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 paperAcademic

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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 languageEnglish
Place of PublicationThe Hague
PublisherInternational Institute of Social Studies (ISS)
Number of pages24
Publication statusPublished - Aug 2014

Publication series

SeriesISS working papers. General series

Bibliographical note

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

Research programs



  • ISS Working Paper-General Series


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