Ethiopia Community-Based Health Insurance
Country of Operation
SummaryThe Ethiopian Community-Based Health Insurance scheme will cover all family health services and curative care that are part of the Essential Health Package in Ethiopia.
In 2011, in an attempt to increase access to modern health care and provide financial protection against health shocks, a Community Based Health Insurance (CBHI) pilot programme was launched in Ethiopia. The first objective of the proposed research is to identify the conduits through which health shocks affect household welfare, for instance, in terms of increased expenditures, foregone health care or greater use of child labour. The second objective is to examine how health care utilization, out-of-pocket health spending and poverty are affected by CBHI. In addition, the project aims to examine the sustainability and feasibility of such schemes in terms of generating resources to finance health care.
Key program components
The scheme will be financed through the premiums paid by the community members. Health coverage will be free for indigenous populations and the poorest 10% of each community through a government subsidy. Payment mechanisms will vary by region. All services will be provided by accredited health facilities, both public or private.
Curative services will include inpatient and out-patient services and acute illnesses. The scheme will be piloted during the first two years of implementation. Once scaled, the scheme plans to cover 85% of the Ethiopian population.