Follow the Leader: Community-based Health Insurance in West Africa

Rute M. Caeiro


Alexander Coutts

Nova School of Business and Economics e NOVAFRICA

Teresa Molina-Millán

University of Alicante, IZA e NOVAFRICA

Pedro C. Vicente

Nova School of Business and Economics, BREAD e NOVAFRICA

ISSN 2183-0843
Working Paper No 2206
Novembro 2022


In this study, we analyze the role of social networks in health insurance adoption in rural Guinea-Bissau. Using detailed social network data, and exploiting the mobilization of local female leaders to promote the insurance scheme, we find that, following the promoters’ intervention, households’ probability of take-up increased by 22 percentage points. Looking at effects along social networks, we find that households well connected to insurance promoters are more likely to adopt if promoters adopt as well. Lastly, our results show that distribution of insurance promotional material by the promoters has a positive effect in households’ adoption and payment of health insurance.

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