Willingness of community to enroll in community based health insurance and associated factors at household Level in Siraro District, West Arsi Zone, Ethiopia

Abstract

To ensure that health care is accessible to all, Community Based Health Insurance (CBHI) should be promoted and more people should be encouraged to participate in it. The aim of this study is to assess the willingness of community to enroll in community based health insurance and factors associated at household level in Siraro District, Ethiopia, 2017. Community based cross sectional study design was employed for 413 household samples. Simple random sampling method was used and face to face interviews, key informants and focus group discussions were conducted using semi-structured questionnaire. Data were entered and cleaned by EPI info and exported to SPSS. Bivariate and multivariate logistic regression was used for analysis of variables and 95% confidence level and P- value£ 0.05 was used to measure strength of association. Seventy three percent were willing to enroll in community based health insurance. Marital status (AOR=5.411, 2.448-11.959), being a member of Idir (AOR=2.618, 1.460- 4.690), being aware of community based health insurance principles (AOR=1.938, 1.083-3.464), having knowledge of inpatient services (AOR= 0.269, 0.121-0.597) and poor health status (AOR = 0.517, 0.279-0.957) were factors affecting the enrollment of community in health insurance. Key words: Community, health insurance, willingness, enroll.