Assessment of dropout rate and associated factors from community based health insurance among informal workers in gumbichu woreda,Oromia region,Ethiopia.
No Thumbnail Available
Date
2020-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Abeba University
Abstract
Background: Ethiopia has introduced community-based health insurance (CBHI) scheme to
enhance healthcare services utilization and protect the poor from catastrophic health expenditure
in 2011. Previous studies indicate that CBHI support the efforts being made to create access to
primary healthcare services, a number of schemes are mostly constrained by low membership
uptake, high dropout rate and exclusion of the poor.
Objective: - To assess of dropout rate and associated factors from Community-based health
insurance (CBHI) among informal workers in Gumbichu Woreda, East Shoa Zone, Oromia
Region.
Methods: Community-based cross-sectional study design was employed. Using interviewer
administered questioners to assess factors affecting dropout of CBHI in Gumbichu Woreda. The
study participants were selected by using systematic random sampling technique. The sample
size required for the study is 624.
Results: The study found that educational statuses of respondents were found to be an associated
factor for dropout of CBHI. Households who are illiterate were 2.174 times more likely to drop
out from CBHI than those who were secondary education and above, AOR = 2.174, 95% CI
(0.906, 4.422). Socio-economic status of households also affect dropout. Household with wealth
status of low income were 3.44 times more likely to drop out from the CBHI than those high
wealth statuses, AOR = 3.44; 95% CI (1.344, 8.805). Households with middle income group
were 1.238 times more likely to drop out than those high-income groups, AOR = 1.238; 95% CI
(0.693, 2.213). Perceiving service quality is also reason and positively correlated with members
to dropout from their membership (r=0.297 at p=0.00). Limited scope of illness covered by the
scheme and distance from health facility are also reasons and positively correlated with members
to dropout from their membership (r =0.272 at p = 0.00) and (r = 0.117 at p = 0.0015).
Conclusion: This study brings reasons and factors for dropout of CBHI membership. It is found
that education, socio-economic status, limited scope of illness, distance from health facility and
quality of healthcare services were correlated with dropout of CBHI.
Description
Keywords
Community-based health insurance, Dropout, Informal workers, Ethiopia, Gumbichu.