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. 2017 Jun 27;5(2):299–314. doi: 10.9745/GHSP-D-16-00286

TABLE 2. Summary of Studies on Enrollment in Community-Based Health Insurance.

Study Country Date of Data Collection Sample Size Urban/Rural Study Design Enrollment
Poor Less Likely Than the Rich to Enroll
Parmar D et al. (2014)51 Burkina Faso 2004–2008 990 households Both Pre and post without control (repeated measures) The poor were less likely to either enroll or use CBHI
Jutting JP (2004)52 Senegal 2000 346 households Rural Post without control Higher-income group significantly more likely to enroll in health insurance
Dror DM et al. (2005)53 Philippines 2002 1,953 households Post with control The poor were more uninsured than the rich
Basaza R et al. (2007)54 Uganda 2004–2005 63 individuals Rural Case study with key informant interviews Inability to pay premium most common reason (80%) for non-enrollment
Basaza R et al. (2008)55 Uganda 2005–2006 185 individuals Rural Qualitative—focus group discussions and in-depth interviews Inability to pay premium most common reason for non-enrollment
Franco LM et al. (2008)56 Mali 2004 2,280 households Both Post with control Enrollment was significantly higher in the rich wealth quintile than other quintiles; insured were more likely to use health services
Saksena P et al. (2011)58 Rwanda 2005–2006 6,800 households Both Post with control Poorer households were less likely to be insured
De Allegri M et al. (2013)28 Burkina Faso 2004 547 households Both Post with control Enrollees in insurance scheme were more likely to be wealthier than non-enrollees
Jütting JP (2004)9 Senegal 2000 346 households Rural Post with control The poor were less likely to enroll in CBHI
No Association Between Socioeconomic Status and Enrollment
Schneider P et al. (2004)57 Rwanda 2000 2,518 households Rural Post with control No relationship between socioeconomic status and enrollment in health insurance or use of it by enrollees
Premium Subsidy Increased Enrollment
Oberländer L et al. (2014)59 Burkina Faso 2008–2009 25,494 individuals Both Regression discontinuity Probability of enrollment increased by 30 percentage points with eligibility for premium subsidy
Parmar D et al. (2012)60 Burkina Faso 2004–2007 990 households Both Pre and post without control (repeated measures) With onset of subsidy, percentage of the insured who were poor increased from 3.4% in 2006 to 26.0% in 2007
Souares A et al. (2010)61 Burkina Faso 2006–2007 7,122 households Both Pre and post without control With the onset of subsidy in 2007, the proportion of the poor enrolled in CBHI increased from 1.1% in 2006 to 11.1% in 2007
Zhang L et al. (2008)74 China 2004–2006 1,169 households Rural Post without control (repeated measures) Low-income group was less likely to enroll in the subsidized CBHI than the middle- and high-income groups
Wagstaff A et al. (2007)75 China 2003, 2005 8,476 households Rural Pre and post with control (propensity score matching) Subsidized insurance improved use of services in the poorest 10% of the population

Abbreviation: CBHI, community-based health insurance.