Feasibility and desirability of scaling up Community-based Health Insurance (CBHI) in rural communities in Uganda: lessons from Kisiizi Hospital CBHI scheme

BMC Health Services Research
Alex KakamaRobert K Basaza

Abstract

Community-based Health Insurance (CBHI) schemes have been implemented world over as initial steps for national health insurance schemes. The CBHI concept developed out of a need for financial protection against catastrophic health expenditures to the poor after failure of other health financing mechanisms. CBHI schemes reduce out-of-pocket payments, and improve access to healthcare services in addition to raising additional revenue for the health sector. Kisiizi Hospital CBHI scheme which was incepted in 1996, has 41,500 registered members, organised in 210 community associations known as 'Bataka' or 'Engozi' societies. Members pay annual premiums and a co-payment fee before service utilisation. This study aimed at exploring the feasibility and desirability of scaling up CBHI in Rubabo County, with specific objectives of: exploring community perceptions and determining acceptability of CBHI, identifying barriers, enablers to scaling up CBHI and documenting lessons regarding CBHI expansion in a rural community. Explorative study using qualitative methods of Key informant interviews and Focus Group Discussions (FGDs). Seventeen key informant interviews, three focus group discussions for scheme members and three for non-scheme mem...Continue Reading

References

Jan 5, 2000·BMJ : British Medical Journal·N Mays, C Pope
Jul 11, 2007·BMC Health Services Research·Robert BasazaPatrick Van der Stuyft
Jun 21, 2008·Transactions of the Royal Society of Tropical Medicine and Hygiene·S N KiwanukaG W Pariyo
Apr 14, 2009·American Journal of Preventive Medicine·Deborah J BowenMaria Fernandez
Jun 15, 2010·BMC Health Services Research·Obinna OnwujekweAmos Petu
Mar 29, 2011·Health Policy and Planning·Erica RichardsonMartin McKee
Jul 15, 2015·The Canadian Journal of Hospital Pharmacy·Jane Sutton, Zubin Austin

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