Background: Access to affordable and effective health care is a challenge in low- and middle- income countries.
Out-of-pocket expenditure for health care is a major cause of impoverishment. One way to facilitate access and
overcome catastrophic expenditure is through a health insurance mechanism, whereby risks are shared and
financial inputs pooled by way of contributions. This study examined factors that influenced the enrolment status
of dairy farmers in Western Kenya to a community health insurance (CHI) scheme