ArticleClinicoEconomics and outcomes research : CEOR2021
Barriers and Facilitators of Community-Based Health Insurance Membership in Rural Amhara Region, Northwest Ethiopia: A Qualitative Study.
Article in ClinicoEconomics and outcomes research : CEOR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed.
- 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
- Multilevel Analysis of Women's Perceptions of Community-Based Health Insurance on Healthcare Access in Sidama Region, Ethiopia: A Community-Based Cross-Sectional Study.Health science reports · 2026Article
- Drivers of community-based health insurance enrolment in post-war Tigray, Ethiopia.BMJ global health · 2026Article
- Reputation and trust in health insurance: A scoping review of key drivers and outcomes.PloS one · 2026Article
- Socioeconomic impacts of community-based health insurance: evidence from Gondar Zuria District, Amhara Regional State, Ethiopia.Health research policy and systems · 2025Article
- Trust in the integrity of a micro health insurance scheme and its determinants in two rural districts of Ethiopia.BMC health services research · 2025Article
- Determinants of enrolment for community-based health insurance in Somali region of Ethiopia.Journal of public health in Africa · 2025Article
- Determinants of the decision to enroll in community-based health insurance among households in the West Guji Zone, Oromia State, southern Ethiopia, in 2022.Frontiers in health services · 2025Article
- Factors associated with client satisfaction and implementation challenges for community-based health insurance in Ethiopia: beneficiaries' perspectives.Frontiers in public health · 2025Article
- Barriers and enablers of community-based health insurance enrollment in the Sidama national regional state, Southern Ethiopia, 2024: A qualitative study.PLOS global public health · 2025Article
- Dropout rate from a community-based health insurance scheme and associated factors in the Hagere Mariam district: a mixed method study.Frontiers in public health · 2025Article
- Value for solidarity: a proxy for community understanding and acceptance of the basic principles of community-based health insurance in rural Ethiopia.Health economics review · 2024Article
- Making health insurance responsive to citizens: the management of members' complaints by mutual health organisations in Kinshasa, Democratic Republic of Congo.BMJ global health · 2023Article
- Community-Based Health Insurance Utilization and Its Determinants among Informal Workers: Cross-Sectional Study.Ethiopian journal of health sciences · 2023Article
- Contributions and challenges of healthcare financing towards universal health coverage in Ethiopia: a narrative evidence synthesis.BMC health services research · 2022Review
- Community-Based Health Insurance Membership Renewal Rate and Associated Factors among Households in Gedeo Zone, Southern Ethiopia.Journal of environmental and public health · 2022Article
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2 authors.
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Abstract
backgroundMore than 150 million people encounter huge cost of health expenses every year, and most of these treatment seekers face poverty owing to out-of-pocket payments. Community-based health insurance (CBHI) won popularity as a makeshift health financing mechanism for out-of-pocket payments in poor communities. The aim of this study was therefore to explore the facilitators and impediments of enrollment to community-based health insurance in rural parts of the Amhara region, Ethiopia.
methodsFocus Group Discussion (FGD) was the main data collection instrument supplemented by key informant interview (KII). The FGD participants were selected using a purposive sampling technique. The participants were therefore selected based on their membership status of CBHI (members or non-members). Six FGDs and four KIIs were conducted in November 2019 in three districts. Before analyzing the data, all FGDs and KIIs were transcribed and transferred into ATLAS.ti version 7.1 software. An inductive thematic analysis approach was done, that is, on the basis of major themes emerged from the data.
resultsLow level of awareness, perception of high amount of premium, poor perception of quality of services and lack of trust are the barriers to join community-based health insurance.
conclusionThere has been low level of awareness and misconception about community-based health insurance. The major reason to decline to join CBHI was low capacity to pay the premium.
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