Impact of Ethiopia’s Community Based Health Insurance on household economic welfare

Zelalem Debebe; Anagaw Mebratie; Robert Sparrow; Marleen Dekker; Getnet Alemu; Arjun Bedi

Impact of Ethiopia’s Community Based Health Insurance on household economic welfare

Zelalem Debebe^*, Anagaw Mebratie, Robert Sparrow, Marleen Dekker, Getnet Alemu, Arjun Bedi

^*Corresponding author for this work

Research output: Working paper › Academic

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Abstract

In 2011, the Government of Ethiopia launched a pilot Community-Based Health Insurance (CBHI) scheme. This paper uses three rounds of household survey data, collected before and after the introduction of the CBHI pilot, to assess the impact of the scheme on household consumption, income, indebtedness and livestock holdings. We find that enrolment leads to a 5 percentage point – or 13 percent – decline in the probability of borrowing and is associated with an increase in household income. There is no evidence that enrolling in the scheme affects consumption or livestock holdings. Our results show that the scheme reduces reliance on potentially harmful coping responses such as borrowing. This paper adds to the relatively small body of work which rigorously evaluates the impact of CBHI schemes on economic welfare.

Original language	English
Place of Publication	The Hague
Publisher	International Institute of Social Studies (ISS)
Number of pages	24
Publication status	Published - Aug 2014

Publication series

Series	ISS working papers. General series
Number	590

Bibliographical note

The authors acknowledge the financial support of the Netherlands Organisation for Scientific Research (NWO-WOTRO), grant number W07.45.103.00

hdl.handle.net/1765/51734

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abstract = "In 2011, the Government of Ethiopia launched a pilot Community-Based Health Insurance (CBHI) scheme. This paper uses three rounds of household survey data, collected before and after the introduction of the CBHI pilot, to assess the impact of the scheme on household consumption, income, indebtedness and livestock holdings. We find that enrolment leads to a 5 percentage point – or 13 percent – decline in the probability of borrowing and is associated with an increase in household income. There is no evidence that enrolling in the scheme affects consumption or livestock holdings. Our results show that the scheme reduces reliance on potentially harmful coping responses such as borrowing. This paper adds to the relatively small body of work which rigorously evaluates the impact of CBHI schemes on economic welfare.",

author = "Zelalem Debebe and Anagaw Mebratie and Robert Sparrow and Marleen Dekker and Getnet Alemu and Arjun Bedi",

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AU - Debebe, Zelalem

AU - Mebratie, Anagaw

AU - Sparrow, Robert

AU - Dekker, Marleen

AU - Alemu, Getnet

AU - Bedi, Arjun

N1 - The authors acknowledge the financial support of the Netherlands Organisation for Scientific Research (NWO-WOTRO), grant number W07.45.103.00 hdl.handle.net/1765/51734

PY - 2014/8

Y1 - 2014/8

N2 - In 2011, the Government of Ethiopia launched a pilot Community-Based Health Insurance (CBHI) scheme. This paper uses three rounds of household survey data, collected before and after the introduction of the CBHI pilot, to assess the impact of the scheme on household consumption, income, indebtedness and livestock holdings. We find that enrolment leads to a 5 percentage point – or 13 percent – decline in the probability of borrowing and is associated with an increase in household income. There is no evidence that enrolling in the scheme affects consumption or livestock holdings. Our results show that the scheme reduces reliance on potentially harmful coping responses such as borrowing. This paper adds to the relatively small body of work which rigorously evaluates the impact of CBHI schemes on economic welfare.

AB - In 2011, the Government of Ethiopia launched a pilot Community-Based Health Insurance (CBHI) scheme. This paper uses three rounds of household survey data, collected before and after the introduction of the CBHI pilot, to assess the impact of the scheme on household consumption, income, indebtedness and livestock holdings. We find that enrolment leads to a 5 percentage point – or 13 percent – decline in the probability of borrowing and is associated with an increase in household income. There is no evidence that enrolling in the scheme affects consumption or livestock holdings. Our results show that the scheme reduces reliance on potentially harmful coping responses such as borrowing. This paper adds to the relatively small body of work which rigorously evaluates the impact of CBHI schemes on economic welfare.

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T3 - ISS working papers. General series

BT - Impact of Ethiopia’s Community Based Health Insurance on household economic welfare

PB - International Institute of Social Studies (ISS)

CY - The Hague

ER -

Impact of Ethiopia’s Community Based Health Insurance on household economic welfare

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