9 excluding nations like Rwanda and Ghana.
10,11 Researchers investigated and identified barriers that diminished enrolment. Unaffordability of payment, poor and limited referral services and weak management which resulted in lack of client trust have been the major identified constraints to enrolment.
A scientific investigation in Burkina Faso pointed out that the cost of premium, inaccessibility of health facilities, poor quality services, absence of health seeking behavior and local notions were the major constraints that held down enrolment initiatives.
14 A research in Tanzania also reported family size, economic status, family members’ health condition and awareness of CBHI were the major factors connected with membership.