Enrollment in Ethiopia's Community-Based Health Insurance Scheme

  • Mebratie A
  • Sparrow R
  • Yilma Z
 et al. 
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Abstract

In June 2011, the Ethiopian government launched a Community-Based Health Insurance scheme. By December 2012, enrollment reached 45.5%. This paper examines uptake. Socioeconomic status does not inhibit uptake and food-insecure households are more likely to enroll. Chronic diseases and self-assessed health status do not induce enrollment, while past expenditure does. A relative novelty is the identification of quality of care. Both the availability of equipment and waiting time to see medical professionals substantially influences enrollment. Focus-groups raise concerns about providers favoring uninsured households. Nevertheless, almost all insured households want to renew and majority of uninsured want to enroll. (C) 2015 Elsevier Ltd. All rights reserved.

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Authors

  • A D Mebratie

  • R Sparrow

  • Z Yilma

  • G Alemu

  • A S Bedi

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