As part of its health care financing strategy in general and its health insurance strategy in particular, the Government of Ethiopia endorsed and launched community-based health insurance (CBHI) schemes in 13 pilot woredas in Amhara, Oromia, Southern Nations, Nationalities, and Peoples (SNNP), and Tigray regions in 2010/11 to provide risk protection mechanisms for those employed in the rural and the informal sectors. Three years on, the government has decided to scale up CBHI, with schemes in 161 woredas. This impact is intended to inform the scale-up process.
The evaluation aimed to generate evidence on the impact of CBHI pilot schemes in terms of providing access to and utilization of health services; improving quality of health care; reducing financial risks for members and increasing resource mobilization in the health sector; and strengthening of community participation in the management of health services. The evaluation was also expected to provide policy recommendations for scaling up the schemes.Download the Report