25May 2019

ASSESSING THE PRACTICES AND CHALLENGES OF COMMUNITY BASED HEALTH INSURANCE IN ETHIOPIA: THE CASE OF OROMIA NATIONAL REGIONAL STATE DISTRICT OF GIMBICHU.

  • Ambo University, College of Business and Economics, Department of Public Administration and Development Management, Ambo, Ethiopia.
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The study assessed the community based health insurance practice & challenges in Oromiya national regional state, Gimbichuworeda. In order to achieve these goals primary data have been collected from members of Community based health insurance by taking 135 respondents from five gands by using simples stratified sampling. Three employees of CBHI were contacted for in-depth interview & one manager of CBHI Finfine branch also has been contacted for triangulation purpose. The data were putted in SPSS version 21 in order to get descriptive statistics or result. The Qualitative data collected via in-depth interviews & open ended questions were analyzed through transcription in to micro-soft word processing then by categorizing & coding on their theme. The enrolment of the CBHI in Gimbichuworeda is significant even many people being the member of the insurance since 2014 (60.7%) this will have positive impact on the progress of the CBHI in the woreda. Number of non-indigent members of the insurance is 10,911 whereas indigent member of the insurance is 2,380 so the overall progress of the woreda on membership type especially on the paying group is good. Both demand (In the health institution the attitude of the health employees is very less, there is shortage of medicines, absence of the nearest hospital in the wored, lack of skilled manpower assigned for the CBHI and supply side problems (Not taking their membership ID on time by presenting at the office Not fulfilling the necessary requirement during registration) responsible for less enrollment of the insurance.

  1. Wiesmann and J. J?tting (2000). The Emerging Movement of Community Based Health Insurance in Sub-Saharan Africa: Experiences and Lessons Learned. Africa spectrum 35 (2000) - 2.
  2. carrin et al (2005). Community-based health insurance in developing countries: a study of its contribution to the performance of health financing systems. Tropical Medicine and International Health. Volume 10 no 8 pp. 799?81.
  3. Angaw D. (2015). Essays on evaluating a community Based health insurance scheme in Rural Ethiopia. International institute of social studies.
  4. Ahuja, Rajeev and J?tting, Johannes (2004) "Are the Poor Too Poor to Demand Health Insurance?" Journal of Microfinance / ESR Review: Vol. 6 :Iss. 1, Article 2. Available at: https://scholarsarchive.byu.edu/esr/vol6/iss1/2
  5. (2014). Quarterly Health Bulletin. Policy and practice Information for action. Addis Ababa: Federal Ministry of Health.
  6. (2010). Health System Financing: The path to universal coverage. Geneva: 15-50.
  7. (2015). Evaluation of Community Based Health Insurance Pilot Schemes in Ethiopia Final Report. Addis Ababa: EHIA.
  8. (2014). Willingness to join community based health insurance among rural households of Debub Bench District, Bench Maji Zone, and Southwest Ethiopia. . BMC Public health , 14-51.
  9. Adebayo et al. (2015). A systematic review of factors that affect uptake of community-based health insurance in low-income and middle income countries. BMC health service research, 15-543.
  10. Hilina, H. (2014). Socio Economic Determinants of Community Based Health Insurance. The Case of Kilte Awelaelo District, Tigray Regional State.
  11. (2004). Private Helath insurance in OCEDE countries .
  12. Shemeles Abebe (2010). Community Based Health Insurance Schemes in Africa: the Case of Rwanda. Development Research Department of the African Development Bank. 1-.
  13. Tabor, Steven R. (2005). Community Based haelth Insurance & social protection policy. Spcial protection Unit Human Development Network the world Bank.
  14. (2008). Health Insurance Strategy . Addis Ababa: Federal Ministery of health planning & program department .
  15. Carrin (2003). Community based health insurance in developing countries: facts,problem & perspectives World helath organization. World health organization conference (pp. 20-70). Geneva: World health organization.
  16. Diriba, A. (2013). Roles and challenges of NGOS in poverty alleviation and women empowerenment in kelem Wolega Zone.
  17. Kevin Durrheim, D. P. (2006). Research in practice: Apllied methods for social siences. Cape Town: Juta and Company Ltd, 2006.
  18. Shafudah, E. (2011). Appraising Performance Management Processes: A Case of the Directorate of Customs and Excise, Ministry of Finance, Namibia. Submitted in Partial Fulfillment of the requirements for the Degree of Master of Science in the Subject Leadership and Change Management at the Leeds Metropolitan University.
  19. Meghan, S. (2010). Micro Finance Health Insurance In Developing Countries. wharton Reserach scholars woking paper .

[Gutama Namomsa. (2019); ASSESSING THE PRACTICES AND CHALLENGES OF COMMUNITY BASED HEALTH INSURANCE IN ETHIOPIA: THE CASE OF OROMIA NATIONAL REGIONAL STATE DISTRICT OF GIMBICHU. Int. J. of Adv. Res. 7 (May). 734-754] (ISSN 2320-5407). www.journalijar.com

Gutama Namomsa Daraje
Ambo University, Ethiopia

DOI:

Article DOI: 10.21474/IJAR01/9095      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9095

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