2018
DOI: 10.1186/s13561-018-0200-z
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Factors for healthcare utilization and effect of mutual health insurance on healthcare utilization in rural communities of South Achefer Woreda, North West, Ethiopia

Abstract: ObjectiveTo identify factors for healthcare utilization and to describe effect of Mutual Health Insurance on health service utilization in rural community in South Achefer, North West Ethiopia.MethodsAcross-sectional study was conducted. A total of 652 households consented to participate in the study (326 insured and 326 uninsured households). Propensity score matching was used to explain possible differences in the baseline variables between enrolled and un-enrolled households. Logistic regression analysis wa… Show more

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Cited by 43 publications
(46 citation statements)
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“…The review also claims that lack of funds, lack of trust and poor quality of health care are major causes of low enrollment in HI. Another study from Ethiopia shows that presence of diseases in HH, income, educational status and first point of treatment were some influencing factors for enrollment in HI and utilization of services as well (Tilahun, Atnafu, Asrade, Minyihun & Alemu, 2018). However, another study indicates that presence of HI is associated with the prompt utilization of health services (Skinner, Foster, Mitchell, & Haynes, 2014).…”
Section: Discussionmentioning
confidence: 98%
“…The review also claims that lack of funds, lack of trust and poor quality of health care are major causes of low enrollment in HI. Another study from Ethiopia shows that presence of diseases in HH, income, educational status and first point of treatment were some influencing factors for enrollment in HI and utilization of services as well (Tilahun, Atnafu, Asrade, Minyihun & Alemu, 2018). However, another study indicates that presence of HI is associated with the prompt utilization of health services (Skinner, Foster, Mitchell, & Haynes, 2014).…”
Section: Discussionmentioning
confidence: 98%
“…However, the catastrophic out of pocket (OOP) expenditure [8,9] continues to be the main alternative of financing health care in Ethiopia [9]. Thus, Ethiopian government has been devoted to find a way to shift from catastrophic OOP expenditure [10,11] to ensure accessibility [11,12] targeting on quality and equity [5,6] to achieve UHC [12,13]. As a result, health insurance has been taken as a strategy in 2008 [6] with two schemes (risk-pooling arrangements) called social health insurance for the formal sector and community-based health insurance (CBHI) for the informal sector [4,13,14] to cover all citizens with the exception of defense forces [13].…”
Section: Introductionmentioning
confidence: 99%
“…Various studies in several countries on the impact of ownership of health insurance have found findings that have increased the use of health services that is far better (Lee et al, 2018) (Tilahun et al, 2018) (Miraldo, Propper and Williams, 2018) (Müllerschön et al, 2019). The same conditions apply to Indonesia (Mubasyiroh, Nurhotimah and Laksono, 2016) (Laksono, Wulandari and Soedirham, 2019b).…”
Section: Discussionmentioning
confidence: 91%