Evidence from the Productive Safety Net Program in Ethiopia: Complementarities between social protection and health policies

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dc.creatorHirvonen, Kalle
dc.creatorBossuyt, Anne
dc.creatorPigois, Remy
dc.date2021-06-17
dc.date2024-05-22T12:10:33Z
dc.date2024-05-22T12:10:33Z
dc.date.accessioned2026-06-27T15:22:42Z
dc.descriptionSocial protection policies typically involve multiple sectors, ranging from food security to health care. Despite this, limited research is directed toward understanding how different social protection programmes complement each other.We explore complementarities between three major national social protection programmes in rural Ethiopia: the Productive Safety Net Programme (PSNP), the Community Based Health Insurance (CBHI) scheme and the Health Fee Waiver (HFW) system.We use secondary data from districts in which the PSNP operates to study the coverage of the CBHI and the HFW schemes. We then quantify the prevalence of health shocks reported by poor households and calculate the annual out‐of‐pocket (OOP) health care expenses incurred by poor households in these districts.We find limited overlap between the PSNP and the CBHI or HFW schemes. In districts in which the CBHI operates, about 22% of the PSNP households are enrolled into CBHI. For 10% of all PSNP households, the CBHI insurance premium was waived due to their poverty status. In non‐CBHI districts, 3.5% of PSNP households report having benefitted from HFW. Moreover, many households report serious health shocks that resulted in loss of consumption or assets. The estimated OOP health expenditures are high, even among those households enrolled into CBHI or benefitting from HFW.Taken together, these findings suggest that there is scope to improve the linkages between these three major social protection programmes in Ethiopia to protect the poorest and most vulnerable households.
dc.identifierhttps://hdl.handle.net/10568/142470
dc.identifier.urihttp://hdl.handle.net/123456789/102578
dc.languageen
dc.publisherWiley
dc.rightsLimited Access
dc.sourceHirvonen, Kalle; Bossuyt, Anne; and Pigois, Remy. 2021. Evidence from the Productive Safety Net Program in Ethiopia: Complementarities between social protection and health policies. Development Review 39(4): 532-547. https://doi.org/10.1111/dpr.12516
dc.subjectinsurance
dc.subjecthealth insurance
dc.subjectpolicies
dc.subjecthealth
dc.subjecthouseholds
dc.subjectsocial protection
dc.subjecthealth policies
dc.subjecthealthcare
dc.subjectpoverty
dc.subjecthealth care
dc.subjectcommunities
dc.titleEvidence from the Productive Safety Net Program in Ethiopia: Complementarities between social protection and health policies
dc.typeJournal Article

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)