Awareness and willingness to participatein community based health insurance scheme in Dubti woreda of, Afar region
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Date
2019-06
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Addis Abeba University
Abstract
Background:In Ethiopia There are major challenges in the quality of services provided. First,
contracted providers differ in their readiness in terms such as pharmacy services, laboratory
facilities, reception, and outpatient services. Second, health facilities, especially hospitals, are
frequently short of drugs and patients must buy items from outside (private) retailers. Health
facilities attribute the shortages mainly to shortages at Pharmaceutical Fund and Supply Agency
(PFSA) hubs. The practice of moral hazard by pharmacists at contracted health facilities was
reported to exacerbate the shortages. Third, there are frequent breakdowns of medical equipment,
due mainly to lack of preventive maintenance but also to health worker negligence and
mishandling. Fourth, there are complaints about availability and capacity of staff. Finally, no
pilot woreda has systematic, regular, and standard mechanisms for collecting and properly
addressing complaints.
Evidence from the experience of countries worldwide informed Ethiopia's CBHI design, which
eschewed small-scale, voluntary membership and included mechanisms to finance the
membership of the poor. The willingness and ability to pay of the pilot woreda population
conducted by HSFR during the design phase as well as the assessment of readiness of facilities in
the pilot woredas to provide health services informed the design parameters.
Objectives:Awareness and willingness to participate in a community based health
insurancescheme among household in Dubti woreda of, Afar region.
Methodology: community based cross sectional study will be conduct from July 2018 up to June
2019will use recorded information and, structured and pre-test questionnaire will develop and
administer to gather information. The data collect from structured questionnaire will be intered in
to epi info and analyse by using latest version spss version21. Descriptive statistics as well as
bivariate logit analysis and multi variate logistic regression will be used to asses factors affecting
participation in a community based health insurance schemes in the study are.
Budget: this study will be conduct in a way that minimizes cost, as try to mention below in
budget break down34,783.35 Ethiopian birr will need to perform the study.
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Keywords
Health insurance