Drivers of community-based health insurance enrolment in post-war Tigray, Ethiopia
This study reveals substantial interest in CBHI among households in post-war Tigray, highlighting its potential to strengthen the healthcare system. To ensure equitable access and achieve UHC-particularly in rural and war affected areas-revitalising CBHI and rebuilding PHC are essential. While longitudinal research is warranted to understand how war-driven contextual changes affect CBHI demand over time, policies should prioritise affordability, enhance awareness and strengthen hospital linkages. This supports the prioritisation of CBHI investment as a crucial strategy in this context and potentially in similar under-resourced and war-torn settings.
Authors
- Tesfay Gebregzabher Gebrehiwot (ORCID: https://orcid.org/0000-0002-0535-9368)
- Lemlem Legesse
- Hayelom Kahsay (ORCID: https://orcid.org/0000-0003-0226-6745)
- B Gebremariam
- Asfawosen Aregay Berhe (ORCID: https://orcid.org/0000-0003-1362-937X)
- Nega Bezabih Mamo
- Tsegay Hadgu (ORCID: https://orcid.org/0009-0005-6689-0178)
- Mussie Alemayehu (ORCID: https://orcid.org/0000-0002-0035-631X)
- Yemane Berhane Tesfau (ORCID: https://orcid.org/0000-0002-9146-5940)
- Kiros Demoz
- Amanuel Haile (ORCID: https://orcid.org/0009-0008-7532-599X)
- Tesfay Teklemariam
- Abraha Woldemichael (ORCID: https://orcid.org/0000-0001-6246-9013)
- Measho Gebreslassie
- Tsegay Wellay
- Letebrhan Weldemhret (ORCID: https://orcid.org/0000-0002-8408-6432)
- Degnesh Negash
- Afework Mulugeta
- Fana Gebresilassie
- Tsegay Berihu
- Ataklti Gessesse
- Aregawi Belay Gebremaryam
- Bizayene Hadush
- Hadish Bekuretsion
- Mulugeta Tilahun
- Brhane Ayele
- Hiluf Kalayu
Institutions
- Adigrat University (ET)
- Mekelle University (ET)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2026-02-01
- DOI
- https://doi.org/10.1136/bmjgh-2025-019064
- Primary Topic
- Healthcare Systems and Reforms
- Type
- article
- Field-Weighted Citation Impact
- 0.00