Theoretical Foundations Underpinning Impact Evaluations of Community-Based Health Insurance on Maternal Healthcare Accessibility in Côte d'Ivoire: A Socio-Epidemiological Framework

Community-based health insurance (CBHI) programmes have proliferated across Sub-Saharan Africa as a means to improve access to healthcare services, particularly for maternal and child health. The study employs a socio-epidemiological approach, integrating quantitative data on health insurance coverage with qualitative insights from community surveys and focus group discussions to explore the dynamics of CBHI on maternal healthcare. The theoretical framework offers a nuanced understanding of how socio-epistemological factors influence both access and utilization of maternal healthcare services within CBHI programmes in Côte d'Ivoire's urban setting. Future research should focus on developing more inclusive community health insurance models that incorporate gender-specific needs and address structural barriers to service uptake.