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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

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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  • Onwujekwe, Obinna & Onoka, Chima & Uzochukwu, Benjamin & Okoli, Chijioke & Obikeze, Eric & Eze, Soludo, 2009. "Is community-based health insurance an equitable strategy for paying for healthcare? Experiences from southeast Nigeria," Health Policy, Elsevier, vol. 92(1), pages 96-102, September.
    • Handle: RePEc:eee:hepoli:v:92:y:2009:i:1:p:96-102
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    1. 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.
    2. 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.
    3. David Mark Dror, 2018. "The Impact of Filipino Micro Health Insurance Units on Income-related Equality of Access to Health Care," World Scientific Book Chapters, in: Financing Micro Health Insurance Theory, Methods and Evidence, chapter 24, pages 473-490, World Scientific Publishing Co. Pte. Ltd..
    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. 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.
    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. 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.
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    1. Mebratie, Anagaw D. & Sparrow, Robert & Yilma, Zelalem & Alemu, Getnet & Bedi, Arjun S., 2015. "Enrollment in Ethiopia’s Community-Based Health Insurance Scheme," World Development, Elsevier, vol. 74(C), pages 58-76.
    2. David Mark Dror, 2018. "What Factors Affect Voluntary Uptake of Community-based Health Insurance Schemes in Lowand Middle-Income Countries? A Systematic Review and Meta-Analysis," World Scientific Book Chapters, in: Financing Micro Health Insurance Theory, Methods and Evidence, chapter 14, pages 271-306, World Scientific Publishing Co. Pte. Ltd..
    3. Aline Philibert & Marion Ravit & Valéry Ridde & Inès Dossa & Emmanuel Bonnet & Florent Bédécarrats & Alexandre Dumont, 2017. "Maternal and neonatal health impact of obstetrical risk insurance scheme in Mauritania : a quasi experimental before-and-after study," Post-Print hal-03852218, HAL.
    4. Mebratie, A.D. & Sparrow, R.A. & Debebe, Z.Y. & Alemu, G. & Bedi, A.S., 2014. "Dropping out of Ethiopia’s Community Based Health Insurance scheme," ISS Working Papers - General Series 76960, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    5. Chen, Bingzheng & Feng, Frank Y. & Powers, Michael R. & Qiu, Joseph, 2019. "Risk-revealing contracts for government-sponsored microinsurance," Pacific-Basin Finance Journal, Elsevier, vol. 57(C).
    6. 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.
    7. Gabriela B Gomez & Nicola Foster & Daniella Brals & Heleen E Nelissen & Oladimeji A Bolarinwa & Marleen E Hendriks & Alexander C Boers & Diederik van Eck & Nicole Rosendaal & Peju Adenusi & Kayode Agb, 2015. "Improving Maternal Care through a State-Wide Health Insurance Program: A Cost and Cost-Effectiveness Study in Rural Nigeria," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-17, September.
    8. Taiwo Obembe & Sharon Fonn, 2020. "Affording unavoidable emergency surgical care – The lived experiences and payment coping strategies of households in Ibadan metropolis, Southwestern Nigeria," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-18, May.

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