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.
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Does Ethiopia’s CBHI improve use and financial protection?
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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
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.
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