ReviewHealth economics review2022
Pooled coverage of community based health insurance scheme enrolment in Ethiopia, systematic review and meta-analysis, 2016-2020.
Review in Health economics review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Disparities in modern health service utilization between community-based health insurance member and non-member households in Ethiopia: a meta-analysis.BMC public health · 2026Pooled it
- Effect of community based health insurance on healthcare services utilization in Ethiopia: a systematic review and meta-analysis.BMC health services research · 2024Pooled it
- The impact of community-based health insurance on universal health coverage in Ethiopia: a systematic review and meta-analysis.Global health action · 2023Pooled 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
- Stakeholder perspectives on the financial sustainability of community-based health insurance schemes in North Shewa Zone, Ethiopia: a qualitative study.Scientific reports · 2026Article
- Article
- The Impact of Community-Based Health Insurance on Catastrophic Health Care Expenditure: A Cross-Sectional Study From Ethiopia.Health science reports · 2026Article
- Drivers of community-based health insurance enrolment in post-war Tigray, Ethiopia.BMJ global health · 2026Article
- Article
- Determinants, challenges, and opportunities of the community-based health insurance scheme in Tigray Regional State, Ethiopia: A mixed method study.Journal of public health research · 2025Article
- Household attitudes and associated factors toward community-based health insurance in the Awi Zone, Ethiopia: a community-based cross-sectional study design.BMC health services research · 2025Article
- Inequity in access to medications among communities in Eastern Ethiopia: a decomposition analysis.BMC health services research · 2025Article
- Investigating membership attrition dynamics in community-based health insurance: a survival analysis of socioeconomic and program-specific determinants in the Amhara Region, Northwest Ethiopia.BMC public health · 2025Article
- Willingness to join community-based health insurance and associated factors among households in Ethiopian: a systematic review and meta-analysis.Cost effectiveness and resource allocation : C/E · 2025Review
- Article
- Spatio-temporal evolution of financial sustainability in Chinese public hospitals: evidence from provincial panel data (2010-2022).Frontiers in public health · 2025Article
- Article
- Forecasting health financing sustainability under the unified pool reform: evidence from China's Urban Employee Basic Medical Insurance.Health economics review · 2024Article
- Rural-urban disparity in community-based health insurance enrollment in Ethiopia: a multivariate decomposition analysis using Ethiopian Mini Demographic Health Survey 2019.Frontiers in public health · 2024Article
- Combining social protection interventions for better food security: Evidence from female-headed households in Amhara region, Ethiopia.PloS one · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity Based Health Insurance (CBHI) is a type of health insurance program that provides financial protection against the cost of illness and improving access to health care services for communities engaged in the informal sector. In Ethiopia, the coverage of CBHI enrolment varies across regions and decision of household enrolment is affected by different factors. There are pocket studies on CBHI scheme with different coverage in Ethiopia and there is no pooled study on CBHI enrolment coverage in Ethiopia for better understanding the scheme and decision making. The aim of this systematic review and meta-analysis was to identify the pooled coverage of CBHI enrolment in Ethiopia to understand its policy implications.
methodsThe systematic review and meta-analysis was done by adhering the PRISMA guideline with exhaustive search in PubMed/Medline, HINARI, SCOPUS and Google scholar complemented by manual search. Two authors independently selected studies, extracted data, and assessed quality of studies. The I
resultAmong 269 identified, 17 studies were included in this meta-analysis and the overall coverage of CBHI scheme was 45% (95% CI 35%, 55%) in Ethiopia. The sub-group analysis shows higher enrolment rate 55.97 (95%CI: 41.68, 69.77) in earlier (2016-2017) studies than recent 37.33 (95%CI: 24.82, 50.77) studies (2018-2020).
conclusionThe pooled coverage of CBHI enrolment is low in Ethiopia compared the national target of 80% set for 2020. It is also concentrated in only major regions of the country. The finding of the study helps national decision making for CBHI scheme service improvement. Due attention to be given to improving geographic expansion of CBHI and to the declining coverages with in the CBHI implementing regions by addressing the main bottlenecks restraining coverages.
trial registrationThe protocol of this systematic review and meta-analysis was published in PROSPERO with registration number: CRD42021252762 .
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