Abstract

This study assesses the impact of children’s health insurance programs on health care utilization and health care expenditures of children from 6 to 14 years old in Vietnam using four rounds of the Vietnam Household Living Standard Surveys from 2006 to 2012. We find a positive effect of both student and free health insurance programs on the number of health care visits. This positive impact tends to increase over time, and the impact of the free health insurance program is larger than the impact of the student health insurance program. Regarding out-of-pocket health expenditures per visit, we find a reducing effect on this outcome of the free health insurance program but not the student health insurance program.

Highlights

  • Child health has received a great deal of attention in all the countries

  • Data set In this study, we will use data from the recent Vietnam Household Living Standard Surveys (VHLSS) in years 2006, 2008, 2010 and 2012

  • Vietnam has been very successful in increasing the coverage of health insurance for the children recently

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Summary

Introduction

Child health has received a great deal of attention in all the countries. Improvement of child health in low-income countries is challenging because of nutrition problems and poor health care services. Improving child health and reducing the mortality rate are among important objectives of Millennium Development Goals. Health insurance is a key one to help households improve health and avoid catastrophic health expenditures. Health care costs are often high for the poor households, and this high cost may lead to a delay in using health care when they are sick. Health insurance can increase health care utilization, and improve health status of people. To cover the health care costs, poor households might have

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