The Relationship between Demand for Health Insurance and Civil Conflict in Pastoralist Communities: a case of Liben District in Oromia Regional State
No Thumbnail Available
Date
2020-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: In sub-Saharan Africa, out-of-pocket expenditures constitute approximately 40%
of total health expenditures, imposing financial burdens and limiting access to care in some of
the poorest countries around the globe. Out of pocket (OOP) health care spending is one of the
main sources for financing the Ethiopian health system. To reduce the catastrophic health
expenditure the Community-Based Health Insurance (CBHI) scheme, implemented since 2011,
is being progressively scaled up and targets informal sector workers and the poor in rural
areas.There are a lot of impacts on health due to conflict it is possible to understand those drivers
of health status that are direct measures such as mortality and indirect measures that is morbidity.
Objective: - This study aims to explore the relationship between demand for health insurance
and civil conflict in pastoralist communities in Liben district of Oromia Regional State, 2020.
Methods: -a cross-sectional study was conducted by using Systematic random sampling
technique among395 householdsthose are the residents of Liben woreda.Each household was
interviewed using structured questionnaire. Descriptive statistical methods were used to generate
frequencies and the results were presented using table and graphs. Logit regression model were
used for data analysis to explore if there is a link between demand for health insurance and the
civil conflict.
The study wasconducted from May up to June, 2020 with 43,642.50 ETH. Birr budget.
Result: Fifty eight percent of the study households were members of CBHI and 75.6% of the
households also faced civil conflict.Household with family size of 9-11 were 3.82 times more
enrolled to CBHI than those their household family size of with 3-5.The finding of this study
indicate (AOR=6.17, CI=3.25, 13.84) those people who did not experience severe losses of
income since the onset of the conflict had 6.17 times more enrolled to CBHI than those who
experience severe losses of income.
Conclusion: -The findings in this study reveal the adverse effect of conflict on demand for
health insurance. The enrollment rate of CBHI among non-affected by conflict was higher. The
implication of the study finding is that the need to control civil conflicts in order to enhance
utilization of health service and provide financial protection using health insurance schemes.
Description
Keywords
Health Insurance ,Civil Conflict