A systematic review of community-based health insurance programs in South Asia
2017
Background Community-based health insurance (CBHI) has been evolving as an effective
means of healthcare financing in many countries of South Asia. A systematic review in this
context would give a comprehensive report of the performance of these schemes in terms of
improving the health-seeking behaviour of the beneficiaries enrolled for the schemes.
Methods Important databases like PubMed, Elsevier, SocINDEX (EBSCO), Cochrane
Reviews, Medline and Scopus were reviewed along with relevant portals—Google Scholar,
www.who.int/, www.worldbank.org and www.cochrane.org—and specific journals and
discussion series with published literature in the areas of community health insurance and
health microfinance.
Results The review finally chronicles 20 CBHI schemes from published and unpublished literature
from the countries comprising South Asia. These schemes have been reviewed in terms
of their enrolment process, entry point and the extent to which they have contributed to the
healthcare-seeking behaviour.
Conclusion The CBHI schemes can also serve as an alternative healthcare financing mechanism
where fee-for-service and user fees have not made any impact. There have been very few
studies that have tried to carry out an impact evaluation of the CBHI schemes on the target
population, and more and more such studies can be a scope for further research. Copyright
© 2016 John Wiley & Sons, Ltd.
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