No abstract

Background: Financial risk protection is one of the pillars of universal health coverage. Community based health insurance (CBHI) scheme is the risk sharing mechanism to reduce large out-of-pocket payments for health care and to overcome financial barriers to access health care. However, evidence on the level of willingness to join community based health insurance in the study area was scanty. Objective: This study aimed to assess willingness to join community based health insurance scheme and its predictors among informal Sectors in Buno Bedele zone, Southwest Ethiopia, 2021. Methods: A community-based cross-sectional study design was conducted on willingness to join community based health insurance and its predictors among informal sectors in Buno Bedele Zone, South west Ethiopia from January 01 to 30, 2021. Multistage simple random sampling was used to select 555 households. Data were collected using a semi-structured intervieweradministered pretested questionnaire. Data were entered into Epi-Data version 3.1 and analyzed with SPSS Version 25. A binary logistic regression model was fitted to determine the presence of statistically significant associations between the dependent and independent variables at p-value <0.05 and AOR values with 95% CI. Finally, fitness of the model was checked by using Hosmer and Lemeshow goodness-of-fit test. Results: Of the sampled respondents, 543 participated in this study with response rate of 98.3%. Of these, 426 (78.5%) were willing to join the scheme. The study found that, educational status of who can read and write [AOR=3.96; 95% CI, 2.02, 7.75], family size > 5 [AOR=2.61; 95% CI, 1.45, 4.17], poor households [AOR=4.89; 95% CI, 2.79, 8.57], experience of an illnesses in the last three months [AOR=2.28; 95% CI, 1.21, 4.30], had information about CBHI [AOR=2.24; 95% CI, 1.18, 4.25] and participating in any indigenous community insurance [AOR=7.86; 95% CI, 4.47, 3.83] were significant predictors of willingness to join the scheme. Conclusion: The study revealed that more than three fourth of respondents were willing to join CBHI. Educational status of who can read and write, family size > 5, poor households, experience of an illnesses, had information about CBHI and participating in any indigenous community insurance were more likely to join the scheme. So, the government should strengthen efforts to scale up this scheme in the informal sectors specifically to areas not yet implemented, to reduce direct out-of-pocket payment at service delivery points. This will contribute to guarantee informal sectors access to quality health services without facing financial hardship, to achieve universal health coverage for all.

Learning Organizations are organizations where people continually expand their capacity to create the results they truly desire, where new and expansive patterns of thinking are nurtured, where collective aspirations are set free and where people are continually learning how to learn together. The aim of this study was to assess Learning organization practice and disciplines in case of Sire District Public health office. Learning organization if implemented in the health institutions it enables ignition of newly created more another's learning organization units moreover, learning organization concept if implemented in the organization it can enables organization to achieve their goal systematically besides this, it also enhance employees their job commitment whereas, the organization not implemented learning organization concept might be opposite of this or vice versa. The study employed qualitative case-study design in sire District public health office. Document review, in depth interview and Focus group discussion with flexible probing techniques were employed to collect the data from 3 key informants and 2 FGD from January 1, 2018 to January 11, 2018. A semi structured interview guide was prepared to explore key informants' idea about current situation and efforts made to enable organization to be a learning organization and also thematic analyses were used to analyze the findings of the study. The study result revealed that the organization assessed in both parameter of learning organization (five disciplines Peter Senge and Pedler et al criteria of practice of learning organization) the organization was practiced preponderance of learning organization concept was practiced within five disciplines of learning organizations there were implemented in their office. The finding of the study revealed that sire district public health office was practiced learning organization and disciplines in there organization that was exercised as good and the organization also participate entire employees and stakeholders to carry out organizational plan that were align with national strategies of the country moreover, the organization had created enabling learning opportunities to enhance a learning organization among themselves and others.

Learning Organizations are organizations where people continually expand their capacity to create the results they truly desire, where new and expansive patterns of thinking are nurtured, where collective aspirations are set free and where people are continually learning how to learn together. The aim of this study was to assess Learning organization practice and disciplines in case of Sire District Public health office. Learning organization if implemented in the health institutions it enables ignition of newly created more another s learning organization units moreover, learning organization concept if implemented in the organization it can enables organization to achieve their goal systematically besides this, it also enhance employees their job commitment whereas, the organization not implemented learning organization concept might be opposite of this or vice versa. The study employed qualitative case-study design in sire District public health office. Document review, in depth interview and Focus group discussion with flexible probing techniques were employed to collect the data from 3 key informants and 2 FGD from January 1, 2018 to January 11, 2018. A semi structured interview guide was prepared to explore key informants idea about current situation and efforts made to enable organization to be a learning organization and also thematic analyses were used to analyze the findings of the study. The study result revealed that the organization assessed in both parameter of learning organization (five disciplines Peter Senge and Pedler et al criteria of practice of learning organization) the organization was practiced preponderance of learning organization concept was practiced within five disciplines of learning organizations there were implemented in their office. The finding of the study revealed that sire district public health office was practiced learning organization and disciplines in there organization that was exercised as good and the organization also participate entire employees and stakeholders to carry out organizational plan that were align with national strategies of the country moreover, the organization had created enabling learning opportunities to enhance a learning organization among themselves and others.