Background Although most community-based health insurance (CBHI) schemes are voluntary, problem of adverse selection is hardly studied. Evidence on the impact of targeted subsidies on adverse selection is completely missing. This paper investigates adverse selection in a CBHI scheme in Burkina...

There is a limited understanding of preferences for micro health insurance (MHI) as a strategy for moving towards universal health coverage. Using a discrete choice experiment (DCE), we explored community preferences for the attributes and attribute-levels of a prospective MHI scheme, aimed at...

Objective To quantify the impact of community-based health insurance (CBI) on utilization of health care services in rural Burkina Faso.Methods Propensity score matching was used to minimise the observed baseline differences in the characteristics of insured and uninsured groups such that the...

Objectives This study aims to identify the reasons why enrolled people decide not to renew their membership in following years.Methods Household survey is used to collect information on the factors influencing dropping out from community-based health insurance (CBI). Information from CBI agency...

The issue of illness reporting in modelling demand for health care in low- and middle-income countries can be handled according to either of two conceptually-different constructs: (a) considering illness reporting behaviour as endogenous to demand; or (b) considering demand itself as the outcome...

In spite of the fact that feeble levels of participation have long been identified as a major constraint to the successful long-term implementation of community-based health insurance (CBI) in low-income countries, evidence on determinants of enrolment in CBI is still lacking. The application of...

Discrete choice experiments (DCEs) are attribute-driven experimental techniques used to elicit stakeholders' preferences to support the design and implementation of policy interventions. The validity of a DCE, therefore, depends on the appropriate specification of the attributes and their...

Rationale: During recent years community health insurance (CHI) has emerged as an alternative health care financing mechanism in low-income countries. It is believed that it has the potential to lower the financial barriers at the point of service use and hence it is likely to increase the...