ArticleBMC health services research2022
Willingness to pay for social health insurance and its associated factors among public servants in Addis Ababa, Ethiopia: a cross-sectional study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Willingness to pay for social health insurance in Ethiopia: A systematic review and meta-analysis.Frontiers in public health · 2023Pooled it
- Willingness of Urban Formal Sector Workers to Support a Community-Based Health Insurance Scheme in Ethiopia.ClinicoEconomics and outcomes research : CEOR · 2025Article
- Willingness-to-pay for community-based health insurance among formal and informal doctors in Dhaka, Bangladesh: a comparative cross-sectional study.BMJ public health · 2025Article
- Willingness to Pay for Social Health Insurance Among Public Health Workers in Gedeo Zone, Southern Ethiopia.Health services insights · 2024Article
- Social Health Insurance and Healthcare Seeking Behavior in Urban Ethiopia.Annals of global health · 2023Article
- A discrete choice experiment to examine the factors influencing consumers' willingness to purchase health apps.mHealth · 2023Article
- Willingness to Pay for Social Health Insurance Among Health Care Professionals in North Wollo Zone, Amhara Region, Ethiopia: Mixed Method Study.ClinicoEconomics and outcomes research : CEOR · 2023Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAs a means of establishing a sustained and fair health care financing system, Ethiopia has planned and ratified a legal framework to introduce a social health insurance program for employees of the formal sector to protect them against financial and health burdens. However, the implementation has been delayed due to the resistance of public servants to pay the proposed premium. The aim of this study was to estimate the magnitude of willingness to pay the proposed amount of premium set by the government for the social health insurance program and the factors associated with it among public servants in Addis Ababa, Ethiopia.
methodsAn institution-based cross-sectional study design was used to conduct the study. Multistage sampling was employed to select a total of 503 from 12 randomly selected public sectors. Data were collected using pretested, interviewer-administered structured questionnaires. A contingent valuation method with an iterative bidding game was used to elicit willingness to pay. Finally, logistic regression analysis was used to identify independent predictors of willingness to pay. Statistical significance was considered at P < 0.05 with adjusted odds ratios calculated at 95% CIs.
resultsOnly 35.4% were willing to pay the proposed premium (3% of their monthly salary). Those who had children from 6-18 years old (AOR = 3.252; 95% CI: 1.15, 9.22), had a history of unaffordable health service costs during the last 12 months (AOR = 9.631; 95% CI: 4.12, 22.52), and had prior information about the social health insurance program (AOR = 11.011, 95% CI. 3.735-32.462) were more likely to pay for the proposed social health insurance program compared to their counterparts.
conclusionThe willingness to pay the proposed amount premium for social health insurance among public servants in Addis Ababa was very low that implies the implementation will be challenging. Thus, the government of Ethiopia should consider reviewing the amount of premium contributions expected from employees before implementing the social health insurance scheme.
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