Community-based health insurance: A comprehensive review of literature and lessons for future development
List of Authors
  • Habeebullah Zakariyah , Reem A. Abubaker

Keyword
  • Community-Based Health Insurance (CBHI), universal health coverage (UHC), out-of-pocket (OOP)

Abstract
  • This paper comprehensively reviews the existing Community-Based Health Insurance (CBHI) and provides valuable insights and lessons for its future development. The development of community-based health insurance (CBHI) has a practical approach to enhancing healthcare service accessibility, particularly in socioeconomically disadvantaged regions. This literature review examines the main components, operational models, and challenges of CBHI implemented in some low-income countries. The findings highlight the potential for CBHI in improving financial protection, health care utilization, and health outcomes for communities. In addition, the review identifies critical success factors, including effective governance and community involvement. Furthermore, challenges to implementing the CBHI are articulated, providing valuable insights for policymakers, practitioners, and researchers. The document presents proposals for the future advancement of the Community-Based Health Insurance (CBHI) program. This comprehensive review is a constructive resource for stakeholders involved in designing and implementing CBHI programs, contributing to advancing healthcare systems.

Reference
  • 1. Abdulganiyu, G., Muhammad, K., Ibrahim, U., HH, S., & BK, L. (2018). Awareness and Willingness to Pay for Community-Based Health Insurance Scheme in North-Western Nigeria. Bangladesh Journal of Medical Education, 9(2), 19–23. https://doi.org/10.3329/bjme.v9i2.39000

    2. Bifato, B. (2020). Community-Based Health Insurance Enrollment and Associated Factors in Sidama Region, Ethiopia.

    3. Demeke, G. B. (2021). The Willingness of Households to Pay Community-based Health Insurance and its Associated Factors in Mecha District, Northwest Ethiopia : Community-based Cross-sectional Study. 1–20.

    4. Desalegn, M., Lemu, T., Tadesse, B., Olana, T., Kaba, Z., & Tolossa, T. (2023). Determinants of enrollment in community-based health insurance program among households in East Wollega Zone, west Ethiopia: Unmatched case-control study. Journal of Public Health Research, 12(3). https://doi.org/10.1177/22799036231187101

    5. Do, I., Ipinnimo, T., Hospital, F. T., Adetokunbo, S., Centre, F. M., & Emmanuel, E. E. (2021). AWARENESS AND WILLINGNESS TO PAY FOR COMMUNITY HEALTH INSURANCE SCHEME AMONG RURAL HOUSEHOLDS IN EKITI STATE, NIGERIA. September.

    6. Elmi, A., & Robins, A. (2021). Determinants of Enrolment for Community-Based Health Insurance Scheme among Agro-pastoralist communities of Aw-barre District in the Somali region of Ethiopia : Unmatched case-control study.

    7. Fadlallah, R., El-Jardali, F., Hemadi, N. et al. Barriers and facilitators to implementation, uptake, and sustainability of community-based health insurance schemes in low- and middle-income countries: a systematic review. Int J Equity Health 17, 13 (2018). https://doi.org/10.1186/s12939-018-0721-4

    8. Hsiao, W. C., & Yip, W. (2023). Financing and providing healthcare for two billion people in low-income nations: Is the cooperative healthcare model a solution? Social Science & Medicine, 115730. https://doi.org/10.1016/j.socscimed.2023.115730

    9. Jude, A. C., Atanga, S. N., Falang, D. C., & Nso, E. H. (2018). Factors associated with Non Enrollment into Community Based Health Insurance Schemes in the Bamenda Health District, Cameroon. International Journal of Public Health and Epidemiology Research, Vol. 4(2)(December, 2018), 060-070. www.premierpublishers.org. ISSN: 1406-089X

    10. Khuwaja, H. M. A., Karmaliani, R., Mistry, R., Malik, M. M., & Sikandar, R. (2021). Factors Influencing Low Enrollment in a Community Based Health Insurance Scheme, Karachi, Pakistan: A Mixed Methods Case Study. Bangladesh Journal of Medical Science, 20 No(02 April’21), 293-301. https://doi.org/10.3329/bjms.v20i2.51538

    11. Muchabaiwa, L., Chigusiwa, L., Bindu, S., & Mudavanhu, V. (2019). Feasibility and Sustainability of Community Based Health Insurance in Rural Areas Case Study of Musana, Zimbabwe. SSRN Electronic Journal, 5, 73–85. https://doi.org/10.2139/ssrn.3412303

    12. Roy, P., & Sarkar, A. K. (2018). Community Based Health Insurance Schemes (CBHIs) in Health Care Financing: Review of Experiences of the Asian and African Economies. Asian Review of Social Sciences, Vol.7 No.3, 2018, pp. 63-68(ISSN: 2249-6319). https://doi.org/10.51983/arss-2018.7.3.1466

    13. Subedi L , Regmi MC , Giri Y . Assessment of Community Based Health Insurance in Sunsari District. Kathmandu Univ Med J (KUMJ). 2018 Jan.-Mar;16(61):53-59. PMID: 30631018.

    14. Sydavong, T., & Goto, D. (2018). Household Risk Preferences and Community-based Health Insurance Uptake in Rural Villages, Savannakhet Province, Lao People’s Democratic Republic: Field Experimental Data. Journal of International Development and Cooperation, 25(1), 55–67. https://doi.org/10.15027/47101

    15. Umeh CA, Feeley FG. Inequitable Access to Health Care by the Poor in Community-Based Health Insurance Programs: A Review of Studies From Low- and Middle-Income Countries. Glob Health Sci Pract. 2017 Jun 27;5(2):299-314. doi: 10.9745/GHSP-D-16-00286. PMID: 28655804; PMCID: PMC5487091.

    16. Yusuf, H. O., Kanma-Okafor, O. J., Ladi-Akinyemi, T. W., Eze, U. T., Egwuonwu, C. C., & Osibogun, A. O. (2019). Health insurance knowledge, attitude and the uptake of community-based health insurance scheme among residents of a suburb in Lagos, Nigeria. West Afr J Med, 36(2), 103-111.