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CBHI schemes have been implemented world over to contribute to initial steps for national health insurance schemes, and universal health coverage. CBHI schemes aim to reduce out-of-pocket payments, and improve access to healthcare services in addition to raising additional revenue for the health sector. Kisiizi Hospital CBHI scheme began in 1996, had 41,500 registered members in (what year?) , organised in 210 community associations known as ‘Bataka’ or ‘Engozi’ societies. In this study, the authors aimed at exploring the feasibility and desirability of scaling up CBHI in Rubabo County, specifically  exploring community perceptions and determining acceptability of CBHI, identifying barriers, enablers to scaling up CBHI and documenting lessons regarding CBHI expansion in a rural community.