Abstract: The purpose of this study was to examine the determinant of household uptake in community-based health insurance and the effect of uptake in community-based health insurance on household health expenditure in Haramaya and Kersa District. The study used cross-sectional survey research design and quantitative approach. A survey was conducted by using 360 structured close-ended questionnaires distributed equally to community-based health insurance adopters and non adopters in the dist...