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The impact of community-based health insurance on health service utilization and financial risk protection in Ethiopia by Alemayehu, Yibeltal Kiflie (author);Dessie, Ermias (author);Medhin, Girmay (author);Birhanu, Negalign (author);Hotchkiss, David R. (author);Teklu, Alula Meressa (author);Kiros, Mizan (author) is a scholarly article available to read on EtoBox.
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## Abstract Background: Evidence on the effectiveness of community-based health insurance (CBHI) in low-income countries is inconclusive. This study assessed the impact of CBHI on health service utilization and financial risk protection in Ethiopia. Methods: We conducted a comparative cross-sectional study nested within a larger national household survey in 2020. Data was collected from three groups of households - CBHI member households (n = 1586), non-member households from CBHI implementing woredas (n = 1863), and non-member households from non-CBHI implementing woredas (n = 789). Indicators of health service utilization, out-of-pocket health spending, catastrophic health expenditure, and impoverishment due to health spending among CBHI members were compared with non-members from CBHI implementing woredas and households from non-CBHI implementing woredas. Propensity score matching (PSM) was used to account for possible selection bias.Results: The annual number of OPD visits per capita among CBHI member households was 2.09, compared to 1.53 among non-member households from CBHI woredas and 1.75 among households from non-CBHI woredas. PSM estimates indicated that CBHI members had
- Author
- Alemayehu, Yibeltal Kiflie (author);Dessie, Ermias (author);Medhin, Girmay (author);Birhanu, Negalign (author);Hotchkiss, David R. (author);Teklu, Alula Meressa (author);Kiros, Mizan (author)
- Publisher
- Research Square Platform LLC
- Published
- 2022
- Language
- EN