The Relationship between Demand for Health Insurance and Civil Conflict in Pastoralist Communities: a case of Liben District in Oromia Regional State
| dc.contributor.advisor | Dr.Derseh, Anagaw | |
| dc.contributor.advisor | Tassew, Berhan | |
| dc.contributor.author | Girma, Dera | |
| dc.date.accessioned | 2021-02-02T07:29:00Z | |
| dc.date.accessioned | 2023-11-05T14:40:13Z | |
| dc.date.available | 2021-02-02T07:29:00Z | |
| dc.date.available | 2023-11-05T14:40:13Z | |
| dc.date.issued | 2020-12 | |
| dc.description.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. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/24929 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Abeba University | en_US |
| dc.subject | Health Insurance ,Civil Conflict | en_US |
| dc.title | The Relationship between Demand for Health Insurance and Civil Conflict in Pastoralist Communities: a case of Liben District in Oromia Regional State | en_US |
| dc.type | Thesis | en_US |