The Impact of Community Based Health Insurance on Health Service Utilization (CBHI): An Experimental Evidence from Ethiopia

On-going

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The study is rolling out a randomized controlled trial in Addis Ababa’s 23 poorest districts—using the Urban Productive Safety Net Program roster to identify 1,400 CBHI‐eligible, non‐enrolled urban households—randomly assigned (350 each) to one of four arms (50 % top‐up premium subsidy; targeted CBHI information via Health Belief Model–based workshops and leaflets; both subsidy and information; or control). With interventions delivered in partnership with the Ethiopian Health Insurance Agency, it will measure effects on CBHI enrollment, health service utilization, and broader economic and welfare outcomes (household consumption, labor supply, productivity, subjective well being). By generating rigorous, locally relevant evidence on which levers most effectively boost insurance uptake and utilization, the project aims to inform national policy on scaling CBHI as a pathway to universal health coverage in Ethiopia.

Research Team: NIERA members Alebel Bayrau Weldesilassie (PhD), Shibiru Ayalew Melesse (PhD) and collaborator Jemal Mohamed Adem (PhD) from Ethiopian Policy Studies Institute.