Willingness to Join Community-Based Health Insurance among Rural Households of Bugna District, Northeast Ethiopia
Background: Developing countries contribute only 20 % of gross domestic product and 12 % of health spending for the world economy. Little studies done in Ethiopia indicated that the level of willingness to join the community-based health insurance among households was not more than 80% in most parts of the country. Since the program was not yet started in the study area, knowing the level of willingness had a paramount importance for smooth initiation of the scheme in the district. Therefore, this study aimed to assess the willingness to join community-based health insurance and associated factors among rural households of Bugina district, Northeast Ethiopia.
Methods: A community based cross-sectional study was conducted among households of Bugna district from February to March, 2016. The total sample size for the study was 541. Households were selected using multistage systematic sampling technique. Binary logistic regression model was used for analysis. Adjusted Odds Ratio (AOR) with 95% CI and p-value <0.05 were used to identify significantly associated variables.
Result: A total of 532 households participated in the study with a response rate of 98.3%. The finding indicates that 77.8% of the households were willing to join the scheme. The odds of participants willing to join the scheme among respondents who had attended formal education (AOR=4.35; 95% CI:1.88, 10.01), history of illness in the past three months (AOR=3.46; 95% CI:2.02, 5.94), more than five family members in the household (AOR=2.2; 95% CI:1.33, 3.70), good awareness (AOR=2.71; 95% CI1.21, 6.05) and high wealth class (AOR=4.5; 95% CI:2.26, 8.92) were higher than the odds of willing to join the scheme compared to their counterparts.
Conclusion: Willingness to join the scheme was low compared to that of other studies in the country in order to achieve the targets for universal health coverage. Therefore, the government should subside some amount of premium to the poor members, and enhancing community awareness about the scheme can enhance its uptake. It is better if the premium load may consider the family size, wealth status and health status of the households.
Keywords
Authors
How to Cite
Download Citation
License
Copyright © 2020 The Author(s)
Similar Articles
- Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal, Willingness to Enroll For Community-Based Health Insurance and Associated Factors among Household Heads in the Rural Community of Fogera District, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 10 No. 1 (2020)
- Takele Tadesse, Assefa Getachew, Mengesha Admassu, Yigzaw Kebede, Tadesse Awoke, Tesfahun Melese, Solomon Amsalu, Shitaye Alemu, Gashaw Andargie, Belaynew Wassie, Yifokir Tefera, Sisay Yifru, Kassahun Alemu, Samuel G/ Selassie, Solomon Meseret, Demographic and Health Survey at Dabat District in Northwest Ethiopia: Report of the 2008 Baseline Survey , Ethiopian Journal of Health and Biomedical Sciences: Vol. 4 No. 1 (2011)
- Destaw Fetene Teshome, Shitaye Alemu Balcha, Tadesse Awoke Ayele, Asmamaw Atnafu, Kassahun Alemu Gelaye, The role of health extension workers in combating hypertension in Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 14 No. 1 (2024)
- Sisay Getie, Abebe Genetu , Abebe A. Fola, Ligabaw Worku, Gebeyaw Getnet , Meseret Birhanie, Yitayih Wondimeneh, Getachew Ferede, Mengistu Endris, Agersew Alemu, Biniam Mathewos, Aberham Abere, Robert Burton, Dylan R Pillai, Preventive Measures and Diagnosis of Asymptomatic Malaria in Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 8 No. 1 (2017)
- Feleke Mekonnen, Tadesse Alamir, Setegn Eshetie, Sintayehu Daba, Tuberculosis data management, knowledge and associated factors in public-private mix dots implementing health facilities in Bahir dar city, North west Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 10 No. 1 (2020)
- Mezgebu Yitayal , Yemane Berhane, Alemayehu Worku, Yigzaw Kebede , Graduating Rural Households as Model Families Has Increased Latrine Utilization in West Gojjam Zone, Amhara Region, Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 8 No. 1 (2017)
- Mulu Slute, Getu Debalkie, Kindie Fentahun, Sebsebie Tadesse, Kassahun Alemu, Perception of Climate Change and Associated Factors among Rural Dwellers of Gondar Zuria District, Northwest Ethiopia , Ethiopian Journal of Health and Biomedical Sciences: Vol. 9 No. 1 (2019)
- Zemene Tigabu, Tadesse Guadu, Tesfahun Melese, Alemayehu Teklu, Timely Initiation of Breastfeeding and Associated Factors in Northwest Ethiopia: A Community Based Cross-Sectional Study , Ethiopian Journal of Health and Biomedical Sciences: Vol. 11 No. 1 (2021)
- Haregewoin Mulat, Equlinet Misgenaw, Haddis Solomon, Public Knowledge and Attitude Towards Mental Illness And Mentally Challenging People In Gondar Town, Northwest Ethiopia, 2011 , Ethiopian Journal of Health and Biomedical Sciences: Vol. 9 No. 1 (2019)
- Zelalem Birhanu, Tegbar Yigzaw, Netsanet Worku, Knowledge about the Revised Abortion Legislation among Reproductive Age Women: The Case of Gondar Town , Ethiopian Journal of Health and Biomedical Sciences: Vol. 5 No. 1 (2012)
You may also start an advanced similarity search for this article.
Most read articles by the same author(s)
- Amare Minyihun, Masrie Genet, Binyam Tilahun, How to strengthen the Monitoring and Evaluation System to improve Compassionate, Respectful, and Caring services in Ethiopia: An implementation study , Ethiopian Journal of Health and Biomedical Sciences: Vol. 12 No. 1 (2022)
- Chalie Tadie, Amsalu Feleke, Ayal Debie, Nursing Process Implementation and Associated Factors among Nurses Working At West Amhara Referral Hospitals , Ethiopian Journal of Health and Biomedical Sciences: Vol. 9 No. 1 (2019)