Risk Management and Healthcare Policy (Dec 2020)

Willingness to Enroll for Community-Based Health Insurance and Associated Factors in Simada District, North-West, Ethiopia, 2020:A Community-Based Cross-Sectional Study

  • Yitayew MY,
  • Adem MH,
  • Tibebu NS

Journal volume & issue
Vol. Volume 13
pp. 3031 – 3038

Abstract

Read online

Moges Yinges Yitayew,1 Mohammed Hussien Adem,2 Nigusie Selomon Tibebu3 1Ethiopian Red Cross Society South Gondar Branch, Debre Tabor, Ethiopia; 2Department of Health Systems Management and Health Economics, School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia; 3Department of Pediatrics and Child Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, EthiopiaCorrespondence: Moges Yinges YitayewEthiopian Red Cross Society South Gondar Branch, Debre Tabor, EthiopiaTel +251920632282Email [email protected]: Community-based health insurance is a not-for-profit type of health insurance that has been used by poor people to protect themselves against the high costs of seeking medical care and treatment for illness. This study aimed to assess communities’ willingness to enroll for community-based health insurance (CBHI) and its associated factors in Simada district, Northwest, Ethiopia.Methods: A community-based mixed cross-sectional study design was conducted. Multistage simple random and purposive sampling techniques were used for quantitative and qualitative studies, respectively. Data were coded and entered into Epi info version 7.2.0.1 and exported to SPSS 20.0 for data analysis. Inferential statistics were done to determine an association between the outcome and independent variables. Statistically significant variables in binary logistic regression analysis with p-value < 0.2 were entered for multivariable binary logistic regression analysis and P-value ≤ 0.05 was considered as statistically significant. Hosmer and Lemeshow’s goodness of fitness test was fitted and qualitative data were analyzed by using thematic analysis.Results: Among 510 study participants, 454 (89%) [CI: (86.5%-91.6%)] were willing to enroll for community-based health insurance. Members of social capital [AOR: 7.6 (3.78– 15.5)], distance from health facilities [AOR: 10.8 (4.9– 23.5)], the experience of chronic illness in the family [AOR: 4.6 (1.88– 11.4)], medium family wealth status [AOR: 3.1 (1.3– 7.5)], and the number of family members [AOR: 2.25 (1.11– 4.6)] were significantly associated with willingness to enroll for community-based health insurance.Conclusion: Willingness to enroll in community-based health insurance in the study area is high. Members of social capital, the experience of chronic illness in the family, distance from a health facility, the number of family members, and medium family wealth status were factors found to be associated with willingness to enroll for the scheme. Therefore, emphasizing redesigning and planning strategies for better expanding the scheme accordingly.Keywords: CBHI, Ethiopia, willingness

Keywords