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Improving health service utilization through community based health insurance: lessons from piloting in the Amhara region, Ethiopia


The financial sources of the Ethiopian health sector are households (37%), the government (21%), employers (2%), and donors (40%). Such significant out of pocket spending can expose households to financial difficulties. Hence a sustainable health financing strategy should be envisaged. It is in light of this that the Federal Ministry of Health (FMOH) released a health insurance strategy in 2008. Among the insurance types in the strategy, community‐based health insurance whose implementation is under piloting is the major one. The purpose of this study is to assess the status of piloting community‐based health insurance in the Amhara region and come up with possible scaling up recommendations. Secondary data from Woreda CBHI schemes was used to make simple calculations. The result showed that the Amhara region is on the right track in the piloting exercise. The health care utilization rate has reached 0.64 higher than the earlier 0.36. However, attention should be given by all stakeholders, especially the administrative machinery, in mobilizing the community and improving the health care service quality

Corporate Author: 
Nahu Asteraye and Demirew Getachew (Editors); Ethiopia Economics Association (EEA)
Ethiopian Economic Association (EEA)
Primary Descriptors: 

Health financing, community based health insurance

Secondary Descriptor: 

Social Health Insurance, Health Care Utilization

Geographic Descriptors: 
Ethiopia, Amhara region
Cataloge Date: 
Broad Subject heading: 
Health insurance
Call Number: 
330.963 PRO 2013
Serial Key Title: 
Proceedings of the Fourth Regional Conference of the Amhara Regional State Economic Development
Publication catagory: 
Content type: 
Publication date: 
2013-05-01 00:00:00
Conference Place: 
Bahir Dar Chapter
Place of publication: 
Addis Ababa, Ethiopia
Type of material: 
Current frequency: 
Chapter conference: 
Conference date: 
September 8, 2012