Willingness to Enroll for Community-Based Health Insurance and Associated Factors in Simada District, North-West, Ethiopia, 2020:A Community-Based Cross-Sectional Study
Received 6 September 2020
Accepted for publication 3 December 2020
Published 15 December 2020 Volume 2020:13 Pages 3031—3038
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Professor Marco Carotenuto
Moges Yinges Yitayew,1 Mohammed Hussien Adem,2 Nigusie Selomon Tibebu3
1Ethiopian Red Cross Society South Gondar Branch, Debre Tabor, Ethiopia; 2Department of Health Systems Management and Health Economics, School of Public Health, Bahir Dar University, Bahir Dar, Ethiopia; 3Department of Pediatrics and Child Health Nursing, College of Health Science, Debre Tabor University, Debre Tabor, Ethiopia
Correspondence: Moges Yinges Yitayew
Ethiopian Red Cross Society South Gondar Branch, Debre Tabor, Ethiopia
Background: Community-based health insurance is a not-for-profit type of health insurance that has been used by poor people to protect themselves against the high costs of seeking medical care and treatment for illness. This study aimed to assess communities’ willingness to enroll for community-based health insurance (CBHI) and its associated factors in Simada district, Northwest, Ethiopia.
Methods: A community-based mixed cross-sectional study design was conducted. Multistage simple random and purposive sampling techniques were used for quantitative and qualitative studies, respectively. Data were coded and entered into Epi info version 22.214.171.124 and exported to SPSS 20.0 for data analysis. Inferential statistics were done to determine an association between the outcome and independent variables. Statistically significant variables in binary logistic regression analysis with p-value < 0.2 were entered for multivariable binary logistic regression analysis and P-value ≤ 0.05 was considered as statistically significant. Hosmer and Lemeshow’s goodness of fitness test was fitted and qualitative data were analyzed by using thematic analysis.
Results: Among 510 study participants, 454 (89%) [CI: (86.5%-91.6%)] were willing to enroll for community-based health insurance. Members of social capital [AOR: 7.6 (3.78– 15.5)], distance from health facilities [AOR: 10.8 (4.9– 23.5)], the experience of chronic illness in the family [AOR: 4.6 (1.88– 11.4)], medium family wealth status [AOR: 3.1 (1.3– 7.5)], and the number of family members [AOR: 2.25 (1.11– 4.6)] were significantly associated with willingness to enroll for community-based health insurance.
Conclusion: Willingness to enroll in community-based health insurance in the study area is high. Members of social capital, the experience of chronic illness in the family, distance from a health facility, the number of family members, and medium family wealth status were factors found to be associated with willingness to enroll for the scheme. Therefore, emphasizing redesigning and planning strategies for better expanding the scheme accordingly.
Keywords: CBHI, Ethiopia, willingness