The Impact of Community-Based Health Insurance on Household's Welfare in Chilga District, Amhara Regional State, Ethiopia.

Autor:	Asfaw DM; Department of Economics, College of Business and Economics, Samara University, Samara, Ethiopia., Shifaw SM; Department of Economics, College of Business and Economics, Samara University, Samara, Ethiopia., Belete AA; Department of Economics, College of Business and Economics, Samara University, Samara, Ethiopia., Aychiluhm SB; Department of Public Health, College of Medicine and Health Science, Samara University, Samara, Ethiopia.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2022 Jun 02; Vol. 10, pp. 868274. Date of Electronic Publication: 2022 Jun 02 (Print Publication: 2022).
DOI:	10.3389/fpubh.2022.868274
Abstrakt:	Household welfare is depleted by catastrophic health expenditure by forcing families to reduce the consumption of necessary goods and services, underutilization of health services, and of finally falling into the poverty trap. To mitigate such problem, the Government of Ethiopia launched CBHI schemes. Therefore, this study investigates the household welfare impact of Community based health insurance (CBHI) in the Chilga district. A multi-stage sampling technique was used to select 531 households (of which 356 were treated and 175 control groups). Probit and propensity score matching (PSM) were used to analyze the data. Probit model revealed the following: Level of education, access to credit, chronic disease, insurance premium, awareness, distance to health service, and health service waiting time are significant determinates for being insured in CBHI. The PSM method revealed that the insured households associated with visits increased by 2.6 times, reduced per-capita health expenditure by 17-14% points, increased the per-capita consumption of non-food items by 12-14% points, increased the per-capita consumption of food items by 12-13% points in a given matching algorithm compared to the counterparts. Therefore, CBHI has enhanced service utilization by reducing per-capita health expenditure and increasing consumption per-capita, in general, it improved household welfare. To this end, the results of this study suggested that the government (ministry of health) and concerned bodies (such as NGOs) should extend the coverage and accessibility of CBHI schemes, create aware to the society about CBHI, and subsidize premium costs of the poor. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Asfaw, Shifaw, Belete and Aychiluhm.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu