Determinants of enrollment in community based health insurance program among households in East Wollega Zone, west Ethiopia: Unmatched case-control study.
J Public Health Res
; 12(3): 22799036231187101, 2023 Jul.
Article
em En
| MEDLINE
| ID: mdl-37529065
ABSTRACT
Background:
Ethiopia has launched a community-based health insurance (CBHI) since 2011, which is an innovative financing mechanism to enhance domestic resource mobilization and sustainable health financing. This study assessed determinants of CBHI enrollment among HHs (households) of East Wollega, Ethiopia, 2022. Method and materials Community based unmatched 12 case-control study design was conducted between Jan 7and Feb 5/2022 among 428 HHs (144 cases and 284 controls). Cases were selected from HHs who registered for CBHI and currently using CBHI. Controls were from those who do not registered for CBHI membership. Data collected using a semi-structured, interview administered questionnaire. Multivariable logistic regression with SPSS version 25 was employed for analysis and variables were declared statistical significant association at p-value < 0.05, 95% CI.Result:
Data from 428 (144 cases and 284 controls to CBHI) were collected; a response rate of 98.8%. Statistically lower odds of CBHI enrollment was observed among HHs who have poor knowledge [AOR = 0.48 (95% CI0.27, 0.85)], perceived not respectful care [AOR = 0.44 (95% CI0.24, 0.81)], unavailability of laboratory services [AOR = 0.37(95% CI0.21, 0.66)], inappropriate time of premium payment [AOR = 0.31(95% CI0.18, 0.52)]. In addition, medium wealth status category [AOR = 0.11(95% CI 0.03, 0.45)]. Higher odd of CBHI enrollment observed among who have formal education [AOR = 2.39(95% CI 1.28, 4.48)]. Conclusion and recommendation Educational level, knowledge, time of membership payment, laboratory test availability, perception of respectful care and wealth status were significant determinants of CBHI enrollment status. Hence, the responsible bodies should discuss and decide with community on the appropriate time of premium payment collection, and enhance community education on CBHI benefit package.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Idioma:
En
Revista:
J Public Health Res
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Etiópia