Assessment of Willingness to Pay: The Mechanism of Financial Pooling for Community-Based Health Insurance and Associated Factors among Households in Tigray Region, Northern Ethiopia, September 1-October 20, 2020

Worldwide about 44 million households face financial problems due to healthcare expenditure; more than 40% of African nations' health expenditure comes from out-of-pocket payments making a scarcity of funds for health, and low-income groups make health payments by borrowing or selling property. [...]an agenda for developing a system of healthcare financing is common for all nations toward universal health coverage (UHC), using the emerging concept of community-based health insurance (CBHI) as a potential strategy to achieve universal health coverage in developing countries by discussing the problem of healthcare financing in low-income countries (LIC), helping to raise revenue, and narrowing the financial gaps of health sectors providing universal health coverage. [...]developing healthcare financing systems is a common agenda and key area for health system actions toward universal health coverage (UHC) [3] for all countries [3,4-7]. According to evidence from [13], fragmentation in pooling is a particular challenge for UHC objectives. Understanding the CBHI pooling setup and the community's willingness to pay (WTP), determining the amount of money, and exploring facilitators and barriers while implementing the scheme are necessary for policy makers to redesign and reform options, and to expand the program regionally. [...]the objective of this study was to assess the CBHI pooling setup, WTP for CBHI, and associated factors among rural and urban households in the Tigray region of Northern Ethiopia.