From Protection to Reduction? The Impact of the Public Health Insurance Scheme on Child Labour in Ghana

Type Working Paper - Discussion Paper / Deutsches Institut für Entwicklungspolitik
Title From Protection to Reduction? The Impact of the Public Health Insurance Scheme on Child Labour in Ghana
Author(s)
Issue 16/2016
Publication (Day/Month/Year) 2016
URL https://www.die-gdi.de/uploads/media/DP_16.2016.pdf
Abstract
Using the fourth and fifth wave of the Ghanaian Living Standard Household Survey, I
empirically investigate whether the implementation of the National Health Insurance
Scheme affects child labour in Ghana. My findings suggest that the implementation of the
insurance scheme leads to a decrease in out-of-pocket payments for health purposes,
which is linked to a substantial reduction in the incidence of child labour. Furthermore, I
find that the overall reduction in child labour is strongest in rural areas and the agricultural
sector. I conclude that the provision of public health insurance improves the financial
protection of households, which removes the necessity for households to send their
children to work. Thus, health insurance schemes seem to be an effective social protection
instrument to fight child labour.

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