Achieving Equity in Health through Community-based Health Insurance: India's Experience with a Large CBHI Programme

Aggarwal, Aradhna

doi:10.1080/00220388.2011.609586

Cited by 18 publications

(20 citation statements)

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“…This is because households with more persons stand to gain more from joining the scheme than households with fewer sick person [48]. This is consistent with other studies [46,47] which reported that the effect of chronic illnesses in the household on enrolment was a positive association between chronic illnesses in the household and enrolment in CBHI.…”

Section: Discussionsupporting

confidence: 90%

Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

2019

JHMN

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Back ground: CBHI is a kind of insurance for informal sectors through which the members contribute some amount of money to protect themselves against the high costs of seeking medical care and treatment for illness. The catastrophic nature of health care financing mechanism for the poor and often rural population has been a source of concern in the low and middle income countries . The aim of this study was to assess the household's willingness to join CBHI and factors affecting households to join community based health insurance. .Methodology: A community based cross sectional study was conducted in randomly selected districts of West Shoa Zone from January 25 to February 20, 2016. A sample of 292 head of the house holds were selected using simple random sampling technique from which data were collected by trained data collectors using a pretested structured questionnaire. The collected data were entered into SPSS version 20 for analysis .Descriptive statistics and bivariate and multiple logistic regression analyses were performed. Result: All of the 292 sampled head of the households participated in the study making the response rate of 100 %. About 71% of the respondents were willing to join the scheme. In multivariate logistic regression analyses, age of the head of the house holds , head of the household, the household's family size and having a person age 65 and above in the family, presence of chronic illness among the house holds , households concern for covering the health care cost and means of getting money for health care payment were found to be the predictors of the households' WTJ the CBHIs .Conclusion: In the study the households willingness to join community based health insurance was considered to be high. Therefore, scaling the scheme will be beneficial in the study areas.

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Section: Discussionsupporting

confidence: 90%

Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

2019

JHMN

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“…Meta-analysis was conducted for 18 [21][22][23]28,35,40,[44][45][49][50]52,61,63,65,[68][69][73][74] quantitative studies. We studied in depth the following variables:…”

Section: Results Of Quantitative Synthesis (Meta-analysis)mentioning

confidence: 99%

“…Three authors [23,61,68] measured education in terms of number of years in school, and considered it a continuous variable. The rest [10,21,22,35,44,45,49,50,65,73] treated it as a categorical variable.…”

Section: Results Of Quantitative Synthesis (Meta-analysis)mentioning

confidence: 99%

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What Factors Affect Voluntary Uptake of Community-based Health Insurance Schemes in Lowand Middle-Income Countries? A Systematic Review and Meta-Analysis

Dror

Hossain

Majumdar

et al. 2018

World Scientific Series in Health Investment and Financing

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Introduction This research article reports on factors influencing initial voluntary uptake of communitybased health insurance (CBHI) schemes in low-and middle-income countries (LMIC), and renewal decisions. Methods Following PRISMA protocol, we conducted a comprehensive search of academic and gray literature, including academic databases in social science, economics and medical sciences (e.g., Econlit, Global health, Medline, Proquest) and other electronic resources (e.g., Eldis and Google scholar). Search strategies were developed using the thesaurus or index terms (e.g., MeSH) specific to the databases, combined with free text terms related to CBHI or health insurance. Searches were conducted from May 2013 to November 2013 in English, French, German, and Spanish. From the initial search yield of 15,770 hits, 54 relevant studies were retained for analysis of factors influencing enrolment and renewal decisions. The quantitative synthesis (informed by meta-analysis) and the qualitative analysis (informed by thematic synthesis) were compared to gain insight for an overall synthesis of findings/statements. Results Meta-analysis suggests that enrolments in CBHI were positively associated with household income, education and age of the household head (HHH), household size, female-headed PLOS ONE |

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“…Policymakers in LMICs are looking for strategies to improve access to health services, and the most important one has been the establishment of voluntary non-pro t insurance schemes commonly known as Community Based Health Insurance Scheme (CBHIs), targeting rural populations and the informal sector [3,4]. Such schemes are given different names such as; community health insurance [5,6], micro health insurance [7,8], community health funds (CHF) [9,10], and mutual health organizations [11]. In Tanzania, the scheme is named the Community Health Fund (CHF) and in the following we will apply this concept.…”

Section: Introductionmentioning

confidence: 99%

Does Household Perceptions Influence Enrolment Decisions into Community-Based Health Insurance Schemes in Tanzania?

Kagaigai

Anaeli

Mori³

et al. 2020

Preprint

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Background: Several countries including Tanzania, have established voluntary non-profit insurance schemes, commonly known as community-based health insurance schemes (CBHIs), that typically target rural populations and the informal sector. This paper considers the importance of household perceptions towards a CBHIs in Tanzania and their role in explaining the enrolment decision of households. Methods: This is a cross-sectional household survey that involves 722 households located in Bahi and Chamwino districts in Dodoma region. A three-stage sampling procedure was used, and the data were analyzed using both factor analysis (FA) and principal component analysis (PCA). Statistical tests such as Bartlett’s test of sphericity, Kaiser-Meyer-Olkin (KMO) for sampling adequacy, and the Cronbach’s alpha to measure internal consistency and scale reliability were performed to examine the suitability of the data for PCA and FA. Finally, multivariate logistic regressions were run to determine the associations between the identified factors and the insurance enrolment status. Results: PCA identified 7 perception factors while FA identified 4 factors. The quality of healthcare services, preferences (social beliefs), and accessibility to insurance scheme administration (convenience) were the common most important factors identified by the two methods. Multivariate logistic regressions showed that the factors identified from the two methods differed somewhat in importance when considered as independent predictors of the enrollment status. The most important perception factors in terms of strength of association (odds ratio) and statistical significance were accessibility to insurance scheme administration (convenience), preferences (beliefs), and the quality of health care services. Age and income were the only demographic characteristics that were significant. Conclusion: Household perceptions influence households’ decisions to enroll in CBHIs. Policymakers should recognize and consider the role of perceptions when designing policies that aim to increase the enrolment into CBHIs.

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Achieving Equity in Health through Community-based Health Insurance: India's Experience with a Large CBHI Programme

Cited by 18 publications

References 20 publications

Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

What Factors Affect Voluntary Uptake of Community-based Health Insurance Schemes in Lowand Middle-Income Countries? A Systematic Review and Meta-Analysis

Does Household Perceptions Influence Enrolment Decisions into Community-Based Health Insurance Schemes in Tanzania?

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