Open AccessImpact of Ethiopia's Community Based Health Insurance on Household Economic Welfare
Author(s) -
Zelalem Yilma,
Anagaw Derseh Mebratie,
Robert Sparrow,
Marleen Dekker,
Getnet Alemu,
Arjun S. Bedi
Publication year - 2015
Publication title -
the world bank economic review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.542
H-Index - 89
eISSN - 1564-698X
pISSN - 0258-6770
DOI - 10.1093/wber/lhv009
Subject(s) - welfare , consumption (sociology) , economics , household income , vulnerability (computing) , livestock , business , poverty , demographic economics , socioeconomics , environmental health , public economics , economic growth , geography , medicine , social science , computer security , archaeology , sociology , computer science , forestry , market economy
In 2011, the Government of Ethiopia launched a pilot Community-Based Health Insurance (CBHI) scheme. This paper uses three rounds of household survey data, collected before and after the introduction of the CBHI pilot, to assess the impact of the scheme on household consumption, income, indebtedness and livestock holdings. We find that enrolment leads to a 5 percentage point – or 13 percent – decline in the probability of borrowing and is associated with an increase in household income. There is no evidence that enrolling in the scheme affects consumption or livestock holdings. Our results show that the scheme reduces reliance on potentially harmful coping responses such as borrowing. This paper adds to the relatively small body of work which rigorously evaluates the impact of CBHI schemes on economic welfare.
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