Comparison of patient registration numbers with size of dialysis/transplant populations cared for by units suggests that in several units enrolment in this patient group is approaching or in excess of 50%.
The report states that '(T he observed numbers of arrests were substantially lower than anticipated from the pre-randomization unit-enrolment data; however, the survival rate in the CPR-only units was higher than anticipated.
The household is the unit of enrolment for the scheme (candidates interested in enrolling can only join if they include the entire household), while premiums are paid annually and are set at the individual level.
In particular, consumers justified decision to join or not to join the insurance scheme in relation to their preference for the unit of enrolment, the premium level and the payment modalities, the benefit package, the health service provider network and the CBI managerial structure.
To limit adverse selection the unit of enrolment is set as a household.
The household is the unit of enrolment and the majority of districts have set their contribution rate to between US$4.22 and US$12.7aa per year [ 23].
Even though the unit of enrolment was restricted to a household to limit adverse selection, this rule was not strictly followed.
Making households as the unit of enrolment in insurance schemes would help extend insurance coverage to women and other household members with low decision-making making power and financial resources.
Although the unit of enrolment is the household, the annual premium is set on an individual basis: 1500 CFA (2.29€) for an adult and 500 CFA (0.76€) for a child (less than 15 years old).
They include: premium level, premium collection modalities, premium structure, unit of enrolment, geographical level of pooling, management structure, health services benefit package, transportation coverage, copayment levels, and provider network (i.e. the type of health facilities to be contracted by the MHI).
As the household is the unit of enrolment in Nouna's CBHI scheme and previous studies have shown the household head as a prominent voice in the decision to enrol (de Allegri et al. 2006b), the logit model for the propensity of enrolling in CBHI used explanatory variables at the household level wherever possible.
