ArticleGlobal health action2017
Socioeconomic and programmatic determinants of renewal of membership in a voluntary micro health insurance scheme: evidence from Chakaria, Bangladesh.
Article in Global health action, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Community-based health insurance dropout rate and its' associated factors among households in Seyo District, Kellem Wollega Zone, Oromia, Ethiopia: community-based cross-sectional study.Frontiers in public health · 2025Article
- Value for solidarity: a proxy for community understanding and acceptance of the basic principles of community-based health insurance in rural Ethiopia.Health economics review · 2024Article
- The Dilemma of Underutilized Health Insurance: A Matched Case-Control Study Investigating Reasons in Iran's Free Universal Health Insurance.Iranian journal of public health · 2023Article
- Determinants of community-based health insurance membership renewal decision among rural households in Kellem Wollega zone, Oromia regional state, Ethiopia: a community-based cross-sectional study.Frontiers in public health · 2023Article
- Implementation barriers and remedial strategies for community-based health insurance in Bangladesh: insights from national stakeholders.BMC health services research · 2022Article
- Continued adherence to community-based health insurance scheme in two districts of northeast Ethiopia: application of accelerated failure time shared frailty models.International journal for equity in health · 2022Article
- Community-Based Health Insurance Membership Renewal Rate and Associated Factors among Households in Gedeo Zone, Southern Ethiopia.Journal of environmental and public health · 2022Article
- The effects of individual and community-level factors on community-based health insurance enrollment of households in Ethiopia.PloS one · 2022Article
- Who will drop out of voluntary social health insurance? Evidence from the New Cooperative Medical Scheme in China.Health policy and planning · 2021Article
- Barriers and Facilitators of Community-Based Health Insurance Policy Renewal in Low- and Middle-Income Countries: A Systematic Review.ClinicoEconomics and outcomes research : CEOR · 2021Article
- Combining Microfinance and Health in Reducing Poverty-Driven Healthcare Costs: Evidence From the Philippines.Frontiers in public health · 2020Review
- Magnitude and Determinants of Dropout from Community-Based Health Insurance Among Households in Manna District, Jimma Zone, Southwest Ethiopia.ClinicoEconomics and outcomes research : CEOR · 2020Article
- Community-Based Health Insurance Membership Dropout Rate and Associated Factors in Dera District, Northwest Ethiopia.Risk management and healthcare policy · 2020Article
- Factors Associated with Enrolment of Households in Nepal's National Health Insurance Program.International journal of health policy and management · 2019Article
- Determinants of Enrolment and Renewing of Community-Based Health Insurance in Households With Under-5 Children in Rural South-Western Uganda.International journal of health policy and management · 2019Article
- Clients' Experience and Satisfaction of Utilizing Healthcare Services in a Community Based Health Insurance Program in Bangladesh.International journal of environmental research and public health · 2018Article
- Who enrols in voluntary micro health insurance schemes in low-resource settings? Experience from a rural area in Bangladesh.Global health action · 2018Article
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6 authors.
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Abstract
backgroundOut-of-pocket (OOP) healthcare expenditure is a major obstacle for achieving universal health coverage in low-income countries including Bangladesh. Sixty-three percent of the USD 27 annual per-capita healthcare expenditure in Bangladesh comes from individuals' pockets. Although health insurance is a financial tool for reducing OOP, use of such tools in Bangladesh has been limited to some small-scale voluntary micro health insurance (MHI) schemes run by non-governmental organizations (NGO). The MHI, however, can orient people on health insurance concept and provide learning for product development, implementation, barriers to enrolment, membership renewal, and other operational challenges and solutions. Keeping this in mind, icddr,b in 2012 initiated a pilot MHI, Amader Shasthya, in Chakaria, Bangladesh. This paper explores the determinants of membership renewal in this scheme, which is a perpetual challenge for MHI.
objectiveIdentify socioeconomic and programmatic determinants and their effects on membership renewal in a voluntary MHI scheme.
methodsData came from the online management information system of the scheme and Health and Demographic Surveillance System of Chakaria, covering the period February 2012-May 2015. Association between renewal and independent variables was examined using cross-tabular and logistic regression analyses.
resultsNearly 20% of households in the catchment area ever enroled in the scheme, and 38% renewed membership over the initial 3 years of operation. Frequency of consultation with healthcare providers, benefits received, proximity of member's residence to health facility, socioeconomic status, educational level, and age of the household head showed significant positive association with renewal of membership.
conclusionsVillagers' enrolment in the scheme indicated that even in poor economic and literacy conditions people can be motivated to enrol in insurance schemes. Degree of service utilization and benefits received can greatly enhance the probability of membership renewal, which can be ensured with good quality of services and ease of access.
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