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Assessment of community-based health insurance systems in Ethiopia


Status

Completed

Project duration

January 2020  September 2020

Funding source

Bill & Melinda Gates Foundation

Client

Ethiopian Health Insurance Agency

Mechanism

Grant

Category of project

Research


Brief description

This project had two main studies. The first study was conducted with the main objective of assessing the impact of CBHI on health service utilization, out-of-pocket payments, financial risk protection, and related outcomes among member households.

Study
 1:  specifically, assessed the effect of CBHI on:

* The
 utilization of health services
* Equity
 in health service utilization
* Catastrophic
 and impoverishing health expenditures among households
* Women’s
 empowerment in accessing health services
* Health
 service delivery among health facilities providing services to CBHI members


The second study under this project was conducted to estimate the willingness and ability to pay for
 CBHI membership among households in Ethiopia’s the informal sector.

Study 2: 
assessing WTP and ATP for CBHI membership among households in the informal sector and assessing factors associated with WTP for CBHI membership among households in the informal sector.

This project was conducted all over the country, in urban, agrarian, and pastoralist settings. In these two studies, 166 randomly selected enumeration areas were reached to get a total of 5,810 households and 101 health centers. Both qualitative and quantitative data were collected, which mainly focused on household consumption, market surveys, health service seeking and utilization, unmet healthcare needs, ability and willingness to pay via bidding games, disease occurrence, and issues related to equity. Moreover, the studies assessed the impact of CBHI in health service delivery with regards to the availability of basic resources and the status of service uptake. In this assessment, multiple categories of local and international professionals (eg., economists, evaluators, public health specialists, epidemiologists, statisticians, health system management experts, gender specialists, etc) were involved.



Outputs

REPORT 1: The Impact 
of Community-Based Health Insurance on Health Service Utilization, Out-of-Pocket Health Expenditures, and Related Outcomes in Ethiopia

REPORT
 2: Willingness and Ability to Pay for Community-Based Health Insurance Schemes in Ethiopia

Policy
 Briefs: 2 briefs covering important topics;

Posters:
 #5;

Project Details

  • Start Date 2020-09-16
  • End Date 2021-09-16
  • Clients Ethiopian Health Insurance Agency (EHIA)
  • Categories Research