Warianty tytułu
Języki publikacji
Abstrakty
Aim/purpose - The prevalence of poverty among Nigerian households and limited social safety nets predispose the country to health shock. Health shocks are associated with adverse economic consequences: they raise medical expenditure and reduce household consumption. The household responds with informal coping mechanism to smoothen consumption. The coping strategies are limited to household asset endowment and access to credit facility. This study examines the effect of health shock on changes in household consumption and investigates the coping strategies employed in the face of health shock. Design/methodology/approach - The study is anchored on the full-insurance theory. Data were obtained from two waves of the General Household Survey (GHS) panel, 2011 and 2013. The GHS covered 5,000 households across the six geopolitical zones. Three measures of HS, death of a household member, disability and severe illness, were used. The household consumption was divided into food and non-food. A fixed effect model was estimated to examine the impact of health shock on change in consumption. Multinomial Logit Model was used to determine the coping strategies used by households. Findings - Disability and death had a negative effect on food consumption. Death decreased non-food consumption of households, while disability was not statistically significant. Severe illness had significant positive impact on consumption. Borrowing significantly affected the ability of households to maintain consumption. Death reduced rural household consumption in Nigeria. Borrowing was the most prominent coping strategy. Research implications/limitations - Provision of financial protection against health shocks such as payment of disability benefits and assistance to households that report death should be encouraged by the government. The sample was limited to those that reported illness in the four weeks preceding the GHS, thereby excluding those whose illness preceded 28 days before the survey. Originality/value/contribution - Rural-urban dichotomy among households in Nigeria was acknowledged in examining the relationship between health shocks and variation in consumption.(original abstract)
Słowa kluczowe
Rocznik
Numer
Strony
44--70
Opis fizyczny
Twórcy
autor
- Federal University of Kashere, Gombe, Nigeria
autor
- University of Ibadan, Ibadan, Nigeria
Bibliografia
- Alam, K., & Mahal, A. (2014). Economic impacts of health shocks on households in low and middle income countries: A review of the literature. Globalisation and Health, 10, 21. doi: 10.1186/1744-8603-10-21
- Alayande, B. A. (2003). Determinants of vulnerability to poverty in Nigeria: A probit analysis. Consultant Report for the World Bank/NPC Social Risk Assessment Exercise. Washington, D.C.: World Bank.
- Arrow, K. J. (1964). The role of securities in the optimal allocation of risk bearing. Review of Economic Studies, 31(2), 91-96. doi: 10.2307/2296188
- Asfaw, A., & von Braun, J. (2004). Is consumption insured against illness? Evidence on vulnerability of households to health shocks in rural Ethiopia. Economic Development and Cultural Change, 53(1), 115-129. doi: 10.1086/423255
- Bales, S. (2014). Impact of health stocks on household welfare in Vietnam - estimates using fixed effects estimation (HEFPA Working Paper No. 18). Rotterdam: Institute of Health Policy and Management, Erasmus Universiteit Rotterdam.
- Bardhan, P., & Udry, C. (1999). Development microeconomics. New York: Oxford University Press. doi: 10.1093/0198773714.001.0001
- Cochrane, J. (1991, October). A simple test of consumption insurance. Journal of Political Economy, 99(5), 957-976. doi: 10.1086/261785
- Dalton, M., & LaFave, D. (2017, May). Mitigating the consequences of a health condition: The Role of intra- and interhousehold assistance. Journal of Health Economics, 53, 38-52. doi: 10.1016/j.jhealeco.2017.02.001
- Demenet, A. (2016). Health shocks and permanent income loss: The household business channel (Working Paper No. DT/11). Paris: DIAL (Developpement, Institutions et Mondialisation). doi:10.13140/rg.2.2.14964.55688
- Dercon, S. (2002). Income risks, coping strategies, and safety nets. World Bank Research Observer, 17(2), 141-66. doi: 10.1093/wbro/17.2.141
- Dercon, S., & Krishnan, P. (2000). In sickness and in health: Risk sharing within households in rural Ethiopia. The Journal of Political Economy, 108(4), 688-727. doi: 10.1086/316098
- Dhanaraj, S. (2015). Health shocks and short-term consumption growth (WIDER Working Paper No. 112). Chennai, India: Madras School of Economics.
- Dhanaraj, S. (2016). Effects of parental health shocks on children's schooling: Evidence from Andhra Pradesh, India. International Journal of Educational Development, 49(C), 115-125. doi: 10.1016/j.ijedudev.2016.03.003
- Genoni, M. E. (2012). Health shocks and consumption smoothing: Evidence from Indonesia. Economic Development and Cultural Change, 60(3), 475-506. doi: 10. 1086/664019
- Gertler, P., & Gruber, J. (2002). Insuring consumption against illness. American Economic Review, 92(1), 51-70. doi: 10.1257/000282802760015603
- Gertler, P., Levine, D. L., & Moretti, E. (2009). Do microfinance programs help families insure consumption against illness? Health Economics, 18, 257-273. doi: 10.1002/ hec.1372
- Gupta, P., Singh, K., Seth, V., Agarwal, S., & Mathur, P. (2015). Coping strategies adopted by households to prevent food insecurity in urban slums of Delhi, India. Journal of Food Security, 3(1), 6-10. doi: 10.12691/jfs-3-1-2
- Friedman, M. (1957). A theory of the consumption function. Princeton, NJ: Princeton University.
- Hangoma, P., Aakvik, A., & Robberstad, B. (2017, July). Health shocks and household welfare in Zambia: An assessment of changing risk. Journal of International Development, 30(5), 790-817. doi: 10.1002/jid.3337
- Islam, A., & Maitra, P. (2013). Health shocks and consumption smoothing in rural households: Does microcredit have a role to play? Journal of Development Economics, 97(2), 232-243. doi: 10.1016/j.jdeveco.2011.05.003
- Khan, F. U. (2010). Economic consequences of health shocks and coping strategies: Evidence from urban poor households in Bangladesh (Master's thesis). Erasmus University, The Hague, Netherlands. Retrieved from https://thesis.eur.nl/pub/8667
- Khan, F. U., Bedi, A., & Sparrow, R. (2015). Sickness and death: Economic consequences and coping strategies of the urban poor in Bangladesh. World Development, 72(C), 255-266. doi: 10.1016/j.worlddev.2015.03.008
- Lim, T. (2016). Population aging in Korea: Macroeconomic impacts and financing national health insurance. The Korean Economic Review, 32(2), 355-382.
- Lindelow, M., & Wagstaff, A. (2005, October). Health shocks in China: Are the poor and uninsured less protected? (World Bank Policy Research Working Paper No. 3740). Washington, DC: World Bank. doi: 10.1596/1813-9450-3740
- Mitra, S., Palmer. M., Mont, D., & Groce, N. (2016). Can households cope with health shocks in Vietnam? Health Economics, 25(7), 888-907. doi: 10.1002/hec.3196
- Olaniyan, O., Omobowale, O., & Abimbola, O. (2012). Welfare costs of risks and risk management options in Nigeria. Abuja: The World Bank.
- Olaniyan, O., Onisanwa, D., & Oyinlola, M. (2013). Health care expenditure and GDP. A panel data approach. A paper presented at the at the 2013 CSAE conference, Oxford. Retrieved from https://editorialexpress.com/cgi-bin/conference/download. cgi?db_name=CSAE2013&paper_id=713
- Oni, O. A. (2008). Farming households' vulnerability to risk in the northern region of Oyo State, Nigeria. Journal of Social Sciences, 17(3), 201-210. doi: 10.1080/ 09718923.2008.11892652
- Oni, O. A., & Yusuf, S. A. (2008). Determinants of expected poverty among rural households in Nigeria (African Economic Research Consortium Research Paper, No. 183). Nairobi: AERC.
- Oyekale, T. O., & Yusuf, S. A. (2010). Multidimensional poverty of shock-exposed households and coping mechanisms in rural Nigeria. Medwell Journal of Social Sciences, 5(3), 254-263. doi: 10.3923/sscience.2010.254.263
- Pohl, V., Nelson, C., & Parro, F. (2014). The effect of health shocks on employment: Evidence from accidents in Chile. Washington, DC: Society of Labor Economists.
- Ravallion, M., & Chaudhuri, S. (1997, January). Risk and insurance in village India: Comment. Econometrica. Journal of the Econometric Society, 65(1), 171-184. doi: 10.2307/2171818
- Sauerborn, R., Adams, A., & Hien, R. (1996). Household strategies to cope with the economic costs of illness. Social Science and Medicine, 43(3), 291-301. doi: 10.1016/0277-9536 (95)00375-4
- Sparrow, R., de Poel, E., Hadiwidjaja, G., Yumna, A., Warda, N., & Suryahadi, A. (2013). Coping with the economic consequences of ill health in Indonesia Health Economics, 23(6), 719-728. doi:10.1002/hec.2945
- Townsend, R. M. (1995, Summer). Consumption insurance: An evaluation of riskbearing systems in low-income economies. Journal of Economic Perspectives, 9(3), 83-102. doi: 10.1257/jep.9.3.83
- United Nations Development Program [UNDP]. (2016). Human development for everyone. Human Development Report. New York: Author.
- Wagstaff, A. (2007). The economic consequences of health shocks: Evidence from Vietnam. Journal of Health Economics, 26(1), 82-100. doi: 10.1016/j.jhealeco. 2006.07.001
- Wagstaff, A., & Lindelow, M. (2005, October). Can insurance increase financial risk? The curious case of health insurance in China. World Bank Policy Research Working Paper, 3741. doi: 10.1596/1813-9450-3741
- Wagstaff, A., & Lindelow, M. (2014, June). Are health shocks different? Evidence from a multi shock survey in Laos. Health Economics, 23(6), 706-718. doi: 10.1002/ hec.2944
- World Bank. (2001). Attacking poverty. World Development Report. New York: Oxford University Press. Retrieved from https://openknowledge.worldbank.org/handle/ 10986/11856
- World Bank. (2017). World Bank Annual Report 2017 (English). Washington, D.C.: Author. Retrieved from http://documents.worldbank.org/curated/en/14302150690 9711004/World-Bank-Annual-Report-2017
- World Health Organization [WHO]. (2016). Data from global health expenditure database, national health accounts indicators. Geneva: Author.
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Bibliografia
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