Role of Community Based Health Insurance on Health Service provision and Healthcare Seeking Behavior of Households in Rural Ethiopia: the Case of Tehuledere District, South Wollo Zone
| dc.contributor.advisor | Asress, Kassahun (PhD) | |
| dc.contributor.author | Yismaw, Molla | |
| dc.date.accessioned | 2018-06-14T12:47:00Z | |
| dc.date.accessioned | 2023-11-18T12:16:31Z | |
| dc.date.available | 2018-06-14T12:47:00Z | |
| dc.date.available | 2023-11-18T12:16:31Z | |
| dc.date.issued | 2017-06 | |
| dc.description.abstract | The issue of community based health insurance is an emerging and promising concept to access affordable and effective health care in low and middle income countries. Introduction of CBHI scheme aims to mobilize additional resources to the health sector. More importantly, substantially pooling risks between the poor and the better off as well as the sick and healthy that improve equity, quality and access in health service delivery. In addition, as a health insurance scheme removes or considerably reduce cash requirement at the point of getting services, members will be encouraged to seek service when it is needed which ultimately increase the demand for seeking care and utilization of the service. However, CBHI is limited in most developing countries and out of pocket health care expenditure still impoverishes households especially in rural and people in informal sector. So far, little has been done regarding the role of CBHI on health care seeking behavior, access and quality of services in developing countries in general and in Ethiopia in particular. Accordingly, the main objective of this study was to examine services provision of health care providers and health care seeking behavior of households in response to the introduction of CBHI scheme in rural Ethiopia: particularly in Tehuledere District, South Wollo Zone. To conduct this study, mixed research approach employed concurrently to gather data from 344 respondents (70% male and 30% female) for household survey and informants of IDIs, KIIs and FGDs. The quantitative data were analyzed using descriptive statistics such as table, percentage and graph on one hand, and inferential statistics like, T-Test, one way ANOVA and correlation on the other hand were used to verify the group difference and relationship across variables. Qualitative data were analyzed using thematic analysis. The sampling design of this study used both probability (multistage stage proportional sampling) and non-probability (purposive based on conveniences and judgmental sampling until saturation achieved). The study finding disclosed that in some parameters there were gaps in design and implementation of CBHI scheme. In addition, overall quality of service improved though there were limitations in some quality indicator. Health services utilization improved from 0.33 visits of individual per year in 2011 to 1.44 visits in 2016; more than four times from the previous visits. Majority of the respondents (93.3%) do have positive or favorable attitude towards CBHI scheme and its role in promoting health condition of the community. Furthermore, CBHI enable health care providers to prescribe the appropriate diagnostic test and drugs without any uncertainties about the ability of the CBHI member to pay. However, work load increases without increasing incentives; that resulted effect on moral hazards and mistreatment of members. This study has a significant role in filling research gaps, policy implication and sources of information within the limited literature on the issue at hand | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/12345678/968 | |
| dc.language.iso | en | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | CBHI Scheme; Rural; Household; Health care Seeking Behavior; mixed approach | en_US |
| dc.title | Role of Community Based Health Insurance on Health Service provision and Healthcare Seeking Behavior of Households in Rural Ethiopia: the Case of Tehuledere District, South Wollo Zone | en_US |
| dc.type | Thesis | en_US |