Does Ethiopia’s CBHI improve use and financial protection?
CBHI members had ~2.09 OPD visits/capita/year and 28–43% lower annual OOP vs non-members, with less catastrophic spending after PSM.
Source
The impact of community-based health insurance on health service utilization and financial risk protection in Ethiopia
Inspect source passages
Does Ethiopia’s CBHI improve use and financial protection?
These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.
Groups: 1586 members; 1863 and 789 non-members.
CBHI member households ( n = 1586), non-member households from CBHI implementing woredas ( n = 1863), and non-member households from non-CBHI implementing woredas ( n = 789)
Member OPD visits 2.09 vs 1.53 and 1.75.
The annual number of OPD visits per capita among CBHI member households was 2.09, compared to 1.53 among non-member households from CBHI woredas and 1.75 among households from non-CBHI woredas
What they did
Compared members to non-members in implementing and non-implementing woredas using propensity score matching to reduce selection bias.
What they found
Higher OPD utilization (+0.36 vs non-members in CBHI woredas); substantial OOP reductions; lower catastrophic expenditure risk; authors endorse nationwide CBHI expansion.
The limits
What it doesn't show
Not randomized; residual confounding possible despite PSM; impoverishment patterns partly reflect poorer members’ composition.
Key terms
- CBHI
- Community-based health insurance.
- OOP
- Out-of-pocket health spending.
- Catastrophic health expenditure
- OOP exceeding a share of household spending (here >10%).
- PSM
- Propensity score matching to balance observed covariates.
- Woreda
- District-level administrative unit in Ethiopia.
- OPD visits
- Outpatient department utilization.
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Quiz yourself
CBHI member households sampled:
Common questions
Member sample?
n=1586.
Member OPD visits/capita/year?
2.09.
OOP reduction?
28–43%.
Analysis for selection?
Propensity score matching.