ArticleGlobalization and health2020
Determinants of enrollment decision in the community-based health insurance, North West Ethiopia: a case-control study.
Article in Globalization and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Informing policy through evidence: A scoping review of factors that influence enrolment in community-based health insurance in East Africa.Global health research and policy · 2026Article
- What factors influence enrolment in Nepal's National Health Insurance Program? A community-based cross-sectional study using the Health Belief Model.BMJ public health · 2026Article
- Analysing the determinants of healthcare insurance uptake in Nigeria.BMC health services research · 2025Article
- Investigating membership attrition dynamics in community-based health insurance: a survival analysis of socioeconomic and program-specific determinants in the Amhara Region, Northwest Ethiopia.BMC public health · 2025Article
- Willingness to join community-based health insurance and associated factors among households in Ethiopian: a systematic review and meta-analysis.Cost effectiveness and resource allocation : C/E · 2025Review
- Trust in the integrity of a micro health insurance scheme and its determinants in two rural districts of Ethiopia.BMC health services research · 2025Article
- Determinants of the decision to enroll in community-based health insurance among households in the West Guji Zone, Oromia State, southern Ethiopia, in 2022.Frontiers in health services · 2025Article
- Dropout rate from a community-based health insurance scheme and associated factors in the Hagere Mariam district: a mixed method study.Frontiers in public health · 2025Article
- Determinants of enrolment for community-based health insurance in Somali region of Ethiopia.Journal of public health in Africa · 2025Article
- Exploring Factors Influencing Family's Enrollment in Community-Based Health Insurance in the City of Gondar Peri-Urban Community, Northwest Ethiopia: A Health Belief Model Approach.Risk management and healthcare policy · 2024Article
- Spatial distribution and geographical heterogeneity factors associated with households' enrollment level in community-based health insurance.Frontiers in public health · 2024Article
- Multidimensional determinants of willingness to pay for community-based health insurance in Ethiopia and its implication towards universal health coverage: A narrative synthesis.Preventive medicine reports · 2023Review
- The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia.Preventive medicine reports · 2023Article
- Association between women's household decision-making autonomy and health insurance enrollment in sub-saharan Africa.BMC 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
- Financial viability of a community-based health insurance scheme in two districts of northeast Ethiopia: a mixed methods study.BMC health services research · 2022Article
- Article
- Factors associated with enrollment for community-based health insurance scheme in Western Ethiopia: Case-control study.PloS one · 2021Article
- Community-Based Health Insurance Membership Dropout Rate and Associated Factors in Dera District, Northwest Ethiopia.Risk management and healthcare policy · 2020Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify the determinants for enrollment decision in the community-based health insurance program among informal economic sector-engaged societies, North West Ethiopia.
methodUnmatched case-control study was conducted on 148 cases (member-to-insurance) and 148 controls (not-member-to-insurance program) from September 1 to October 30,2016. To select the villages and households, stratified then simple random sampling method was employed respectively. The data were entered in to Epi-info version 7 and exported to SPSS version 20 for analysis. Descriptive statistics, bi-variable, and multi-variable logistic regression analyses were computed to describe the study objectives and identify the determinants of enrolment decision for the insurance program. Odds ratio at 95% CI was used to describe the association between the independent and outcome variables.
resultsA total of 296 respondents (148 cases and 148 controls) were employed. The mean age for both cases and controls were 42 ± 11.73 and 40 ± 11.37 years respectively. Majority of respondents were males (87.2% for cases and 79% for controls). Family size between 4 and 6 (AOR = 2.26; 95% CI: 1.04, 4.89), history of illness by household (AOR = 3.24; 95% CI: 1.68, 6.24), perceived amount of membership contribution was medium (AOR = 2.3; 95% CI: 1.23, 4.26), being married (AOR = 6; 95% CI:1.43, 10.18) and trust on program (AOR = 4.79; 95% CI: 2.40, 9.55) were independent determinants for increased enrollment decision in the community-based health insurance. While, being merchant (AOR = 0.07; 95% CI: 0.09, 0.6) decreased the enrollment decision.
conclusionSocieties' enrollment decision to community-based health insurance program was determined by demographic, social, economic and political factors. Households with large family sizes and farmers in the informal sector should be given maximal attention for intensifying enrollment decision in the insurance program.
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