Enrollment in ethiopia's community-based health insurance scheme

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

© 2015 Elsevier Ltd. 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.

Author-supplied keywords

  • Adverse selection
  • Africa
  • Community-based health insurance
  • Social exclusion

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Authors

  • A.D. Mebratie

  • R. Sparrow

  • Z. Yilma

  • G. Alemu

  • A.S. Bedi

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