Back to Journals » Risk Management and Healthcare Policy » Volume 13

Willingness to Enroll for Community-Based Health Insurance and Associated Factors in Simada District, North-West, Ethiopia, 2020:A Community-Based Cross-Sectional Study

Authors Yitayew MY, Adem MH, Tibebu NS

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
Tel +251920632282

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 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

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]