Willingness to join community based health insurance and its determinants in East Gojjam zone, Northwest Ethiopia

Getiye Dejenu Kibret,Cheru Tesema Leshargie,Fasil Wagnew,Animut Alebel

doi:10.1186/s13104-019-4060-3

Getiye Dejenu Kibret, Cheru Tesema Leshargie + Show 2 more

Open Access

https://doi.org/10.1186/s13104-019-4060-3

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Journal: BMC research notes	Publication Date: Jan 17, 2019
Citations: 18	License type: open-access

Affiliation: Debre Markos University

Abstract

ObjectiveThe main purpose of this research was to determine the magnitude of willingness to join to community based health insurance (CBHI) and to identify factors associated with it.ResultsA total of 604 study participants responded for the interviews, making the response rate 98.2%. All in all, 492 (81.5%) of the study participant households were willing to join the CBHI scheme. Households which had experience of borrowing for medical expenses within the last 12 months prior to the study were 2.7 times more likely to join CBHI scheme than those who didn’t have borrowed (AOR = 2.65; 95% CI 1.03, 6.83). Female headed households were 2.7 times more likely to take up the scheme compare to male headed households (AOR = 2.74; 95% CI 1.18, 6.37). High proportion of households was willing to join the CBHI scheme in the study area. Educational status of household head, experience of borrowing for medical expenses, sex of household head, household animal asset as measured by tropical livestock unit were factors found to be associated with willingness to take up CBHI scheme.

Highlights

A health insurance scheme refers to pooling of prepaid funds in a way that allows for risks to be shared
Factors associated to willingness to join community-based health insurance (CBHI) scheme Bivariable and multi-variable analysis of logit model were carried out to identify factors associated with willingness to take up CBHI scheme
Households which had experience of borrowing for medical expenses within the last 12 months prior to the study were 2.7 times more likely to join CBHI scheme than those who didn’t have borrowed (AOR = 2.65; 95% CI 1.03, 6.83)

Summary

Results

A total of 604 study participants responded for the interviews, making the response rate 98.2%. Educational status of household heads positively associated with willingness to join the CBHI scheme; this finding is in line with a finding from Debub Bench District, Southwest [11] Ethiopia which showed that participants who can read and write were more likely to join CBHI scheme than those who were categorized as no education. It is in line with a finding from Jimma, that showed individuals in tertiary educational level were more likely to be willing to join Idir based health insurance scheme as compared to illiterates [15].

Introduction

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Conclusions and recommendation

Limitations