Solidarity or Financial Sustainability

Abstract
Although community-based health insurance (CBHI) seemed promising to improve access to health care, its implementation has been slow and laborious. We hypothesize that the existing tension between the competing objectives of solidarity and financial sustainability that are pursued by CBHI may partly account for this. This paper aims to evaluate if there is a gap between CBHI subscribers’ values and their promoters’, and to determine which characteristics of subscribers and CBHIs are associated with their values.