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The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia

Community-based health insurance is a new and promising concept for delivering easily accessible, affordable, and efficient healthcare services. More importantly, a significant risk pooling arrangement between the wealthy and poor. So far, little has been done regarding community-based health insura...

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Autores principales: Getahun, Genanew Kassie, Kinfe, Kumlachew, Minwuyelet, Zewdu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238827/
https://www.ncbi.nlm.nih.gov/pubmed/37273522
http://dx.doi.org/10.1016/j.pmedr.2023.102234
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author Getahun, Genanew Kassie
Kinfe, Kumlachew
Minwuyelet, Zewdu
author_facet Getahun, Genanew Kassie
Kinfe, Kumlachew
Minwuyelet, Zewdu
author_sort Getahun, Genanew Kassie
collection PubMed
description Community-based health insurance is a new and promising concept for delivering easily accessible, affordable, and efficient healthcare services. More importantly, a significant risk pooling arrangement between the wealthy and poor. So far, little has been done regarding community-based health insurance and healthcare seeking behavior in developing countries. Therefore, the aim of this study was to assess healthcare seeking behavior of households due to the introduction of the scheme and associated factors in Addis Ababa. Community-based cross-sectional study was conducted among 270 male and 207 female respondents. The data was collected using standardized and pretested questionnaire and it was analyzed using SPSS software. A bivariate and multivariable logistic regression analysis was applied to determine the relationship between healthcare seeking behavior and determinant variables. Finally, statistical association was declared with a p-value of less than 0.05 in the multivariable logistic regression analysis. The proportion of people who had appropriate healthcare-seeking behavior was 47.31% (95 %CI: 43.27–51.39%). Furthermore, having more than four children [AOR: 0.171, 95%, CI:(0.403–0.99)], being Muslim [AOR: 1.712, 95 %CI: (1.117 2.625)], owning a government house [AOR: 4.472, 95%, CI: (2.037–9.819)], and having under-five children [AOR: 0.548, 95%, CI: (0.375–0.801)] were factors significantly associated with healthcare-seeking behavior. Even though this study was conducted in an urban area, it showed that the magnitude of appropriate healthcare-seeking behavior was low. Therefore, the government of Ethiopia should work to improve housing conditions and family planning provision for the residents to improve the healthcare seeking behavior of community-based health insurance users.
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spelling pubmed-102388272023-06-04 The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia Getahun, Genanew Kassie Kinfe, Kumlachew Minwuyelet, Zewdu Prev Med Rep Regular Article Community-based health insurance is a new and promising concept for delivering easily accessible, affordable, and efficient healthcare services. More importantly, a significant risk pooling arrangement between the wealthy and poor. So far, little has been done regarding community-based health insurance and healthcare seeking behavior in developing countries. Therefore, the aim of this study was to assess healthcare seeking behavior of households due to the introduction of the scheme and associated factors in Addis Ababa. Community-based cross-sectional study was conducted among 270 male and 207 female respondents. The data was collected using standardized and pretested questionnaire and it was analyzed using SPSS software. A bivariate and multivariable logistic regression analysis was applied to determine the relationship between healthcare seeking behavior and determinant variables. Finally, statistical association was declared with a p-value of less than 0.05 in the multivariable logistic regression analysis. The proportion of people who had appropriate healthcare-seeking behavior was 47.31% (95 %CI: 43.27–51.39%). Furthermore, having more than four children [AOR: 0.171, 95%, CI:(0.403–0.99)], being Muslim [AOR: 1.712, 95 %CI: (1.117 2.625)], owning a government house [AOR: 4.472, 95%, CI: (2.037–9.819)], and having under-five children [AOR: 0.548, 95%, CI: (0.375–0.801)] were factors significantly associated with healthcare-seeking behavior. Even though this study was conducted in an urban area, it showed that the magnitude of appropriate healthcare-seeking behavior was low. Therefore, the government of Ethiopia should work to improve housing conditions and family planning provision for the residents to improve the healthcare seeking behavior of community-based health insurance users. 2023-05-15 /pmc/articles/PMC10238827/ /pubmed/37273522 http://dx.doi.org/10.1016/j.pmedr.2023.102234 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Regular Article
Getahun, Genanew Kassie
Kinfe, Kumlachew
Minwuyelet, Zewdu
The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia
title The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia
title_full The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia
title_fullStr The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia
title_full_unstemmed The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia
title_short The role of community-based health insurance on healthcare seeking behavior of households in Addis Ababa, Ethiopia
title_sort role of community-based health insurance on healthcare seeking behavior of households in addis ababa, ethiopia
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10238827/
https://www.ncbi.nlm.nih.gov/pubmed/37273522
http://dx.doi.org/10.1016/j.pmedr.2023.102234
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