SCHOOL OF GRADUATE STUDIES CHALLENGES AND PROSPECTS OF COMMUNITY HEALTH INSURANCE IMPLEMENTATION IN MIHUR AKLIL WOREDA,

Abstract

The main objective of this study was to assess & analyze the challenges and prospects of Community Based Health Insurance (CBHI) implementation in the rural area of Ethiopia; particularly in Mihur Aklil district, Gurage Zone of Central Ethiopia Regional state. The scope of the study was limited to CBHI members who had been enrolled on CBHI schemes before 2021(at least two years experienced members). Mixed research approaches have been employed to gather data from respondents. The study used discriptive research design beacause it focused on describing & showing the what, why and when of the actual CBHI challnges and prospects in the study area.Simple random sampling technique was adopted after multistage clustering of the woreda kebeles by two agro ecological categories & performance criteria. The quantitative data has been analyzed and presented using descriptive statistics such as table, percent and graphs and multiple linear regeression models was used to show the relation ship between the independent and dependent variables using SPSS verstion 23 software in chapter four. Outcomes on inefficient utilization of the available resources demand side factors & supplyside implementation challenges were discussed as the major findings of the study. In addition prospects of implementing CBHI program in the district were explored. Finally conclusions and recommendations on implication of the research have been discussed by addressing the stake holders, policy makers and implementers.