TABLE 1. Summary of Studies on Willingness to Join or Pay for Community-Based Health Insurance
StudyCountryDate of Data CollectionSample SizeaUrban/RuralStudy DesignWTJ/P
Positive Association Between Socioeconomic Status and WTJ/P
Haile M et al. (2014)29Ethiopia2013845RuralCross-sectional community based surveyWTJ was 4.2 times higher in richest vs. 2nd poorest quintile (95% CI: 1.6, 10.9)
Asfaw A et al. (2004)30Ethiopia2000, 2001550RuralCross-sectional community based survey1% increase in income increased the WTP by 8.4%
Ololo S et al. (2009)31Ethiopia2007803UrbanCross-sectional community based surveyWTJ was 2.7 times higher in richest vs. poorest quintile. (95% CI: 2.1, 6.7)
Zhang L et al. (2006)32China20022,830RuralCross-sectional household surveyWTJ was 1.37–1.66 times higher among farmers who owned luxury assets vs. those who did not
Ghosh S et al. (2011)33IndiaNS1,502UrbanCross-sectional household surveyWTP was 2.1 times (P=.07) higher in richest vs. poorest quintile
Dong H et al. (2005)40Burkina Faso20012,414NSCross-sectional household surveyWTP was 1.7 times higher in richest vs. poorest (P<.01)
Onwujekwe O et al.42NigeriaNS450BothCross-sectional household surveyWTP was 1.8 times higher in richest vs. poorest (P=.001)
Onwujekwe O et al. (2010)43NigeriaNS3,070BothCross-sectional household surveyWTP was 1.7 times higher in richest vs. poorest quartile
Babatunde OA et al. (2012)45NigeriaNS360RuralCross-sectional household surveyWTP was 2 times higher in richest vs. poorest quartile
Gustafsson-Wright et al. (2009)46Namibia20081,750NSCross-sectional household surveyWTP was 2.6 times higher in richest vs. poorest quintile; richest willing to pay 1.2% of income while poorest willing to pay 11.4% of income
Dror DM et al. (2007)47IndiaNS3,024BothCross-sectional household surveyWTP was 2 times higher in richest vs. poorest
Binnendijk B et al. (2013)48India2008–20107,874RuralCross-sectional household surveyRichest willing to pay more than poorest but poorest willing to pay higher proportion of total income
Shafie AA et al. (2013)49Malaysia2009472NSCross-sectional household surveyWTP was 2 times higher in richest vs. poorest quintile
Parmar D et al. (2014)51Burkina Faso2004–20086,827BothCross-sectional household surveyWTJ was 0.27 lower in poor vs. rich (P=.001)
Negative Association Between Socioeconomic Status and WTJ/P
Oriakhi HO et al. (2012)36NigeriaNS360RuralCross-sectional household surveyWTJ was 0.66 times lower in high- vs. low-income groups
Mixed Results or No Association
Bukola A (2013)35NigeriaNS900BothCross-sectional household survey53% decrease in WTP with 1 unit increase in income quintile in rural areas; conversely, 77% increase in WTP with 1 unit increase in income quintile in urban areas
Eckhardt M et al. (2011)36Ecuador2006153RuralCross-sectional household surveyNo difference in WTJ by income groups (P=.23)
  • Abbreviations: CI, confidence interval; NS, not stated in article; WTJ, willingness to join; WTP, willingness to pay.

  • a Sample size is the number of households.