Community Based Health Insurance Practices and Challenges in Meket Woreda, North Wollo Zone of Amhara Regional State, Ethiopia
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Date
2022-01
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Addis Ababa University
Abstract
The objective of this research is to examine the CBHI practice and challenges in the North
Wollo Zone of Meket Woreda. An in-depth interview and open-ended questions were utilized to
collect quantitative data from a simple random sample of 287 respondents (158 males and 129
females). Qualitative information was acquired from a variety of sources as well (IDIs, KIIs
and FGDs). Descriptive and inferential statistics were used to assess and display quantitative
data, while thematic analysis was used to evaluate and present qualitative data. Findings of
this research disclosed that majority of the surveyed rural households (80.5%), prior to
enrollment in the scheme, were covering their health expenses through out of pocket. Some of
the reported restrictions include gaps in program design and execution, insufficient beneficiary
participation in CBHI administrative activities, insufficient medical supplies, long referral
procedure, and unsatisfactory service delivery by health facilities. According to the findings,
the CBHI program's current practice in the research area resulted in a significant
improvement in improved healthcare provision to rural families despite increased strain on
health experts. Gender of the household, level of education/literacy, and family size were
statistically significant at 0.05. The study would contribute to narrow research gaps, as
feedback for program implementation, and functioning as a source of information or reference
for practitioners -+in the study area
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Keywords
CBHI Programme, Health insurance, Out-of- Pocket