health-systems
Does Ethiopia’s CBHI improve use and financial protection?
Open access · cc by · source: Europe PMC
CBHI members had ~2.09 OPD visits/capita/year and 28–43% lower annual OOP vs non-members, with less catastrophic spending after PSM.
Key findings
Higher OPD utilization (+0.36 vs non-members in CBHI woredas); substantial OOP reductions; lower catastrophic expenditure risk; authors endorse nationwide CBHI expansion.
Methodology
Compared members to non-members in implementing and non-implementing woredas using propensity score matching to reduce selection bias.
Limitations
Not randomized; residual confounding possible despite PSM; impoverishment patterns partly reflect poorer members’ composition.
How this study connects
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