2022
DOI: 10.1016/j.ssmph.2022.101030
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Impact of conditional cash transfers on enrolment in community-based health insurance among female-headed households in south Gondar zone, Amhara region, Ethiopia

Abstract: Ethiopia has been implementing its flagship social protection programme, Productive Safety Net Programme (PSNP), since 2005, mainly in drought prone and chronically food insecure woredas. In 2011, the country also launched Community-Based Health Insurance (CBHI). However, the two large-scale social protection programmes are not integrated well. This study examines the impact of participation in the conditional cash transfer (CCT) component of the PSNP (Public Works or PW) on enrolment in the CBHI among female-… Show more

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Cited by 6 publications
(12 citation statements)
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References 28 publications
(49 reference statements)
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“…Households who received cash of food from the safety net program had a significant positive effect on CBHI scheme enrollment. This study was in line with [ 35 37 ], which shows that participating in the safety net program increases the probability of CBHI uptake. The justification might be that the poor households prefer to join CBHI because they could not afford the expensive out-of-pocket payment or the CBHI premium was waived due to their poverty status.…”
Section: Discussionsupporting
confidence: 90%
“…Households who received cash of food from the safety net program had a significant positive effect on CBHI scheme enrollment. This study was in line with [ 35 37 ], which shows that participating in the safety net program increases the probability of CBHI uptake. The justification might be that the poor households prefer to join CBHI because they could not afford the expensive out-of-pocket payment or the CBHI premium was waived due to their poverty status.…”
Section: Discussionsupporting
confidence: 90%
“…In this study, those enrolled in the safety net program had 2.80 times more likely CBHI utilization when compared to those who had not enrolled. The nding is consistent with a study in Ethiopia [30,34,35,36] and Nigeria [37]. It demonstrates that taking part in the safety net program increases the likelihood of taking CBHI.…”
Section: Discussionsupporting
confidence: 89%
“…Moreover, since enrolment into Ethiopia’s CBHI is voluntary, the poorest non-PSNP households may still be excluded from the programme. A recent study in one of the study districts also finds that extremely poor and most vulnerable households to extreme poverty who are not receiving conditional cash transfers are less likely to join CBHI [ 60 ]. To place CBHI better as a tool towards UHC, the government may implement more measures such as universal eligibility for insurance with a substantial premium subsidy and the universal individual-level exemption for some vulnerable groups such as pregnant women from paying premiums [ 61 ].…”
Section: Discussionmentioning
confidence: 99%