ArticleInternational health2020
The effect of a community-based health insurance on the out-of-pocket payments for utilizing medically trained providers in Bangladesh.
Article in International health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
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Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Impact of community-based health insurance in low- and middle-income countries: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Initiatives Addressing Precarious Employment and Its Effects on Workers' Health and Well-Being: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Informing policy through evidence: A scoping review of factors that influence enrolment in community-based health insurance in East Africa.Global health research and policy · 2026Article
- Catastrophic health expenditures and medical impoverishment in Bangladesh: evidence from the Household Income and Expenditure Survey.BMJ open · 2026Article
- Implementation Effect of a Pilot Urban Primary Health Care Model on the Usage of Health Care From Medically Trained Providers for Chronic Diseases Among Slum Populations in Bangladesh: Findings From an Implementation Research Study.JMIR public health and surveillance · 2026Article
- Influence of a pilot urban primary healthcare model on the use of medically trained healthcare providers among the low-income slum populations in Bangladesh: findings from an implementation research study.International journal for equity in health · 2025Article
- Disease-specific distress healthcare financing and catastrophic out-of-pocket expenditure for hospitalization care in Bangladesh.Cost effectiveness and resource allocation : C/E · 2025Article
- The impact of periodic updates to health benefits plan: access gains without cost savings?International journal of health economics and management · 2025Article
- Effect of a public health protection scheme for the below-poverty-line population on out-of-pocket inpatient care expenditure in Bangladesh: findings from a quasi-experimental study.BMC health services research · 2025Article
- Factors affecting out-of-pocket expenditures for chronic and acute illnesses in Bangladesh.PloS one · 2025Article
- The effectiveness of a government-sponsored health protection scheme in reducing financial risks for the below-poverty-line population in Bangladesh.Health policy and planning · 2024Article
- Impact of community-based health insurance on health services utilisation among vulnerable households in Amhara region, Ethiopia.BMC health services research · 2023Article
- Article
- Implementation barriers and remedial strategies for community-based health insurance in Bangladesh: insights from national stakeholders.BMC health services research · 2022Article
- Prevalence of, and risk factors for, diabetes and prediabetes in Bangladesh: Evidence from the national survey using a multilevel Poisson regression model with a robust variance.PLOS global public health · 2022Article
- Strategies for reducing out of pocket payments in the health system: a scoping review.Cost effectiveness and resource allocation : C/E · 2021Article
- Article
- Article
- Direct costs of illness of patients with chronic cough in rural Malawi-Experiences from Dowa and Ntchisi districts.PloS one · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe aimed to estimate the effect of the community-based health insurance (CBHI) scheme on the magnitude of out-of-pocket (OOP) payments for the healthcare of the informal workers and their dependents. The CBHI scheme was piloted through a cooperative of informal workers, which covered seven unions in Chandpur Sadar Upazila, Bangladesh.
methodsA quasi-experimental study was conducted using a case-comparison design. In total 1292 (646 insured and 646 uninsured) households were surveyed. Propensity score matching was done to minimize the observed baseline differences in the characteristics between the insured and uninsured groups. A two-part regression model was applied using both the probability of OOP spending and magnitude of such spending for healthcare in assessing the association with enrolment status in the CBHI scheme while controlling for other covariates.
resultsThe OOP payment was 6.4% (p < 0.001) lower for medically trained provider (MTP) utilization among the insured compared with the uninsured. However, no significant difference was found in the OOP payments for healthcare utilization from all kind of providers, including the non-trained ones.
conclusionsThe CBHI scheme could reduce OOP payments while providing better quality healthcare through the increased use of MTPs, which consequently could push the country towards universal health coverage.
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