02080cas a2200265 a 4500 AALejournalIMF019067 230101c9999 xx r poo 0 0eng d 5.00 USD 9781484398074 1018-5941 BD-DhAAL BD-DhAAL Woldemichael, Andinet. The Impact of Community Based Health Insurance Schemes on Out-of-Pocket Healthcare Spending : Evidence from Rwanda / Andinet Woldemichael, Daniel Gurara, Abebe Shimeles. Washington, D.C. : International Monetary Fund, 2019. 1 online resource (38 pages) IMF Working Papers <strong>Off-Campus Access:</strong> No User ID or Password Required <strong>On-Campus Access:</strong> No User ID or Password Required Electronic access restricted to authorized BRAC University faculty, staff and students Achieving universal health coverage, including financial risk protection and access to quality essential health-care services, is one of the main Sustainable Development Goals. In low-income countries, innovative and affordable health financing systems are key to realize these goals. This paper assesses the impacts of Community-Based Health Insurance Scheme in Rwanda on health-related financial risks using a nationally representative household survey data collected over a ten-year period. We find that the scheme significantly reduce annual per capita out-of-pocket spending by about 3,600 Rwandan Franc (about USD 12) or about 83 percent of average per capita healthcare expenditure compared to the baseline level in 2000.The impacts however favor the rich as compared to the poor. The program also reduces the incidence of catastrophic healthcare spending significantly. Mode of access: Internet Gurara, Daniel. Shimeles, Abebe. IMF Working Papers; Working Paper ; No. 2019/038 Full text available on IMF http://elibrary.imf.org/view/journals/001/2019/038/001.2019.issue-038-en.xml IMF e-Library