Ethiopia’s Community-Based Health Insurance (CBHI) scheme was established with the objectives of enhancing access to health care, reducing out-of-pocket expenditure (OOP), mobilizing financial resources and enhancing the quality of health care.
Using information from two rounds of health facility data and three rounds of household survey, this paper examines the impact of the scheme on health facility revenues and quality of care.
Authored by Zemzem Shigute, Anagaw D. Mebratie, Robert Sparrow ,Getnet Alemu and Arjun Bedi, the main findings from the analysis show that the scheme is associated with an increase in health care utilization, an increase in revenue generation and an increase in patient satisfaction. Moreover, despite the increase in patient volume, the scheme leads to no discernible increase in waiting time to see medical professionals.
These results and the relatively high levels of CBHI enrollment suggest that the Ethiopian CBHI has been able to successfully negotiate the main stumbling block—that is, the poor quality of care—which has plagued similar CBHI schemes in Sub-Saharan Africa.
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