Enrollment in Ethiopia’s Community-Based Health Insurance Scheme

Anagaw D. Mebratie, Robert Sparrow (), Zelalem Yilma, Getnet Alemu and Arjun Bedi

World Development, 2015, vol. 74, issue C, 58-76

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.

Keywords: Community-Based Health Insurance; adverse selection; social exclusion; Africa (search for similar items in EconPapers)
Date: 2015
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Citations: View citations in EconPapers (14)

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Working Paper: Enrolment in Ethiopia’s Community Based Health Insurance Scheme (2013)
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Persistent link: https://EconPapers.repec.org/RePEc:eee:wdevel:v:74:y:2015:i:c:p:58-76

DOI: 10.1016/j.worlddev.2015.04.011

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