It was said to make a financial sustainability to keep health insurance Addis Ababa, March 11, 2025 Ethiopian Health Insurance Service with the Regional health Bureau, Justice Bureau, Finance Bureau and head Audit Office and some other stakeholders, it has been discussed in activities that apply to the health of health insurance and applying for financial sustainability. According to the General Director of Ethiopian Health Insurance Service, Ato Tesfaye Worku it is required to ensure financial sustainability to keep Community Based Health Insurance. To ensure financial sustaining, it must be Established the biggest pool. Members contributing money based-on their ability by the means of sliding scale. The money which is collected must be audited early and to use it for health purpose only.
Ethiopian Health Insurance Service Resources Mobilization and members administration lead Executive Officer Ato Gudeta Abebe in his side said began access to community in 2014EC, community-based health insurance in 13 woreda by now it has reached 1213 woreda. He said that the relevant body must do enough work to make the results achieved sustainable and ensure that the same results are achieved in all areas. In particular, Ato Gudeta stressed that the money contributed by members, individual subsidies from regions, and federal subsidies for those who cannot pay, should be properly collected, legally verified through audits, and used only for medical services for beneficiaries. Ato Muluken Asmamaw, Advisor to the Ethiopian Health Insurance Service, indicated in his presentation that the next issues that need attention include seeing the impact of community-based health insurance, eliminating fraud, thinking about national health coverage, allowing members to contribute according to their ability by the sliding scale, and establishing a high standard. Participants have stated that the ongoing community-based health insurance program is effective, and in order to sustain our strengths while addressing challenges and implementing solutions. They have promised to focus on better performance. The reason for this is that without community-based health insurance programs, citizens face financial burdens, mothers struggle to care for their children, and they are unable to ensure the accessibility of healthcare services. Therefore, it has been emphasized that health matters are fundamentally social issues that deserve their attention. Improving the quality of healthcare services, such as enhancing the delivery of drugs and related services, should be prioritized through the implementation of technology-driven digital solutions. Participants emphasized the need for a focused approach to achieve greater clarity and effectiveness in these processes.