Can community health insurance schemes shield the poor against the downside health effects of economic reforms? The case of rural ethiopia

Asfaw, Abay; Braun, Joachim von

doi:10.1016/j.healthpol.2004.02.005

Cited by 44 publications

(43 citation statements)

References 18 publications

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“…The current finding is less than that found in 2004 in Ethiopia, in which the probability of WTJ the scheme was 94.7% [23]. The reason may be attributed to differences in the study areas and time of study.…”

Section: Resultscontrasting

confidence: 80%

Willingness to join community-based health insurance among rural households of Debub Bench District, Bench Maji Zone, Southwest Ethiopia

2014

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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.

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Section: Resultscontrasting

confidence: 80%

Willingness to join community-based health insurance among rural households of Debub Bench District, Bench Maji Zone, Southwest Ethiopia

2014

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“…This positive association of large family size with willing to join community based health insurance could be as a result of the huge financial burden faced by households when they seek health care services. However, this finding was not consistent with other studies [40,41].…”

Section: Discussioncontrasting

confidence: 99%

Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

2019

JHMN

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Back ground: CBHI is a kind of insurance for informal sectors through which the members contribute some amount of money to protect themselves against the high costs of seeking medical care and treatment for illness. The catastrophic nature of health care financing mechanism for the poor and often rural population has been a source of concern in the low and middle income countries . The aim of this study was to assess the household's willingness to join CBHI and factors affecting households to join community based health insurance. .Methodology: A community based cross sectional study was conducted in randomly selected districts of West Shoa Zone from January 25 to February 20, 2016. A sample of 292 head of the house holds were selected using simple random sampling technique from which data were collected by trained data collectors using a pretested structured questionnaire. The collected data were entered into SPSS version 20 for analysis .Descriptive statistics and bivariate and multiple logistic regression analyses were performed. Result: All of the 292 sampled head of the households participated in the study making the response rate of 100 %. About 71% of the respondents were willing to join the scheme. In multivariate logistic regression analyses, age of the head of the house holds , head of the household, the household's family size and having a person age 65 and above in the family, presence of chronic illness among the house holds , households concern for covering the health care cost and means of getting money for health care payment were found to be the predictors of the households' WTJ the CBHIs .Conclusion: In the study the households willingness to join community based health insurance was considered to be high. Therefore, scaling the scheme will be beneficial in the study areas.

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“…A more recent survey in southwest Ethiopia in 2013 showed that households in the highest wealth quintile were more than 4 times more willing to join the CBHI compared with households in the second wealth quintile 29 . Similarly, Asfaw et al found that a 1% increase in income in rural Ethiopia led to an 8.4% increase in the probability of willingness to pay for health insurance 30 . In India, households in the highest wealth quintile were 2.1 times more willing to pay for CBHI compared with those in the lowest quintile 33 .…”

Section: Resultsmentioning

confidence: 99%

Inequitable Access to Health Care by the Poor in Community-Based Health Insurance Programs: A Review of Studies From Low- and Middle-Income Countries

Umeh

Feeley

2017

Glob Health Sci Pract

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Can community health insurance schemes shield the poor against the downside health effects of economic reforms? The case of rural ethiopia

Cited by 44 publications

References 18 publications

Willingness to join community-based health insurance among rural households of Debub Bench District, Bench Maji Zone, Southwest Ethiopia

Willingness to join community-based health insurance among rural households of Debub Bench District, Bench Maji Zone, Southwest Ethiopia

Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

Inequitable Access to Health Care by the Poor in Community-Based Health Insurance Programs: A Review of Studies From Low- and Middle-Income Countries

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