ArticleHealth services insights2025
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.
Article in Health services insights, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Women's Intention to Maintain Enrollment in Community-Based Health Insurance: A Multilevel Analysis in the Sidama Region, Southern Ethiopia, 2024.Health services insights · 2026Article
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Authors and funding
3 authors.
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Abstract
Background: The community-based health insurance (CBHI) program was established in Ethiopia to enhance access to healthcare and protect vulnerable populations, including women, from financial risk. Aim: This study analyzed healthcare utilization and its determinants between community-based health insurance members and nonmembers of women in Sidama's Central Zone, southern Ethiopia. Methods: From January 19 to February 20, 2024, a community-based comparative cross-sectional study was conducted among 1280 women (640 insured and 640 uninsured). The study participants were selected using a multistage sampling technique, and data were collected through structured face-to-face interviews using the KoBo Toolbox. Findings: The analysis revealed that CBHI membership was associated with a 77% higher frequency of health facility visits than non-members (APR = 1.77, 95% CI: 1.52-2.06; Conclusions: This analysis demonstrated that membership in CBHI substantially increased the frequency of health facility visits, resulting in a 77% rise relative to non-members. Among insured women, significant determinants included age, healthcare satisfaction, geographical accessibility, community literacy, and poverty levels. Conversely, for uninsured women, associated factors comprised family size, healthcare satisfaction, geographical accessibility, and community literacy, highlighting the necessity of addressing systemic barriers and community-level influences to enhance healthcare access and utilization in the region.
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