Drop-out analysis of community-based health insurance membership at Nouna, Burkina Faso

Health Policy. 2009 Oct;92(2-3):174-9. doi: 10.1016/j.healthpol.2009.03.013. Epub 2009 Apr 24.


Objectives: This study aims to identify the reasons why enrolled people decide not to renew their membership in following years.

Methods: Household survey is used to collect information on the factors influencing dropping out from community-based health insurance (CBI). Information from CBI agency databank is used to describe the general situation of enrolment and drop-out.

Results: Since the launch of CBI the enrolment rate has been low ranging from 5.2% to 6.3%. The drop-out rate, however, has been high ranging from 30.9% to 45.7%. It is found, by the multivariate analysis, that female household head, higher age or lower education of a household head, lower number of illness episodes in the past three months, fewer children or elderly in a household, poor perceived health care quality, less seeking care in the past month positively effected on drop-out, increasing the rate. However, the household six-month expenditure and the distance to the contracted health facility did not have the hypothesised sign. In contrast, a higher household expenditure and a shorter distance to the contracted health facility increased the drop-out.

Conclusions: High drop-out rates endanger the sustainability of CBI not only because they reduce the size of the insurance pool, but also because they bear a negative impact on further enrolment and drop-out. The drop-out rate in the scheme of the Nouna Health District, Burkina Faso, is very high. The reasons for drop-out may be related to affordability, health-needs and health demand, quality of care, household head and household characteristics. This study represents a valuable attempt towards further increasing the sustainability of CBI schemes, by understanding not what motivates people to first enrol in CBI, but what motivates them to renew membership year after year.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Health*
  • Burkina Faso
  • Costs and Cost Analysis
  • Female
  • Humans
  • Insurance, Health / economics
  • Insurance, Health / statistics & numerical data*
  • Logistic Models
  • Male
  • Multivariate Analysis
  • Patient Dropouts / psychology*
  • Patient Dropouts / statistics & numerical data
  • Residence Characteristics
  • Surveys and Questionnaires