Boosting health insurance coverage in developing countries: do conditional cash transfer programmes matter in Mexico?
BACKGROUND
Achieving universal health insurance coverage is a goal for many developing countries. Even when universal health insurance programmes are in place, there are significant barriers to reaching the lowest socio-economic groups such as a lack of awareness of the programmes or knowledge of the benefits to participating in the insurance market. Conditional cash transfer (CCT) programmes can encourage participation through mandatory health education classes, increased contact with the health care system and cash payments to reduce costs of participating in the insurance market.


OBJECTIVE
To explore if participation in a CCT programme in Mexico, Oportunidades, is significantly associated with self-reported enrolment in a public health insurance programme.


METHODS
Cross-sectional data from 2007 collected on 29 595 Mexican households where the household head is aged between ages 15 and 60 were analysed. A logit model was used to estimate the association between Oportunidades participation and awareness of enrolment in a public health insurance programme.


RESULTS
Participation in the Oportunidades programme is associated with a 25% higher likelihood of being actively aware of enrolment in Seguro Popular, a public health insurance scheme for the lowest socio-economic groups.


CONCLUSIONS
Participation in the Oportunidades CCT programme is positively associated with awareness of enrolment in public health insurance. CCT programmes may be used to promote participation of the lowest socio-economic groups in universal public health insurance systems. This is crucial to achieving universal health insurance coverage in developing countries.
Yunus Centre for Social Business and Health/Glasgow School for Business and Society, Glasgow Caledonian University, Glasgow G4 0BA, UK and Institute of Health and Society, Newcastle University, Newcastle upon Tyne NE2 4AA, UK Olga.Biosca@gcu.ac.uk.
Olga
O
Biosca
Yunus Centre for Social Business and Health/Glasgow School for Business and Society, Glasgow Caledonian University, Glasgow G4 0BA, UK and Institute of Health and Society, Newcastle University, Newcastle upon Tyne NE2 4AA, UK.
Heather
H
Brown
D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D005380:Financing, Government / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D007348:Insurance, Health / Q000191:economics / Q000458:organization & administration*; D008297:Male; D008800:Mexico; D008875:Middle Aged; D019472:Universal Health Insurance / Q000191:economics / Q000458:organization & administration; D055815:Young Adult
Demand for public health insurance; Latin America; Mexico; Oportunidades; conditional cash transfer programmes