Health Worker Preferences for Community-based Health Insurance Payments Mechanisms: A Discrete Choice Experiment

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This study is about the development of community-based health insurance (CBI) schemes in Burkina Faso. In early 2004, the insurance (CBI) scheme, Assurance Maladie à Base Communautiare (AMBC), was introduced in Nouna district, Burkina Faso. Under CBI schemes, members of a community, often defined by geographical proximity or through employment based relationships, pool resources in order to provide support for covering health expenditures. CBI has been seen as an attractive solution to the challenge of generating financial resources for healthcare in developing countries, because they are designed to assist the many people in those countries who work in rural and informal sectors and thus rarely have access to other types of health insurance, which are based on formal, taxed income. The development of CBI programs in sub-Saharan Africa has garnered substantial interest by both researchers and policymakers alike, as an instrument to reduce financial barriers to care where other types of health insurance schemes cannot be implemented.

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Paul Jacob Robyn, Till Bärnighausen, Aurélia Souares, Germain Savadogo, Brice Bicaba, Ali Sié and Rainer Sauerborn

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Microinsurance Innovation Facility, EUDN

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22

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