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Is community-based health insurance an equitable strategy for paying for healthcare? Experiences from southeast Nigeria

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  • Onwujekwe, Obinna
  • Onoka, Chima
  • Uzochukwu, Benjamin
  • Okoli, Chijioke
  • Obikeze, Eric
  • Eze, Soludo
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    Abstract

    Objectives To determine how equitable enrolment and utilization of community-based health insurance is in two communities with varying levels of success in implementing the scheme.Methods The study was undertaken in two communities in Anambra state, southeast Nigeria. Data was collected using a questionnaire that was administered to 971 respondents in two communities selected by simple random sampling. Data analysis examined socio-economic status (SES) differences in enrolment levels, utilization, willingness to renew registration and payments.Results Enrolment level was 15.5% in the non-successful community and 48.4% in the successful community (pÂ

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    File URL: http://www.sciencedirect.com/science/article/B6V8X-4W0R3B1-2/2/ce8b06a3172cac1f99c4d1c7116e664d
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    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 92 (2009)
    Issue (Month): 1 (September)
    Pages: 96-102

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    Handle: RePEc:eee:hepoli:v:92:y:2009:i:1:p:96-102

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    Web page: http://www.elsevier.com/locate/healthpol

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    Keywords: Community-based health insurance (CBHI) Anambra state Nigeria Equity Financial risk protection;

    References

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    1. Wagstaff, Adam & Paci, Pierella & van Doorslaer, Eddy, 1991. "On the measurement of inequalities in health," Social Science & Medicine, Elsevier, vol. 33(5), pages 545-557, January.
    2. Onwujekwe, Obinna & Chima, Reginald & Okonkwo, Paul, 2000. "Economic burden of malaria illness on households versus that of all other illness episodes: a study in five malaria holo-endemic Nigerian communities," Health Policy, Elsevier, vol. 54(2), pages 143-159, November.
    3. Basaza, Robert & Criel, Bart & Van der Stuyft, Patrick, 2008. "Community health insurance in Uganda: Why does enrolment remain low? A view from beneath," Health Policy, Elsevier, vol. 87(2), pages 172-184, August.
    4. Onwujekwe, Obinna, 2005. "Inequities in healthcare seeking in the treatment of communicable endemic diseases in Southeast Nigeria," Social Science & Medicine, Elsevier, vol. 61(2), pages 455-463, July.
    5. Dror, David Mark & Koren, Ruth & Steinberg, David Mark, 2006. "The impact of filipino micro health-insurance units on income-related equality of access to healthcare," Health Policy, Elsevier, vol. 77(3), pages 304-317, August.
    6. Kent Ranson, M. & Sinha, Tara & Chatterjee, Mirai & Acharya, Akash & Bhavsar, Ami & Morris, Saul S. & Mills, Anne J., 2006. "Making health insurance work for the poor: Learning from the Self-Employed Women's Association's (SEWA) community-based health insurance scheme in India," Social Science & Medicine, Elsevier, vol. 62(3), pages 707-720, February.
    7. McIntyre, Diane & Thiede, Michael & Dahlgren, Göran & Whitehead, Margaret, 2006. "What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts?," Social Science & Medicine, Elsevier, vol. 62(4), pages 858-865, February.
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    Cited by:
    1. Mebratie, A.D. & Sparrow, R.A. & Alemu, G. & Bedi, A.S., 2013. "Community-Based Health Insurance Schemes," ISS Working Papers - General Series 568, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.

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