This article in the Bulletin of the World Health Organization examines the effects of a community-based mutual health organization (MHO) on utilization of priority health services, financial protection of its members, and inclusion of the poor and other target groups. MHO members were 1.7 times more likely to have been treated for fevers in modern facilities; three times more likely to take children with diarrhea to a health facility or treat with oral rehydration salts; twice as likely to make at least four prenatal visits; and twice as likely to sleep under an insecticide-treated net if pregnant or under 5 years. Greater distance also deterred use. Household and individual enrolment in an MHO were not significantly associated with socioeconomic status (except at the highest quintile), and MHOs seemed to provide some financial protection for members.
Franco LM, FP Diop, CR Burgert, AG Kelley, M Makinen, and CH Simpara, “Effects of mutual health organizations on use of priority health-care services in urban and rural Mali: a case-control study,” Bulletin of the World Health Organization 86(2008):830–838.