Ethiopia - Community-Based Health Insurance (CBHI)

Overview

Country/Region	Ethiopia
Solution	Social Health Insurance (SHI)
Program Operator	Ethiopian Health Insurance Agency (EHIA), under Ministry of Finance
Program type	Community-based Health Insurance (Government run Voluntary Health Insurance programme)
Implemented since	pilot 2021 (tbc)
Implementing Partner(s)	m4h in consortium with HISP (South Africa)
Supporting Partner(s)	Financial Assistance: European Commission (EU), commissioned by Ethiopian Ministry of Finance
Version
Functionalities used	.. … …
Coverage	Pilot implementation in Tigray Woreda (Tigray District), Kilite Awelaelo
Number of beneficiaries	49.301 beneficiaries enrolled (9.413 households), 23.409 beneficiaries served
Note
Number of users
Number of health facilities	20 Kebeles (….), 7 Health Centers, 3 Hospitals
Last update	January 2025 (based on presentation of Ethiopia delegation during study tour to Nepal)

Health scheme implemented since	2021 (tbc)
Name of openIMIS focal point
Total number of health scheme employees
Total number of employees using openIMIS
Total number of employees not trained on openIMIS
Number of health insurance products managed by the health scheme and using openIMIS

Number of households covered	9.413
Note
Average size of a household	xxx is the national average and in xxx family up to y members are enrolled for the set contribution amount
Household contribution amount	xxx per household
Individual contribution	n/a
Average amount paid for a claim
Last Update

Version
Has anything been modified (customization)
What standards are used to code services, items, diagnosis and products