Social capital and health micro-insurance uptake by the informal sector workers in Kenya
Keywords:
health micro-insurance uptake, informal sector workers, mobile telephone technology, social capitalAbstract
This paper focuses on social capital as a determinant of health micro insurance uptake by informal
sector workers in eight regions (Lake, North Rift, Central, Pwani, South Eastern, Frontier counties,
Narok-Kajiado and Nairobi) in Kenya. Further moderating effects of mobile telephone technology was
explored to find out its influence on the health micro insurance uptake. The study target population
comprised 7,399,347 micro and small enterprises while sample size of 1,387 was selected out of the
population using stratified sampling technique. Social capital was found positive and significant (pvalue<
0.05) in relation to health micro insurance uptake. The mobile telephone technology was found positive
and significant (p-value< 0.05) in seven regions while Nairobi region, it was found to be
negative and insignificant (p- value=0.123). The study found that social capital is an important factor
to consider when selling micro insurance products.
References
Ajemunigbohun, S. Suleiman, Q. & Ayodele, S. (2015). An exploratory study of the awareness and
accessibility of micro-insurance products in selected insurance,
https://www.researchgate.net/publication/333404811
Aregu, A. & Worku, A. (2018). Determinants of micro-insurance demand in Jimma zone. International
Research Journal of Business Studies, 11(3), 145-157.
Bastalaer, T. (1999). Does social capital facilitate die poor’s access to credit? A review of die
microeconomic literature, social capital initiative. Working Paper 8. World Bank, Social
Development Department, Washington D.C.
Berry, S. (1993). No condition is permanent: The social dynamics of Agrarian change in Sub-Sahara
Africa. Madison, Wis: University of Wisconsin Press.
Boone, L. & Kurtz, D. (1998). Contemporary Marketing-Wired. Dryden Press
Bourdieu, P. (1986). The forms of capital, In J. Richardson (ed.), Handbook of Theory and Research
for Sociology of Education (New York, Greenwood), pp. 241-258.
Chege, A., Mwenja, D., Kiambati, K. & Mbugua, L. (2020). Budget Execution and service delivery of
public county health facility. J Indus Policy Technol Manage 2 (91)
Coleman (1988). Social Capital in the creation of human capital. The American Journal of Sociology,
(94)-95-120.
David, P. & Greenstain, S. (1990). Economic of innovation and new technology. APA, 1(1-2), 2-41.
David, P. (1985). Clio and the economics of QWERTY. American Economic Review, American
Economic Association, 75(2), 332-337.
Dearing, J. & Cox, J. (2018). Diffusion of innovations theory, principles, and practice. Health Affairs,
(2), 183-190. doi: 10.1377/hlthaff.2017.1104.
Dercon, S. Gunning, J., Zeitlin, A., Cerrone, C. & Lombardin, S. (2012). The impact of health insurance
programme, evidence from a randomized controlled trial in Kenya. ILO Microinsurance
Innovation Facility Research Paper No. 10.
Dror, D. & Firth, L. (2014). The demand for (micro) health insurance in the informal sector. The
International Association for Study of Insurance Economics, 1018-5895/14
Dror, D. (2018). Financing micro health insurance: Theory, method and evidence. Health Management
Journal, (18), 3.
Dror, D., Chakroborty, A. & Koren, R. (2016). Impact of community-based health insurance in rural
India on self-medication and financial protection of the insured. India Journal of Medical
Research 143 (6), 809-820.
Duru, M. (2012). New Challenges for Industrial Policy in Nigeria, Universal Journal of Management
and Social Science.
Elabed, G. & Carter, M. (2015). Compound-risk aversion, ambiguity and willingness to pay for microinsurance.
Journal
of
Economic
Behavior
&
Organization,
, 150-166
Etrata, A. & Montemayor, C. (2019). Determinants of micro-insurance uptake as a social protection
tool of the marginalized: A conceptual framework. International Journal of Modern Trends
in Business Research (IJMTBR), 2(7), 1-16.
Fadlallah, R., El-Jedili, F., Hemad, N., Morsi, R., Samara, C., Ahamed, A., Arif, K., Hishi, L., Haidar,
G. & Akl, E. (2018). Barriers and Facilitator of Implimentation, Uptake and Sustanability of
Community Based Health Schemes in Low- and Middle-Income Countries, A systematic
Review. Int J Equity Health, 17(1), 13, doi: 10.1186/s12939-018-0721-4.
Field, J. (2017). Social capital. New York, NY: Routledge
Fitzpatrick, A., Magnoni, B., & Thornton, R. (2011), Micro-insurance utilization in utilization in
Nicaragua, A report on effects on children, retention and health. In ILO Micro-Insurance
Innovation Facility Research paper.
Fukuyama, F. (1995). Trust: The social virtues and die creation of prosperity. New York: Free Press.
Fusheini, A., Marnoch, G. & Gray, A. (2017). Stakeholders perspectives on the success drivers in
ghana’s national health insurance schemes, identifying policy translation issues. Int J Health
Policy Manag 1, 6(5), 273-283. doi: 10.15171/ijhpm.2016.133.
Gikonyo, T. (2014). The effect of mobile technology on the growth of microinsurance in Kenya.
(Unpublished Thesis), University of Nairobi.
Gitahi, J. (2017). Innovative Healthcare financing and equity through community-based health
insurance schemes (CBHIS) in Kenya.
http://erepo.usiu.ac.ke/bitstream/handle/11732/3654/
Gregersen, K. (2013). Assessing the glue that holds society together: social cohesion arguments in
liberal democracy. Semantic Scholar
ILO, 2012. Strategies towards universal access to health care. International Labour Organization.
Iqbal, M., Chowdhury, Sheila, S., Nahid, M., Mia, A., Hanifi, M. & Bhuiva, A. (2017). Socioeconomic
and programmatic determinants of renewal of membership in a voluntary micro health
insurance scheme: Evidence from Chakaria, Bangladesh. Glob Health Action, 10(1),
doi: 10.1080/16549716.2017.1287398.
Karyani, A., Sari, A.&Woldemichael, A. (2019). Eliciting Preferences for Health Insurance in Iran
Using Discrete Choice Experiment Analysis, International Journal of Health Policy and
Management, 8(8), 488-497.
Levesque, J., Harris, M. & Russell, G. (2013). Patient-centred access to health Care: Conceptualizing
access at the interface of Health Systems and Populations, International Journal for Equity in
Health, 12 (18). http://www.equityhealthj.com/content/12/1/18
Macharia, G. B. (2017). Factors influencing uptake of social health insurance in Kenya: A case of Nyeri
County. International Journal of Current Business and Social Sciences, 1 (6), 117-194.
Matul, M., Dalal, A., De Book, O. & Gelade, W. (2013). Why people do not buy microinsurance and
what we can do about it. Microinsurance. paper no. 20.
Microinsurance Network (2015). The state of microinsurance, the insider’s guide to understanding the
sector. Microinsurance Network
Mohammed, J., North, N. & Ashton, T. (2016). Decentralization of health services in fiji: A decision
space analysis. International Journal of Health Policy and Management, 5(3), 173-181. doi:
15171/ijhpm.2015.199
Mohan, R. & Noor, W. (2015). Can technology push micro-insurance further? 4 reasons to say yes.
CGAP.
Morsink, K. & Geurts, P. (2012). The trusted neighbour effect: Local experience and demand for microinsurance.
Mugenda, M. & Mugenda, A. (2003). Research methods: Quantitative and qualitative approaches.
ACT, Nairobi, Kenya.
Mutegi, F. (2018). Role of innovation strategy on insurance penetration in Kenya. (Unpublished
Thesis), JKUAT. http://hdl.handle.net/123456789/3764
Mwatima, S. (2018). Contribution of railway transport in boosting rural economic development in
tanzania: A Case of Tanzania railway limited. (Unpublished Thesis), The open University of
Tanzania.
Mwenja, D. (2006). Fonder centrality and top management team social network effects on top
management behavioral integration and firm performance in family businesses.
Ndirangu, L.& Nyamogo, E. (2015). Financial innovations and their implication for monetary policy in
Kenya.
Ndurukia, Z., Njeru, A.W. & Waiganjo, E. (2017). The determinants of demand for micro insurance
services in Kenya American Journal of Finance, 2(6 No.3,), 79 – 107.
Nyman, J. (2006). Evaluating health insurance: A Review of the theoretical foundation. The
International Association for the Study of Insurance Economics 1018-5895/06
www.palgrave-Journal.com/gpp
Ogaden, J., Morrison, K. & Hardee, K. (2013). Social capital to strengthen health policy and health
systems. Health Policy and Planning, 29, 1075–1085 doi:10.1093/heapol/czt087
Oloasebikan, O. & Adams, M. (2014). Prospects for micro-insurance in promoting micro credit in
Sub-Sahara Africa. Qualitative Research in Financial Markets, 6(3), 232-257
Panda, P., Chakraborty, A., Dror, D. & Bedi, A. (2013). Enrolment in community-based health
insurance schemes in rural Bihar and Uttar Pradesh, India. Health Policy and Planning,
http://doi.org/10.1093/healpol/Czt077
Penda, P., Dror, I., Koehlmoos, T., Hossain, S., John, D., Khan, J. & Dror, D. (2015). What factors
affect uptake of voluntary and community-based health insurance schemes in low and middleincome
countries? A Systematic Review and Meta Analysis. PloS one, 11(8), e0160479.
https://doi.org/10.1371/journal.pone.0160479.
Platteau, J. & Otiveros, D. (2013). Understanding and information failure in insurance: evidence from
India. Development Research Working Paper Series 7, Institute for Advanced Development
Studies.
Putman, R. (2000). Making democracy work: Civic traditions in modern Italy.Princeton University
press.
Radermacher, R. & Dror, D. (2006). Handbook of micro health insurance in Africa.
Ream, A. (2010). Relationship and the importance of reciprocity.
https://www.goodtherapy.org/blog/relationship-reciprocity.
Rogers, E (2003). Diffusion of Innovation Theory, 5
th
Edition, New York Free Press
Rogers, E. (1962). Diffusion of Innovation Theory, 5
th
Edition, New York Free Press
Runuka, S. &. Susan, T. (2016). The real Cost of Credit Constraints: Evidence from Micro-
finance.
Singer, L. (2016). Diffusion of innovation theory.
http://sphweb.bumc.bu.edu/otlt/MPHModules/SB/BehavioralChangeTheories/Behavioral
ChangeTheories4.htmlon January 9, 2020
Smith, K. (2016). Sharing economy: Blue marble seeks profitability through cost sharing
(microinsurance). Best Review, 116(9), 20-22.
WHO, (2014). (World Health Organization). Child health development, information education and
communication, available at, www.emro.who.int.
WHO, (2017). Health is a fundamental human right. Human Rights Day 2017. World Health
Organization.
Woolcock, M. (1989). Social Capital and Economic Development: Towards a Theoretical Synthesis
and Policy Framework.Woolcock, M.&Narayan, D. (2000). Social capital: implication for
development theory, research, and policy. The World Bank Research Observer, 15(2)
World Bank (2014). The big business of small enterprises: Evaluation of WB experience with target
market support to small and medium size enterprises. World Bank
Wrede, S., Benoit, C. & Einarsdattir, T. (2008). Equity and dignity in maternity care provision in
Canada, Finland and Iceland. Canadian Journal of Public Health = Revue Canadienne de
Santé Publique, 99(Suppl 2), 16–21. https://doi.org/10.1007/BF03403799
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