ASSESSING THE PRACTICES AND CHALLENGES OF COMMUNITY BASED HEALTH INSURANCE IN ETHIOPIA: THE CASE OF OROMIA NATIONAL REGIONAL STATE DISTRICT OF GIMBICHU

The study assessed the community based health insurance practice & challenges in Oromiya national regional state, Gimbichuworeda. In order to achieve these goals primary data have been collected from members of Community based health insurance by taking 135 respondents from five gands by using simples stratified sampling. Three employees of CBHI were contacted for in-depth interview & one manager of CBHI Finfine branch also has been contacted for triangulation purpose. The data were putted in SPSS version 21 in order to get descriptive statistics or result. The Qualitative data collected via in-depth interviews & open ended questions were analyzed through transcription in to micro-soft word processing then by categorizing & coding on their theme. The enrolment of the CBHI in Gimbichuworeda is significant even many people being the member of the insurance since 2014 (60.7%) this will have positive impact on the progress of the CBHI in the woreda. Number of non-indigent members of the insurance is 10,911 whereas indigent member of the insurance is 2,380 so the overall progress of the woreda on membership type especially on the paying group is good. Both demand (In the health institution the attitude of the health employees is very less, there is shortage of medicines, absence of the nearest hospital in the wored, lack of skilled manpower assigned for the CBHI and supply side problems (Not taking their membership ID on time by presenting at the office Not fulfilling the necessary requirement during registration) responsible for less enrollment of the insurance.