ArticleClinicoEconomics and outcomes research : CEOR2020
Perceived Quality of Healthcare and Availability of Supplies Determine Household-Level Willingness to Join a Community-Based Health Insurance Scheme in Amhara Region, Ethiopia.
Article in ClinicoEconomics and outcomes research : CEOR, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- 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
- Article
- Contributions and challenges of healthcare financing towards universal health coverage in Ethiopia: a narrative evidence synthesis.BMC health services research · 2022Review
- The effects of individual and community-level factors on community-based health insurance enrollment of households in Ethiopia.PloS one · 2022Article
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2 authors.
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Abstract
purposeThe Ethiopian health system has been challenged by a shortage of funds and is heavily reliant on foreign donation. However, voluntary community-based health insurance (CBHI) has been implemented to reach and cover the very large agricultural sector since 2010. Thus, the level of acceptability of the scheme needs to be regularly assessed through households' willingness to join before the nationwide rollout of the scheme. This study was intended to assess the level of willingness to join in community-based health insurance and associated factors in northwest Ethiopia. PATIENTS AND
methodsUsing a pretested structured questionnaire, a cross-sectional community-based study was conducted in 2017 in Amhara Region, northwest Ethiopia. Using a multi-stage sampling method, from 15 clusters in which CBHI was implemented, 1,179 households without CBHI membership were included as a sample for the study. Bivariable and multivariable logistic regression was fitted to assess the association between predictor variables and the outcome of interest.
resultsOut of the total (1,179) participants, 60.5% (713) were willing to join the scheme. Households' occupation (AOR=2.26; 95% CI:=1.12-5.07), perceived good (AOR=2.21; 95% CI:=1.53-3.21), and medium (AOR=1.44; 95% CI=1.22-2.0) healthcare quality and richer wealth status (AOR=1.72; 95% CI=1.08-2.73) were associated with higher odds of willingness to join the scheme.
conclusionAs The study revealed that level of willingness to join is lower compared to other studies. Therefore, social protection activities for the low-income population and enhancement of the capacity of health facilities are crucial.
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