Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia
Abstract Introduction Community‐based health insurance (CBHI) scheme is a powerful tool to achieve universal health service coverage by providing financial protection against healthcare costs. Ethiopia introduced CBHI, although its utilization is suspected to be poor. Consequently, this study aimed...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-09-01
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| Series: | Public Health Challenges |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/puh2.18 |
| _version_ | 1797853377078493184 |
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| author | Aderajew Mekonnen Girmay Mulumebet Tadesse Reta |
| author_facet | Aderajew Mekonnen Girmay Mulumebet Tadesse Reta |
| author_sort | Aderajew Mekonnen Girmay |
| collection | DOAJ |
| description | Abstract Introduction Community‐based health insurance (CBHI) scheme is a powerful tool to achieve universal health service coverage by providing financial protection against healthcare costs. Ethiopia introduced CBHI, although its utilization is suspected to be poor. Consequently, this study aimed to assess CBHI service usage and related factors. Methods Six hundred fifty‐two participants were enrolled in this study. Data was collected through a face‐to‐face interview. Results This study indicated that 60% of respondents utilized the CBHI service. In this study, male participants were 44% less likely to use the CBHI service (AOR = 0.44 with 95%CI: 0.28–0.70) than female participants. Besides, participants from small households were 54% less likely to utilize the CBHI service (AOR = 0.54 with 95%CI: 0.36–0. 82) than those from large families. However, using the CBHI service was 4.97 times higher among illiterate participants (AOR = 4.97 with 95%CI: 1.46–16.91) than those with literacy skills. Moreover, participants with low income were 5.14 times more likely to use the CBHI service (AOR = 5.14 with 95%CI: 2.27–11.64) than those with high monthly income. Additionally, participants who had not a private home were 6.31 times higher to use the CBHI service (AOR = 6.31 with a 95%CI: 2.76–14.46) than those who had. Furthermore, participants having adequate information on the CBHI were 8.99 times more likely to use the CBHI service (AOR = 8.99 with 95%CI: 5.66–14.27) than those who had not. Conclusion The study provides essential information regarding CBHI service utilization and associated factors. Although the majority of the participants used the CBHI service, still a large number of users did not receive the services properly. Availability of laboratory services and delivery of essential drugs were low. Therefore, government and other relevant agencies should develop effective regulatory systems to promote the CBHI service and improve public health facilities' capacity to provide CHHI services properly. |
| first_indexed | 2024-04-09T19:48:37Z |
| format | Article |
| id | doaj.art-51cdd900c67c45d683f91693316a2f26 |
| institution | Directory Open Access Journal |
| issn | 2769-2450 |
| language | English |
| last_indexed | 2024-04-09T19:48:37Z |
| publishDate | 2022-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Public Health Challenges |
| spelling | doaj.art-51cdd900c67c45d683f91693316a2f262023-04-03T10:35:23ZengWileyPublic Health Challenges2769-24502022-09-0113n/an/a10.1002/puh2.18Community‐based health insurance service utilization and associated factors in Addis Ababa, EthiopiaAderajew Mekonnen Girmay0Mulumebet Tadesse Reta1Ethiopian Public Health Institute Addis Ababa EthiopiaGullele Sub City Health Office Addis Ababa EthiopiaAbstract Introduction Community‐based health insurance (CBHI) scheme is a powerful tool to achieve universal health service coverage by providing financial protection against healthcare costs. Ethiopia introduced CBHI, although its utilization is suspected to be poor. Consequently, this study aimed to assess CBHI service usage and related factors. Methods Six hundred fifty‐two participants were enrolled in this study. Data was collected through a face‐to‐face interview. Results This study indicated that 60% of respondents utilized the CBHI service. In this study, male participants were 44% less likely to use the CBHI service (AOR = 0.44 with 95%CI: 0.28–0.70) than female participants. Besides, participants from small households were 54% less likely to utilize the CBHI service (AOR = 0.54 with 95%CI: 0.36–0. 82) than those from large families. However, using the CBHI service was 4.97 times higher among illiterate participants (AOR = 4.97 with 95%CI: 1.46–16.91) than those with literacy skills. Moreover, participants with low income were 5.14 times more likely to use the CBHI service (AOR = 5.14 with 95%CI: 2.27–11.64) than those with high monthly income. Additionally, participants who had not a private home were 6.31 times higher to use the CBHI service (AOR = 6.31 with a 95%CI: 2.76–14.46) than those who had. Furthermore, participants having adequate information on the CBHI were 8.99 times more likely to use the CBHI service (AOR = 8.99 with 95%CI: 5.66–14.27) than those who had not. Conclusion The study provides essential information regarding CBHI service utilization and associated factors. Although the majority of the participants used the CBHI service, still a large number of users did not receive the services properly. Availability of laboratory services and delivery of essential drugs were low. Therefore, government and other relevant agencies should develop effective regulatory systems to promote the CBHI service and improve public health facilities' capacity to provide CHHI services properly.https://doi.org/10.1002/puh2.18communityfee waiverhealth‐insurancequality serviceutilization |
| spellingShingle | Aderajew Mekonnen Girmay Mulumebet Tadesse Reta Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia Public Health Challenges community fee waiver health‐insurance quality service utilization |
| title | Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia |
| title_full | Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia |
| title_fullStr | Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia |
| title_full_unstemmed | Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia |
| title_short | Community‐based health insurance service utilization and associated factors in Addis Ababa, Ethiopia |
| title_sort | community based health insurance service utilization and associated factors in addis ababa ethiopia |
| topic | community fee waiver health‐insurance quality service utilization |
| url | https://doi.org/10.1002/puh2.18 |
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