ArticleRisk management and healthcare policy2020
Effect of Community-Based Health Insurance on Utilization of Outpatient Health Care Services in Southern Ethiopia: A Comparative Cross-Sectional Study.
Article in Risk management and healthcare policy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Disparities in modern health service utilization between community-based health insurance member and non-member households in Ethiopia: a meta-analysis.BMC public health · 2026Pooled it
- Effect of community based health insurance on healthcare services utilization in Ethiopia: a systematic review and meta-analysis.BMC health services research · 2024Pooled it
- The impact of community-based health insurance on universal health coverage in Ethiopia: a systematic review and meta-analysis.Global health action · 2023Pooled it
- Does health insurance increase health care utilization? Evidence of ex-post moral hazard from the Social Security Scheme in Thailand.Health policy and planning · 2026Article
- Healthcare satisfaction and associated factors between insured and uninsured women in the Sidama region, Ethiopia.npj health systems · 2026Article
- The effect of community-based health insurance on healthcare utilization and out-of-pocket health expenditure in the Tigray Regional State, Ethiopia.International journal of health economics and management · 2026Article
- The Impact of Community-Based Health Insurance Scheme on Patient Satisfaction in Debresina, Primary Hospital, North Shewa Zone, Ethiopia: A Comparative Cross-Sectional Study.Health science reports · 2026Article
- Household costs, catastrophic out-of-pocket payments and impoverishment related to accessing surgical care in rural Ethiopia.PloS one · 2026Article
- Risk factors of diabetic ketoacidosis among patients with diabetes attending at public hospitals of East Gojjam Zone, Northwest Ethiopia: an unmatched case - control study.BMC endocrine disorders · 2025Article
- Determinants, challenges, and opportunities of the community-based health insurance scheme in Tigray Regional State, Ethiopia: A mixed method study.Journal of public health research · 2025Article
- Unequal nursing: the impact of China's public health insurance on nursing services for older adults.BMC nursing · 2025Article
- Coordinating under constraint: a qualitative study of communication and teamwork along Ethiopia's cervical cancer care continuum.BMC health services research · 2025Article
- Replenish Revenue by Low-Cost Medicines, an Institution-Specific Action to Improve Access to High-Cost Medicines Used for Chronic Illness in Ethiopia: Narrative Review.Health science reports · 2025Article
- Challenges and Opportunities of Universal Health Coverage in Africa: A Scoping Review.International journal of environmental research and public health · 2025Article
- How cesarean section rates can be reduced through an effective financial strategy: A protocol for systematic review.Medicine · 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
- Health Service Utilization by Women Members and Non-Members of Community-Based Health Insurance Schemes in Sidama, Southern Ethiopia, 2024: A Comparative Cross-Sectional Study.Health services insights · 2025Article
- Factors associated with client satisfaction and implementation challenges for community-based health insurance in Ethiopia: beneficiaries' perspectives.Frontiers in public health · 2025Article
- Exploring machine learning classification for community based health insurance enrollment in Ethiopia.Frontiers in public health · 2025Article
- Assessment of the Effect of Community-Based Health Insurance Scheme on Health-Related Outcomes in Ethiopia: A Systematic Review.Iranian journal of public health · 2024Review
Corrections and comments
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Authors and funding
2 authors.
Funding
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Abstract
backgroundCommunity-based health insurance schemes are becoming increasingly recognized as a potential strategy to achieve universal health coverage in developing countries. Despite great efforts to improve accessibility to modern health-care services in the past two decades, in Ethiopia, utilization of health-care services have remained very low. Given the financial barriers of the poor households and lack of sustainable health-care financing mechanisms in the country has been recognized to be major factors, the country has implemented community-based health insurance in piloted regions of Ethiopia aiming to improve utilization of health-care services by removing financial barriers. However, there is a dearth of literature regarding the effect of the implemented insurance scheme on the utilization of health-care services.
objectiveTo analyze the effects of a community-based health insurance scheme on the utilization of health-care services in Yirgalem town, southern Ethiopia.
methodsThe study used both a quantitative and qualitative mixed approach using a comparative cross-sectional study design for a quantitative part using a randomly selected sample of 405 (135 member and 270 non-member) household heads. To complement the findings from the household survey, focus group discussions were used. Multivariate logistic regression was employed to identify the effect of community-based health insurance on health-care utilization.
resultsThe study reveals that community-based health insurance member households were about three times more likely to utilize outpatient care than their non-member counterparts [AOR: 2931; 95% CI (1.039, 7.929); p-value=0.042].
conclusionCommunity-based health insurance is an effective tool to increase utilization of health-care services and provide the scheme to member households.
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