A systematic review of factors that affect uptake of community-based health insurance in low-income and middle-income countries

BMC Health Services Research

Volumn 15, Issue 1, 2015, Pages

  Adebayo, Esther F ^a,b   Uthman, Olalekan A ^a,c,d   Wiysonge, Charles S ^a,e   Stern, Erin A ^f   Lamont, Kim T ^g   Ataguba, John E ^b  

^a UNIVERSITY OF STELLENBOSCH   (South Africa)

^b UNIVERSITY OF CAPE TOWN   (South Africa)

^c UNIVERSITY OF WARWICK   (United Kingdom)

^d LIVERPOOL SCHOOL OF TROPICAL MEDICINE   (United Kingdom)

^e SOUTH AFRICAN MEDICAL RESEARCH COUNCIL   (South Africa)

^f UNIVERSITY OF CAPE TOWN   (South Africa)

^g UNIVERSITY OF THE WITWATERSRAND   (South Africa)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; COMMUNITY CARE; DEVELOPING COUNTRY; ECONOMICS; EMPLOYMENT; FEMALE; HEALTH INSURANCE; HUMAN; INSURANCE; MALE; MIDDLE AGED; UTILIZATION;

ADULT; AGED; COMMUNITY NETWORKS; DEVELOPING COUNTRIES; EMPLOYMENT; FEMALE; HUMANS; INSURANCE COVERAGE; INSURANCE, HEALTH; MALE; MIDDLE AGED; UNIVERSAL COVERAGE;

EID: 84949239153     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/s12913-015-1179-3     Document Type: Review

References (71)

1. Mills A, Ataguba JE, Akazili J, Borghi J, Garshong B, Makawia S, et al. Equity in financing and use of health care in Ghana, South Africa, and Tanzania: implications for paths to universal coverage. Lancet. 2012;380:126-33.
2. McIntyre D. Learning from experience: Health care financing in low-and middle-income countries. Geneva: Global forum for health research; 2007.
3. Gottret PE, Schieber G. Health financing revisited: a practitioner's guide. Washington: World Bank Publications; 2006.
4. Ataguba JE. Reassessing catastrophic health-care payments with a Nigerian case study. Health Econ Policy Law. 2012;7:309-26.
5. Knaul FM, Arreola-Ornelas H, Méndez-Carniado O, Bryson-Cahn C, Barofsky J, Maguire R, et al. Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico. Lancet. 2006;368:1828-41.
6. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJ. Household catastrophic health expenditure: a multicountry analysis. Lancet. 2003;362:111-7.
7. Xu K, Evans DB, Carrin G, Aguilar-Rivera AM, Musgrove P, Evans T. Protecting households from catastrophic health spending. Health Aff. 2007;26:972-83.
8. Limwattananon S, Tangcharoensathien V, Prakongsai P. Catastrophic and poverty impacts of health payments: results from national household surveys in Thailand. Bull World Health Organ. 2007;85:600-6.
9. Hsiao WC. Experience of community health financing in the Asian Region. In: Preker AS, Currin G, editors. Health financing for poor people: resource mobilization and risk sharing. Washington: World Bank; 2004. p. 119.
10. Dror DM, Preker AS. Introduction. In: Dror DM, Preker AS, editors. Social reinsurance: a new approach to sustainable community health financing. Washington: World Bank; 2002. p. 627.
11. Shaw RP, Griffin CC. Financing health care in Sub-Saharan Africa through user fees and insurance. Washington: World Bank; 1995.
12. Jütting JP. Do community-based health insurance schemes improve poor people's access to health care? Evidence from rural Senegal. World Dev. 2004;32:273-88.
13. Ekman B. Community-based health insurance in low-income countries: a systematic review of the evidence. Health Policy Plan. 2004;19:249-70.
14. Spaan E, Mathijssen J, Tromp N, McBain F, Have A, Baltussen R. The impact of health insurance in Africa and Asia: a systematic review. Bull World Health Organ. 2012;90:685-92.
15. Meng Q, Yuan B, Jia L, Wang J, Yu B, Gao J, et al. Expanding health insurance coverage in vulnerable groups: a systematic review of options. Health Policy Plan. 2011;26:93-104.
16. Acharya A, Masset Edoardo S, Taylor F, Massett E, Satija A, Burke M, et al. The impact of health insurance schemes for the informal sector in low-and middle-income countries: a systematic review. World Bank Res Obs. 2013;28:236-66.
17. Adebayo EF, Ataguba JE, Uthman OA, Okwundu CI, Lamont KT, Wiysonge CS. Factors that affect the uptake of community-based health insurance in low-income and middle-income countries: a systematic protocol. BMJ Open. 2014;4:e004167.
18. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Prev Med. 2007;45:247-51.
19. Banwat M, Agbo H, Hassan Z, Lassa S, Osagie I, Ozoilo J, et al. Community based health insurance knowledge and willingness to pay: a survey of a rural community in North Central zone of Nigeria. Jos J Med. 2012;6:54-9.
20. Binnendijk E, Dror DM, Gerelle E, Koren R. Estimating Willingness-to-Pay for health insurance among rural poor in India by reference to Engel's law. Soc Sci Med. 2013;76:67-73.
21. Chankova S, Sulzbach S, Diop F. Impact of mutual health organizations: evidence from West Africa. Health Policy Plan. 2008;23:264-76.
22. Donfouet HPP, Mahieu P-A, Malin E. Using respondents' uncertainty scores to mitigate hypothetical bias in community-based health insurance studies. Eur J Health Econ. 2013;14:277-85.
23. Donfouet HPP, Makaudze E, Mahieu P-A, Malin E. The determinants of the willingness-to-pay for community-based prepayment scheme in rural Cameroon. Int J Health Care Finance Econ. 2011;11:209-20.
24. Dong H, Kouyate B, Cairns J, Mugisha F, Sauerborn R. Willingness-to-pay for community-based insurance in Burkina Faso. Health Econ. 2003;12:849-62.
25. Dong H, Kouyate B, Cairns J, Sauerborn R. Differential willingness of household heads to pay community-based health insurance premia for themselves and other household members. Health Policy Plan. 2004;19:120-6.
26. Dong H, Kouyate B, Snow R, Mugisha F, Sauerborn R. Gender's effect on willingness-to-pay for community-based insurance in Burkina Faso. Health Policy. 2003;64:153-62.
27. Dror DM, Radermacher R, Koren R. Willingness to pay for health insurance among rural and poor persons: Field evidence from seven micro health insurance units in India. Health Policy. 2007;82:12-27.
28. Mathiyazaghan K. Willingness to pay for rural health insurance through community participation in India. Int J Health Plann Manag. 1998;13:47-67.
29. Ataguba JE. Community Health Insurance Scheme as a viable option for rural population in Nigeria. Oxford: University of Oxford; 2008. p. 1-11.
30. Onwujekwe O, Okereke E, Onoka C, Uzochukwu B, Kirigia J, Petu A. Willingness to pay for community-based health insurance in Nigeria: do economic status and place of residence matter? Health Policy Plan. 2010;25:155-61.
31. Dong H, De Allegri M, Gnawali D, Souares A, Sauerborn R. Drop-out analysis of community-based health insurance membership at Nouna, Burkina Faso. Health Policy. 2009;92:174-9.
32. De Allegri M, Kouyaté B, Becher H, Gbangou A, Pokhrel S, Sanon M, et al. Understanding enrolment in community health insurance in sub-Saharan Africa: a population-based case-control study in rural Burkina Faso. Bull World Health Organ. 2006;84:852-8.
33. Shafie A, Hassali M. Willingness to pay for voluntary community-based health insurance: findings from an exploratory study in the state of Penang, Malaysia. Soc Sci Med. 2013;96:272-6.
34. Asgary A, Willis K, Taghvaei AA, Rafeian M. Estimating rural households' willingness to pay for health insurance. Eur J Health Econ. 2004;5:209-15.
35. Binam J, Nkama A, Nkenda R. Estimating the willingness to pay for community health prepayment schemes in rural area: a case study of the use of contingent valuation surveys in centre Cameroon. Oxford: University of Oxford; 2004.
36. Oriakhi H, Onemolease E, Amla R. Determinants of Rural Household's willingness to participate in community based health insurance scheme in Edo State, Nigeria. Stud Ethno-Med. 2012;6:95-102.
37. Basaza R, Criel B, Van der Stuyft P. Low enrolment in Ugandan Community Health Insurance Schemes: underlying causes and policy implications. BMC Health Serv Res. 2007;7:105.
38. Basaza R, Criel B, Van der Stuyft P. Community health insurance in Uganda: why does enrolment remain low? A view from beneath. Health Policy. 2008;87:172-84.
39. Ataguba JE, Ichoku HE, Fonta WM. Estimating the willingness to pay for community healthcare insurance in rural Nigeria. Laval: Poverty and Economic Policy Research Network; 2008.
40. Ozawa S, Walker DG. Trust in the context of community-based health insurance schemes in Cambodia: villagers' trust in health insurers. In: Chernichovsky D, Hanson K, editors. Innovations in health system finance in developing and transitional economies (Advances in health economics and health services research, volume 21). Bingley: Emerald Group Publishing; 2009. p. 107-32.
41. De Allegri M, Sanon M, Bridges J, Sauerborn R. Understanding consumers' preferences and decision to enrol in community-based health insurance in rural West Africa. Health Policy. 2006;76:58-71.
42. Criel B, Waelkens MP. Declining subscriptions to the maliando mutual health organisation in Guinea-Conakry (West Africa): what is going wrong? Soc Sci Med. 2003;57:1205-19.
43. De Allegri M, Sanon M, Sauerborn R. "To enrol or not to enrol?": a qualitative investigation of demand for health insurance in rural West Africa. Soc Sci Med. 2006;62:1520-7.
44. Schneider P. Trust in micro-health insurance: an exploratory study in Rwanda. Soc Sci Med. 2005;61:1430-8.
45. Bennett S, Creese A, Monasch R. Health insurance schemes for people outside formal sector employment. Geneva: World Health Organization; 1998.
46. Dror DM. Health insurance for the poor through community schemes is it viable? In: Defining an agenda for poverty reduction: proceedings of the first Asia and Pacific Forum on Poverty. 2002. p. 217-34.
47. Ranson MK. Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bull World Health Organ. 2002;80:613-21.
48. Zhang L, Wang H, Wang L, Hsiao W. Social capital and farmer's willingness-to-join a newly established community-based health insurance in rural China. Health Policy. 2006;76:233-42.
49. Asenso-Okyere WK, Osei-Akoto I, Anum A, Appiah EN. Willingness to pay for health insurance in a developing economy. A pilot study of the informal sector of Ghana using contingent valuation. Health Policy. 1997;42:223-37.
50. Wang H, Zhang L, Yip W, Hsiao W. Adverse selection in a voluntary Rural Mutual Health Care health insurance scheme in China. Soc Sci Med. 2006;63:1236-45.
51. Asfaw A, Von Braun J. Can community health insurance schemes shield the poor against the downside health effects of economic reforms? The case of rural Ethiopia. Health Policy. 2004;70:97-108.
52. Okello F, Feeley F. Socioeconomic characteristics of enrollees in community health insurance schemes in Africa. Washington: USAID/Commercial Market Strategies Project; 2004.
53. Donfouet HPP, Mahieu P-A. Community-based health insurance and social capital: a review. Heal Econ Rev. 2012;2:1-5.
54. Akazili J, Gyapong J, McIntyre D. Who pays for health care in Ghana? Int J Equity Health. 2011;10:1-13.
55. Pawson R, Greenhalgh T, Harvey G, Walshe K. Realist review-a new method of systematic review designed for complex policy interventions. J Health Serv Res Policy. 2005;10:21-34.
56. Mays N, Pope C, Popay J. Systematically reviewing qualitative and quantitative evidence to inform management and policy-making in the health field. J Health Serv Res Policy. 2005;10:6-20.
57. Gough D. Meta-narrative and realist reviews: guidance, rules, publication standards and quality appraisal. BMC Med. 2013;11:22.
58. Lagomarsino G, Garabrant A, Adyas A, Muga R, Otoo N. Moving towards universal health coverage: health insurance reforms in nine developing countries in Africa and Asia. Lancet. 2012;380:933-43.
59. Palmer MG. Inequalities in universal health coverage: evidence from Vietnam. World Dev. 2014;64:384-94.
60. Jehu-Appiah C, Aryeetey G, Spaan E, Agyepong I, Baltussen R. Efficiency, equity and feasibility of strategies to identify the poor: an application to premium exemptions under National Health Insurance in Ghana. Health Policy. 2010;95:166-73.
61. World Health Organization. The World Health Report 2010: Health systems financing: the path to universal coverage. Geneva: World Health Organization; 2010.
62. Eckhardt M, Forsberg BC, Wolf D, Crespo-Burgos A. Feasibility of community-based health insurance in rural tropical Ecuador. Rev Panam Salud Pública. 2011;29:177-84.
63. Dong H, Mugisha F, Gbangou A, Kouyate B, Sauerborn R. The feasibility of community-based health insurance in Burkina Faso. Health Policy. 2004;69:45-53.
64. Criel B, Van Dormael M, Lefevre P, Menase U, Van Lerberghe W. Voluntary health insurance in Bwamanda, Democratic Republic of Congo. An exploration of its meanings to the community. Tropical Med Int Health. 1998;3:640-53.
65. Bärnighausen T, Liu Y, Zhang X, Sauerborn R. Willingness to pay for social health insurance among informal sector workers in Wuhan, China: a contingent valuation study. BMC Health Serv Res. 2007;7:114.
66. Kitajima T. Willingness to Pay for Long-term Care Insurance System in a Municipality in Tokyo. Asia Pac J Public Health. 1999;11:101-8.
67. Lofgren C, Thanh NX, Chuc NT, Emmelin A, Lindholm L. Cost effectiveness and resource allocation. Cost Eff Resour Alloc. 2008;6:16.
68. Taylor EF, McLaughlin CG, Warren AW, Song PH. Who enrolls in community-based programs for the uninsured, and why do they stay? Health Aff. 2006;25:w183-91.
69. Dong H, Kouyate B, Cairns J, Sauerborn R. A comparison of the reliability of the take-it-or-leave-it and the bidding game approaches to estimating willingness-to-pay in a rural population in West Africa. Soc Sci Med. 2003;56:2181-9.
70. Walraven G. Willingness to pay for district hospital services in rural Tanzania. Health Policy Plan. 1996;11:428-37.
71. Vellakkal S. Determinants of enrolment in voluntary health insurance: evidences from a mixed method study, Kerala, India. Int J Financ Res. 2013;4:99-107.