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The Impact of Community Based Health Insurance Schemes on Out-of-Pocket Healthcare Spending: Evidence from Rwanda
Author:
Andinet Woldemichael null

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Daniel Gurara null

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Abebe Shimeles null

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Series:
IMF Working Papers
Volume/Issue:
Volume 2019: Issue 038
Language:
English
Publication Date:
22 Feb 2019
DOI:
https://doi.org/10.5089/9781484398074.001
ISBN:
9781484398074
ISSN:
1018-5941
Pages:
38
Keywords:
WP; normal distribution; sensitivity analysis; Healthcare spending; health insurance; low-income; Rwanda; CBHI scheme; CBHI enrollment; CBHI member household; CBHI effect; CBHI membership rate; Insurance; Income; Consumption; Africa
Legal-disclaimer:
IMF Working Papers describe research in progress by the author(s) and are published to elicit comments and to encourage debate. The views expressed in IMF Working Papers are those of the author(s) and do not necessarily represent the views of the IMF, its Executive Board, or IMF management.
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Achieving universal health coverage, including financial risk protection and access to quality essential health-care services, is one of the main Sustainable Development Goals. In low-income countries, innovative and affordable health financing systems are key to realize these goals. This paper assesses the impacts of Community-Based Health Insurance Scheme in Rwanda on health-related financial risks using a nationally representative household survey data collected over a ten-year period. We find that the scheme significantly reduce annual per capita out-of-pocket spending by about 3,600 Rwandan Franc (about US$12) or about 83 percent of average per capita healthcare expenditure compared to the baseline level in 2000.The impacts however favor the rich as compared to the poor. The program also reduces the incidence of catastrophic healthcare spending significantly.
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Cover IMF Working Papers
IMF Working Papers
ISSN:
1018-5941
Publisher:
International Monetary Fund