| 研究課題/領域番号 |
23K24567
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| 補助金の研究課題番号 |
22H03309 (2022-2023)
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| 研究種目 |
基盤研究(B)
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| 配分区分 | 基金 (2024)
補助金 (2022-2023) |
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| 応募区分 | 一般 |
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| 審査区分 |
小区分58010:医療管理学および医療系社会学関連
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| 研究機関 | 一橋大学 |
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研究代表者 |
Rouyard Thomas 一橋大学, 社会科学高等研究院, HIAS客員研究員 (40859542)
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| 研究分担者 |
中村 良太 一橋大学, 社会科学高等研究院, HIAS客員研究員 (00717209)
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| 研究期間 (年度) |
2024-04-01 – 2026-03-31
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| 研究課題ステータス |
交付 (2024年度)
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| 配分額 *注記 |
10,400千円 (直接経費: 8,000千円、間接経費: 2,400千円)
2024年度: 3,510千円 (直接経費: 2,700千円、間接経費: 810千円)
2023年度: 2,990千円 (直接経費: 2,300千円、間接経費: 690千円)
2022年度: 3,900千円 (直接経費: 3,000千円、間接経費: 900千円)
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| キーワード | UHC / Access to care / LMIC / West Africa / Healthcare coverage / Financial protection / Universal healthcare / Universal coverage |
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| 研究開始時の研究の概要 |
In addition to providing up-to-date estimates of the incidence of catastrophic health expenditures in 8 West African countries where data are currently lacking, this research will explore the potential impacts of reforming public health insurance systems on the economic welfare of target populations by means of simulation studies.
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| 研究実績の概要 |
Since the start of the second phase of the project, we have continued preparations for the simulation analysis that aims to project changes in the proportion of households facing catastrophic health expenditures (CHE) and impoverishing health expenditures (IHE) under different insurance coverage scenarios across WAEMU（West African Economic and Monetary Union）countries. We have developed the methodological framework for these simulations, including defining the key scenarios to be analyzed and specifying additional parameters such as insurance premium fees and health benefits packages. These preparations lay the groundwork for conducting robust policy simulations once the panel dataset is fully ready.
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| 現在までの達成度 |
現在までの達成度
3: やや遅れている
理由
Progress on the projection analysis has been delayed due to technical issues identified during dataset preparation. Specifically, coding errors and inconsistencies in household matching between the first and second waves of the WAEMU household survey compromised the panel structure required for this phase of the project. These matching problems prevented us from proceeding with the simulation work as originally planned. Over the past months, we have worked closely with our collaborators at WAEMU, including the country teams responsible for data collection, to systematically address these issues. As of April 2025, the matching problems are nearly resolved, which will enable us to move forward once the first manuscript -focused on the determinants and persistence of IHE - is completed.
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| 今後の研究の推進方策 |
Following the completion of the first manuscript, we will proceed with the projection analysis outlined for the second phase. Using the finalized panel dataset, we will simulate changes in CHE and IHE rates under various insurance coverage scenarios for each country and for the WAEMU region as a whole. Assuming the remaining technical work proceeds smoothly, we expect to complete this second phase of analysis during FY2025 and submit a second manuscript for publication. This second output will provide critical evidence to guide the design and expansion of health insurance mechanisms to improve financial protection in WAEMU countries.
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