ArticleHealth science reports2026
The Impact of Community-Based Health Insurance on Catastrophic Health Care Expenditure: A Cross-Sectional Study From Ethiopia.
Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Achievement of an efficient and equitable health care system through coverage of health insurance is an important instrument to break up the vicious circle of poverty and ill health. This study sought to determine the impact of community-based health insurance (CBHI) on catastrophic health care expenditure in Addis Ababa region of Ethiopia. Methods: We conducted a cross-sectional study on the impact of utilizing community-based health insurance (CBHI) among patients who received care at a tertiary institution in Ethiopia over 2 months (April and May 2023). Data were collected using a structured questionnaire. Data were analyzed using SPSS version 20. Simple descriptive statistics, Chi-squared test, and multivariate regression analysis were employed as appropriate. Results: Among 260 study participants included in the study, two-thirds (168, 64.6%) were enrolled in CBHI, while about one-third were not (92, 35.4%). Compared to CBHI non-members, members of CBHI had less catastrophic health care expenditure (68.8% vs. 53.5% CBHI for CBHI non-members and CBHI members respectively, Conclusion: In this study, utilization of community-based health insurance was found to be protective against catastrophic health care expenditure to a certain extent, which requires further justification whether this is true at the country level by conducting a similar large multicenter study.
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