G.R. Chintala, NABARD, Bangladesh, Partnerships that Build Bridges to New Fro...
Shameran Abed Integrating Health and Microfinance
1. Taking health to the people:
comprehensive poverty reduction
Shameran Abed
BRAC
November 14, 2011
www.brac.net
2. BRAC in 30 seconds
• Founded in: Bangladesh, 1972
• Program coverage: 136 million worldwide
(110m in Bangladesh)
• Working in: 10 countries
• Bangladesh budget (2010): US$ 495
million
• Self generated: 71%
• Health budget as %: <10
www.brac.net
12. Why Health Insurance?
• Expenditure on health as % of GDP - 3.4
• Government expenditure as % of total exp. on
health - 31
• Out-of-pocket spending as % of total exp. on
health - 58.9
• Out-of-pocket spending as % of private
expenditure on health - 86
Source: WHO 2007 and ILO 2007
www.brac.net
13. In the Absence of
Health Insurance
There are significant health costs:
- Not seeking healthcare when needed
- Seeking care very late (often when it is too late)
- Poor quality of care
And financial costs:
- The financial shock of health expenditure could push
people below the poverty line
- Nearly one-third of defaulters for microfinance cite health
shocks as primary reasons for defaulting on their loans
www.brac.net
14. Challenges
•Is it possible to provide value for money
and still make it viable?
• Supply side weaknesses
• Poor renewal rate
• Adverse selection/moral hazard
www.brac.net
15. Opportunities
•Leverage extensive distribution network of
MFIs to offer health insurance at low-cost
•Provide an additional suite of products to
borrowers which will likely lead to lower
default rates and better retention
•Potential for integrating technology to
reduce costs of delivery
www.brac.net