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Table 5 Summary of key findings under financial arrangement level of health system

From: Barriers and facilitators to implementation, uptake and sustainability of community-based health insurance schemes in low- and middle-income countries: a systematic review

Systems-level factors: Financial arrangement Number and type of studies a Reported as barriers Reported as facilitators Related to b
Implementation Uptake Sustainability
Amount and timing of premium N = 19
Qualitative (4); Cross-sectional (4); Mixed (8); Case studies (3)
N = 19
[38, 39, 42, 45,46,47,48,49,50, 52, 53, 55, 56, 59,60,61,62, 65, 76]
N = 4
[47, 50, 56, 76]
  X X
Cost-sharing N = 10
Quantitative (1); Qualitative (2); Cross-sectional (6); Mixed (1)
N = 9
[4, 33, 36, 38, 39, 44, 56, 75, 77]
N = 1
[57]
  X X
Payment arrangement for services N = 6
Cross-sectional (1); Qualitative (1); Mixed (3); Case study (1)
N = 4
[36, 38, 48, 78]
N = 2
[55, 75]
X   
Financial viability of scheme N = 9
Qualitative (2); Cross-sectional (2); Mixed (4); Case study (1)
N = 7
[36, 38, 53, 61, 68, 73, 78]
N = 2
[55, 57]
   X
  1. a Some of the studies included both barriers and facilitators
  2. b X symbol denotes whether the factor relates to implementation, uptake or sustainability