Assessment of factors Influencing Enrollment of Community-based Health Insurance Scheme in Amaro District of SNNPR, Ethiopia, in 2020

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Date

2021-01

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Addis Abeba University

Abstract

Background: In Ethiopia out of pocket health expenditure is high risking to impoverishment, inequitable access and utilisation of health care. To curb this government has developed a health insurance policy to improve financial access, quality and health care coverage. To solve these problems, to successfully implement the community-based health insurance in the district and nearest districts there exists a thin layer of evidence. Nevertheless, evidence on factors that influence households to actively utilizing health insurance of the program is unknown that makes sustainability and effectiveness of the program in question. Objective: To assess factors influencing enrollment of community-based health insurance scheme in Amaro District of SNNPR, Ethiopia in 2020. Methods: A community-based cross sectional study design was used among randomly selected 389 households. Binary logistic regression analysis was applied to compute crude odds ratio with its 95% confidence interval to test the associations between dependent and independent variables. Then variables found to have P<0.25 in the bi-variate analysis was taken as candidate for multivariable analysis. A P-value of 0.05 with a confidence interval of 95% was used to declare level of statistical significance. Results: The prevalence of community-based health insurance enrolment was 20.3% [(95% CI:[ 23.8, 31.2)].Covariates like: Relatively older ages [ (AOR:3.7; 95% CI:[ 0.07,10) ], formal education [(AOR:1.3; 95% CI:[ 3.6,34)], non farmers [(AOR : 3 ; 95% CI: [0.9, 80)]. and agree on affordability of premium [(AOR: 0.6 95% CI:[ 0.02, 1.842)], good knowledge on CBHI [(AOR: 2.7 ; 95% CI : [0,0.192)], had statistically significant association with community-based health insurance enrolment. Conclusion: The prevalence of communitybased health insurance enrolment in this study area was low. This study pinpointed the need to disseminate information and discuss with community on the issues related to principles of community-based health insurance, the benefit packages, the premium and efforts should be devoted to meet expectation of the community regarding the quality of healthcare by the District health office, insurance officials and health professionals to enhance the enrolment.

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Community-based health insurance, enrolment, utilization, scheme, southern Ethiopia.

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