIPTION DETERMINANTS OF HEALTH DEVELOPING COUNTRIES DISTRICTS DRINKING WATER DRUGS ECONOMIC DEVELOPMENT ECONOMIC REVIEW ECONOMIC STATUS ECONOMICS OF HEALTH EQUITY IN ACCESS FAMILIES FAMILY MEMBERS FAMILY PLANNING FAMILY PLANNING PROGRAM FAMILY RESOURCES FEMALE FEMALES FINANCIAL BARRIERS GENDER GENDER DIFFERENCES HEALTH CARE HEALTH CARE COSTS HEALTH CARE DEMAND HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE USE HEALTH CARE UTILIZATION HEALTH CENTERS HEALTH CENTRE HEALTH ECONOMICS HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH STRATEGY HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL HOSPITALS HOUSEHOLD BUDGETS HOUSEHOLD LEVEL HOUSEHOLD SIZE HOUSEHOLDS HOUSING HUMAN CAPITAL HUMAN DEVELOPMENT HUMAN RESOURCE DEVELOPMENT ILLNESS IMPACT ON HEALTH INCOME INCOME ELASTICITIES INCOME ELASTICITIES OF DEMAND INCOME GROUPS INFANT INPATIENT CARE INSURANCE INSURANCE COVERAGE INSURANCE SCHEMES INTERVENTION INTERVENTIONS JOB TRAINING LABOUR MARKET LACK OF INFORMATION LACK OF KNOWLEDGE LIVING CONDITIONS LIVING STANDARDS LOCAL AUTHORITIES LOCAL HEALTH CENTERS LOW INCOME MATERNAL HEALTH MEDICAID MEDICAL CARE MEDICAL CARE DEMAND MEDICAL CARE FOR THE POOR MEDICAL SERVICES MEDICAL STAFF MEDICINES MIDWIFE MIDWIVES MODERN CONTRACEPTION MODERN CONTRACEPTIVE METHODS MODERN HEALTH CARE MORTALITY NATIONAL FAMILY PLANNING NEIGHBORHOOD NUMBER OF CHILDREN NUTRITION OUTPATIENT CARE OUTPATIENT SERVICES PACIFIC REGION PATIENTS PHARMACIES PHARMACISTS PHARMACY PILL POCKET PAYMENTS POCKET PAYMENTS FOR HEALTH CARE POLICY RESEARCH POLICY RESEARCH WORKING PAPER POOR FAMILIES POOR HOUSEHOLDS POOR QUALITY CARE POVERTY ALLEVIATION PRE-NATAL CARE PRICE ELASTICITIES PRICE ELASTICITY PRIMARY CARE PRIMARY HEALTH CARE PRIMARY HEALTH CARE SERVICES PRIMARY HEALTH SERVICES PRIMARY SCHOOL PRIMARY SCHOOLING PRIVATE CARE PRIVATE HEALTH CARE SERVICES PRIVATE HEALTH SERVICES PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PROGRESS PUBLIC HEALTH PUBLIC HEALTH CARE PUBLIC PROVIDERS PUBLIC SECTOR PURCHASING POWER QUALITY OF SERVICES RESOURCE ALLOCATION RESPECT RURAL AREAS RURAL COMMUNITY SAFETY SAFETY NET SCHOOL HEALTH SERVICE DELIVERY SERVICE PROVIDERS SEX SHOPS SOCIAL SECURITY SOCIAL SERVICES SOCIOECONOMIC STATUS TV UNEMPLOYMENT URBAN AREA URBAN AREAS URBAN COMMUNITY USE OF HEALTH SERVICES USE OF MATERNAL HEALTH SERVICES USER FEES VACCINATION VILLAGES VULNERABLE GROUPS YOUNG CHILDREN
Online Access:	http://documents.worldbank.org/curated/en/2008/05/9456670/impact-price-subsidies-child-health-care-use-evaluation-indonesian-healthcard http://hdl.handle.net/10986/6682

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Summary:	Financial barriers to seeking care are frequently cited as one of the main causes of underutilization of child health care services. This paper estimates the impact of Indonesia's healthcard on health care use by children. Evaluation of the healthcard effect is complicated by the fact that card allocation was non-random. The analysis uses propensity score matching to control for systematic differences between treatment and control groups. A second potential source of bias is related to contemporaneous, exogenous influences on health care use unrelated to the healthcard itself. Using panel data collected prior to and after the introduction of the healthcard, a difference-in-differences estimator is constructed to eliminate the effects of exogenous changes over time. The author finds that although health care use declined for all children during the crisis years of 1997-2000, use of public sector outpatient services declined much less for children with healthcards. The protective effect of the healthcard on public sector use was concentrated among children aged 0-5 years. The healthcard had no significant impact on use of private sector services. The results highlight the need to provide adequate protection against the financial burden of health care costs, particularly during economic crises.