Abstract
BackgroundEven though Ethiopia bears high burden of diseases, utilization of modern health care services is limited. One of the reasons for low utilization of healthcare services is the user-fee charges. Moving away from out-of-pocket charges for healthcare at the time of use is an important step towards averting the financial hardship associated with paying for health service. Prepaid plans for health are not accustomed in Ethiopia. Therefore, social and community based health insurance schemes were introduced since 2010.In this study, willingness of rural households in Debub Bench District, to join community based health insurance was assessed.MethodCross-sectional community based study was conducted in Debub Bench District in March 2013 using a pretested structured questionnaire. Two stage sampling technique was used to select 845 households as study units which were allocated to the kebeles proportionately. The sampled households were selected using simple random sampling technique. Data were entered into EPIDATA 3.0 and analyzed with SPSS version 20.ResultAmong 845 sampled households, 808 were interviewed (95.6% response rate). About 78% of the respondents were willing to join the scheme. Most of demographic, socioeconomic variables and social capital were found to be significantly associated with willingness to join community based health insurance.ConclusionIf the scheme is initiated in the district, majority of the households will enroll in the community based health insurance. Farmers, the married households, Bench ethnic groups and illiterate, the dominant segments of the population, are more likely to enroll the schemes. Therefore initiation of the scheme is beneficial in the district.
Highlights
Even though Ethiopia bears high burden of diseases, utilization of modern health care services is limited
If the scheme is initiated in the district, majority of the households will enroll in the community based health insurance
In Ethiopia, 38.5% of the total health expenditure was covered through out-of-pocket charges, which is higher than that of other African countries, which was 30.6% in 2008 [3,5]
Summary
Even though Ethiopia bears high burden of diseases, utilization of modern health care services is limited. One of the reasons for low utilization of healthcare services is the user-fee charges. The country bears a high burden of disease mainly due to preventable diseases and conditions. In spite of high burden, utilization of modern health care services is limited [3]. In Ethiopia, 38.5% of the total health expenditure was covered through out-of-pocket charges, which is higher than that of other African countries, which was 30.6% in 2008 [3,5]. Ethiopia’s per capita public spending for health (14 US$ in 2008) remains far below even that of other African and low income countries (83 US$ and 32 US$ respectively in 2008) [5]
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