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Table 4 OLS, IV 2SLS and Control Function Approach Parameter Estimates of impact of Health Insurance on Health Status (Dependent variable = Chronic Illness)

From: The impact of health insurance enrollment on health outcomes in Kenya

 

OLS

Reduced Form Estimates for Health Insurance Status in IV 2SLS

IV 2SLS

Control function approach

Health Insurance status

0.025 (-0.006-0.057)

 

0.114*** (0.031-0.198)

0.093*** (0.030-0.156)

Out of pocket expenditure in KES

0.0001 (-0.00008-0.0004)

0.0004*** (0.0001-0.0006

0.0002 (-0.0001-0.0004)

0.0002 (-0.0000-0.0004)

Proportion with health insurance per cluster

 

0.967*** (0.878-1.047)

  

Age in years

0.004*** (0.002-0.005)

0.001* (-0.0002-0.003)

0.003*** (0.001-0.004)

0.003*** (0.002-0.005)

Age groups [Reference: early and late childhood]

 Adolescence & youth

-0.062*** (-0.120- -0.003)

0.036 (-0.072-0.145)

-0.043 (-0.153-0.067)

-0.055* (-0.116-0.005)

 Adults

-0.064* (-0.135-0.008)

-0.050 (-0.137-0.037)

-0.098** (-0.187- -0.010)

-0.050 (-0.126-0.025)

 Elderly

0.002-0.101-0.106)

-0.012 (-0.072-0.048)

-0.094*** (-0.155- -0.032)

0.044 (-0.066-0.154)

 Male gender

-0.033*** (-0.057- -0.008)

-0.009 (-0.035-0.017)

-0.033** (-0.059- -0.006)

-0.033** (-0.058-0.006)

Marital status [Reference: Married]

 Special single

0.029 (-0.007-0.066)

-0.075*** (-0.113-0.037)

0.0429** (0.004-0.082)

0.042** (0.003-0.080)

 Single

0.032* (-0.002-0.067)

-0.035* (-0.072-0.002)

0.036* (-0.001-0.073)

0.035* (-0.003-0.073)

Religion [Reference: Christian]

 Muslim

0.015-0.037-0.067)

-0.050* (-0.108-0.008)

0.022 (-0.035-0.080)

0.021 (-0.037-0.079)

 Hindu and others

-0. (-0.107-0.063)

-0.086* (-0.179-0.007)

-0.026 (-0.120-0.068)

-0.028 (-0.122-0.066)

 Education [Reference: None] Primary

0.005 (-0.025-0.035)

0.043*** (0.012-0.075)

-0.001 (-0.033-0.030)

-0.001 (-0.033-0.030)

 Secondary and higher

0.011 (-0.025-0.046)

0.103*** (0.065-0.140)

-0.002 (-0.042-0.037)

-0.0007 (-0.040-0.039)

 Media exposure

0.021 (-0.010-0.052)

0.109*** (0.075-0.142)

0.006 (-0.029-0.042)

0.008 (-0.027-0.043)

Main source of energy for cooking [Reference: Wood-based]

 Electricity

-0.041 (-0.186-0.104)

0.026 (-0.143-0.195)

0.030 (-0.142-0.202)

0.033 (-0.138-0.204)

 LPG gas

0.019 (-0.026-0.065)

0.084*** (0.029-0.139)

0.018 (-0.038-0.076)

0.020 (-0.037-0.076)

Drinking water access type [Reference: Piped or bottled water]

 Dug well / spring water

-0.015 (-0.046-0.016)

0.041**0.009-0.073)

-0.016 (-0.048-0.016)

-0.016 (-0.047-0.016)

 Rain and surface water

-0.002 (-0.036-0.031)

0.051*** (0.016-0.086)

-0.006 (-0.040-0.029)

-0.005 (-0.040-0.029)

 Vendors water

-0.060* (-0.124-0.003)

0.019 (-0.047-0.084)

-0.061* (-0.127-0.005)

-0.062* (-0.128-0.004)

 Others

0.131** (0.022-0.240)

0.106**-0.005-0.218)

0.147* (0.033-0.261)

0.148* (0.034-0.261)

 Rural residence

0.024* (-0.002-0.051)

0.079*** (0.050-0.109)

0.019 (-0.009-0.047)

0.019 (-0.009-0.047)

 Household size

0.002 (-0.004-0.008)

0.012*** (0.005-0.018)

0.003 (-0.004-0.009)

0.003 (-0.004-0.009)

Employment status [Reference: Formal]

 Informal

0.0007 (-0.030-0.031)

-0.111*** (-0.143- -0.079)

0.007 (-0.027-0.041)

0.005 (-0.028-0.038)

 Not working

0.028 (-0.008-0.065)

-0.074*** (-0.112- -0.035)

0.022 (-0.018-0.062)

0.021 (-0.019-0.060)

Income quintile [Reference: Poorest]

 Poor-middle

0.041* (-0.006-0.086)

0.006 (-0.041-0.053)

0.044* (-0.003-0.091)

0.044* (-0.003-0.091)

 Middle

0.032 (-0.013-0.078)

0.062*** (0.016-0.108)

0.033 (-0.014-0.081)

0.033 (-0.013-0.081)

 Middle-rich

0.045* (-0.001-0.092)

0.075*** (0.028-0.122)

0.043* (-0.003-0.101)

0.044* (-0.004-0.092)

 Richest

0.048* (-0.002-0.099)

0.128*** (0.076-0.179)

0.052* (-0.002-0.105)

0.053* (-0.002-0.107)

Distance to water source-time in Minutes

 

-0.0001 (-0.0005-0.0002)

  

Distance to nearest tar/asphalt road in Kilometers

 

0.0002 (-0.0003-0.0007)

  

Distance to nearest bus/matatu stage in Kilometers

 

0.0007 (-0.001-0.003)

  

Distance to nearest market in Kilometers

 

-0.00002 (-0.001-0.001)

  

Distance to nearest public primary school in Kilometers

 

-0.002 (-0.009-0.006)

  

Distance to nearest public secondary school in Kilometers

 

0.0006 (-0.001-0.003)

  

Distance to nearest health facility in Kilometers

 

-0.003 (-0.007-0.002)

  

Health insurance status residuals

   

-0.037* (-0.079-0.004)

Health insurance status X its residual

   

0.017 (-0.028-0.062)

Constant

-0.039 (-0.129-0.052)

-0.102 (-0.233-0.029)

0.005 (-0.126-0.137)

-0.039 (-0.135-0.056)

R2 for the regression

0.075

0.323

0.076

0.084

Durbin

  

3.91**

 

Wu-Hausman

  

3.87**

 

Adjusted R2

  

0.315

 

Partial R2 (one to report)

  

0.171

 

Shea’s Partial R2 (>1 endogenous variable)

  

0.171

 

Adjusted partial R2

  

0.157

 

First Stage F-statistic [joint significance of instruments]

  

71.09***

 

Minimum eigenvalue statistic (Cragg & Donald) similar to First stage F in case of one endogenous variable

  

71.09

 

Sargan’s tests statistic

  

4.89

 

Basman tests statistic

  

4.84

 

Health insurance status residuals F-statistic

   

2.92*

Health insurance status X its residual F-statistic

   

0.53

Observations

3,175

2,790

2,790

2,789

  1. 95% confidence interval in parentheses. *** p < 0.01; ** p < 0.05; * p < 0.1