@article{fdi:010085302, title = {{R}eassessing the demand for community-based health insurance in rural {S}enegal : geographic distance and awareness}, author = {{B}ousmah, {M}arwan-al-{Q}ays and {B}oyer, {S}. and {L}alou, {R}ichard and {V}entelou, {B}.}, editor = {}, language = {{ENG}}, abstract = {{L}imited access to information is one of the main health insurance market imperfections in developing countries. {D}ifferential access to information may determine individuals' awareness of health insurance schemes, thereby influencing their probability of enrollment. {R}elying on primary data collected in 2019-2020 in rural {S}enegal, we estimate the uptake of community-based health insurance using a {H}eckman-type model to correct for awareness-based sample selection bias. {B}esides showing that health insurance awareness is a precondition for effective enrollment in community-based health insurance schemes, we also bring new evidence on the roles which geographic factors and individual risk preference play in health insurance uptake by rural dwellers. {W}e show that geographic distance prevents individuals from accessing information on health insurance schemes, and discourage those who are informed from enrolling, because of the additional distance they must travel to benefit from covered healthcare services. {R}esults also show that individual risk preference influences health insurance uptake, but only when information barriers are taken into account. {O}verall, our results could help decision-makers better shape the universal health coverage madmap, as policies to improve health insurance awareness differ substantially from policies to improve the features of health insurance schemes.}, keywords = {{H}ealth insurance ; {A}wareness ; {G}eographic distance ; {R}isk preference ; {S}election bias ; {S}enegal ; {S}ub-{S}aharan {A}frica ; {AFRIQUE} {SUBSAHARIENNE} ; {SENEGAL}}, booktitle = {}, journal = {{SSM}-{P}opulation {H}ealth}, volume = {16}, numero = {}, pages = {100974 [5 ]}, ISSN = {2352-8273}, year = {2021}, DOI = {10.1016/j.ssmph.2021.100974}, URL = {https://www.documentation.ird.fr/hor/fdi:010085302}, }