ArticleInternational journal of public health2019
Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data.
Article in International journal of public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of community-based health insurance in low- and middle-income countries: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Does community-based health insurance protect women from financial catastrophe after cesarean section? A prospective study from a rural hospital in Rwanda.BMC health services research · 2022Trial
- Challenges and enablers in accessing paediatric inguinal hernia surgical care in Sierra Leone: a qualitative exploratory study.BMJ open · 2026Article
- Barriers to health insurance uptake in Rwanda: a nationwide cross-sectional survey.The Pan African medical journal · 2025Article
- Digital financial services for health in support of universal health coverage: qualitative programmatic case studies from Kenya and Rwanda.BMC health services research · 2023Article
- The Effect of Ecological Management on Regional Health Inequality.International journal of environmental research and public health · 2023Article
- Causal relationship between health insurance and overall health status of children: Insights from Pakistan.Frontiers in public health · 2022Article
- The Impact of Foreign Trade on Health Inequality in China: Evidence From China Family Panel Studies (CFPS).International journal of public health · 2022Article
- Social Pension Scheme and Health Inequality: Evidence From China's New Rural Social Pension Scheme.Frontiers in public health · 2021Article
- Explaining Socioeconomic Inequality Differences in Catastrophic Health Expenditure Between Urban and Rural Areas of Iran After Health Transformation Plan Implementation.ClinicoEconomics and outcomes research : CEOR · 2020Article
- Assessing national and subnational inequalities in medical care utilization and financial risk protection in Rwanda.International journal for equity in health · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo investigate the inequality in medical care utilization and household catastrophic health spending (HCHS) between the poverty and non-poverty residents in rural Rwanda and their links with community-based health insurance (Mutuelles).
methodsWe used the 2005 and 2010 nationally representative Integrated Living Conditions Surveys. We estimated multilevel logistic regression models to obtain the adjusted levels and trends of both absolute and relative inequalities and examined associations between Mutuelles status and these inequalities.
resultsSignificant inequality between the two income groups, in both absolute and relative measures of medical care utilization and HCHS remained unchanged in 2005 and 2010. Significant reduction in adjusted absolute inequality in percentage of HCHS between the two years was not associated with Mutuelles status.
conclusionsWhile Mutuelles promoted medical care utilization and reduced HCHS, it did not play a significant role in reducing their inequalities by poverty status between 2005 and 2010. Future studies should assess the impact of additional strategies (e.g., the exemption of Mutuelles premiums and copayments for households living in poverty), on reducing inequality by poverty status.
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Registered trials
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