Inequitable Access to Health Care by the Poor in Community-Based Health Insurance Programs: A Review of Studies from Low- and Middle-Income Countries

by Chukwuemeka A Umeh and Frank G Feeley
Glob Health Sci Pract, June 27, 2017, Vol. 5, No. 2, pp. 299-314

16 pp. 360 kB

To reduce out-of-pocket payments and improve access to health care services, some countries have introduced community-based health insurance (CBHI) schemes, especially for those in rural communities or who work in the informal sector. However, there has been little focus on equity in access to health care services in CBHI schemes. The authors conclude that the effectiveness of CBHI schemes in achieving universal health coverage in low- and middle-income countries is questionable. A flexible payment plan where the poor can pay in instalments, subsidized premiums for the poor, and removal of co-pays are measures that can increase enrolment and use of CBHI by the poor.

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