Barriers and enablers of community-based health insurance enrollment in the Sidama national regional state, Southern Ethiopia, 2024: A qualitative study.

ABSTRACT: The universal health coverage (UHC) efforts in low- and middle-income countries such as Ethiopia encounter significant challenges in the implementation of community-based health insurance (CBHI) programs. This study investigated barriers and enablers influencing CBHI enrollment in Sidama National Regional State. Using purposive sampling, 48 participants were recruited, including four focus groups (12 participants each) and 20 key informant interviews. Participants comprised CBHI members (n = 5), non-members (n = 5), community leaders (n = 4), policymakers (n = 3), and healthcare providers (n = 3). Data collection occurred over three weeks in May 2024, with thematic analysis employed following phenomenological principles. Ethical considerations such as informed consent, confidentiality, and

SUBMITTER: Debessa KC 

PROVIDER: S-EPMC12425181 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature