Type | Book Section - Health insurance and access to health services, health services use and health status in Peru |
Title | The Impact of Health Insurance in Low and Middle Income Countries |
Author(s) | |
Publication (Day/Month/Year) | 2011 |
Page numbers | 106-121 |
Publisher | The Brookings Institution |
City | Washington, DC |
Country/State | USA |
URL | http://www.brookings.edu/~/media/press/books/2011/theimpactofhealthinsuranceonlowandmiddleincomecountries/theimpactofhealthinsurance_fulltext.pdf#page=121 |
Abstract | This chapter examines how Peru’s eight-year-old Integral Health Insur- ance (Seguro Integral de Salud, or SIS) has affected access to health ser- vices and out-of-pocket spending by its beneficiaries. We use data from the Demographic and Health Survey (DHS), which contains two cross- sectional samples, one for 2000 and another for 2004–07, with a sample spread over five years. We also use data from the National Household Survey (ENAHO), a panel collected over 2002–06. Classified by the World Bank as a lower middle-income country in 2008, Peru had per capita gross national income of US$7,950 annually in purchasing power parity terms. Life expectancy at birth is 73 years, under-five mortality is 24 per 1,000 in 2008, and 99% of children receive the full course of three doses for their DPT vaccinations by their 23rd month. Total health spending is about 4.3% of gross domestic product (GDP), about 58% of it public and 42% private. Nearly 75% of private spending is out of pocket (World Bank 2010). |