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Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study

BACKGROUND: Community-based health insurance (CBHI) is becoming a prominent and promising concept in tackling financial health care issues confronting the poor rural communities in developing countries. Ethiopia endorsed and constituted CBHI schemes in 13 pilot “woredas” in 2010/11. This study aimed...

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Autores principales: Workneh, Samuel Getachew, Biks, Gashaw Andargie, Woreta, Solomon Assefa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476580/
https://www.ncbi.nlm.nih.gov/pubmed/28652789
http://dx.doi.org/10.2147/CEOR.S136508
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author Workneh, Samuel Getachew
Biks, Gashaw Andargie
Woreta, Solomon Assefa
author_facet Workneh, Samuel Getachew
Biks, Gashaw Andargie
Woreta, Solomon Assefa
author_sort Workneh, Samuel Getachew
collection PubMed
description BACKGROUND: Community-based health insurance (CBHI) is becoming a prominent and promising concept in tackling financial health care issues confronting the poor rural communities in developing countries. Ethiopia endorsed and constituted CBHI schemes in 13 pilot “woredas” in 2010/11. This study aimed to assess the compliance of the community to CBHI scheme requirements in Thehuledere district, northeast Ethiopia. METHODS: A community-based cross-sectional study was conducted among 530 respondents between April and June 2015 in Thehuledere District, South Wollo Zone, northeast Ethiopia. A systematic random sampling technique was deployed to select the study participants. A self-administered, structured, pre-tested questionnaire was used to collect the data. Bivariate and multivariate logistic regression analyses were used to identify factors associated with CBHI compliance. RESULTS: A total of 511 study participants were included in the study. Approximately 77.9% of the study population complied with CBHI requirements: members’ age (AOR = 0.74, 95% CI: 0.62–0.8), premium fee affordability (AOR: 2.66, 95% CI: [1.13–4.42]), members’ occupation (AOR = 0.14, 95% CI: 0.04–0.45), members’ attitude toward CBHI management (AOR = 2.11 [1.14–3.90]), and CBHI members’ knowledge (AOR = 0.24, 95% CI: [0.13–0.42]) were found to be major predictors of community compliance to CBHI requirements. CONCLUSION: CBHI requirement compliance at the early stage was relatively high. We observed that members’ age, premium fee affordability, occupation, attitude, and knowledge were significant predictors. CBHI management’s involvement in awareness creation and training on requirements of the CBHI scheme would contribute to better outcomes and success.
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spelling pubmed-54765802017-06-26 Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study Workneh, Samuel Getachew Biks, Gashaw Andargie Woreta, Solomon Assefa Clinicoecon Outcomes Res Original Research BACKGROUND: Community-based health insurance (CBHI) is becoming a prominent and promising concept in tackling financial health care issues confronting the poor rural communities in developing countries. Ethiopia endorsed and constituted CBHI schemes in 13 pilot “woredas” in 2010/11. This study aimed to assess the compliance of the community to CBHI scheme requirements in Thehuledere district, northeast Ethiopia. METHODS: A community-based cross-sectional study was conducted among 530 respondents between April and June 2015 in Thehuledere District, South Wollo Zone, northeast Ethiopia. A systematic random sampling technique was deployed to select the study participants. A self-administered, structured, pre-tested questionnaire was used to collect the data. Bivariate and multivariate logistic regression analyses were used to identify factors associated with CBHI compliance. RESULTS: A total of 511 study participants were included in the study. Approximately 77.9% of the study population complied with CBHI requirements: members’ age (AOR = 0.74, 95% CI: 0.62–0.8), premium fee affordability (AOR: 2.66, 95% CI: [1.13–4.42]), members’ occupation (AOR = 0.14, 95% CI: 0.04–0.45), members’ attitude toward CBHI management (AOR = 2.11 [1.14–3.90]), and CBHI members’ knowledge (AOR = 0.24, 95% CI: [0.13–0.42]) were found to be major predictors of community compliance to CBHI requirements. CONCLUSION: CBHI requirement compliance at the early stage was relatively high. We observed that members’ age, premium fee affordability, occupation, attitude, and knowledge were significant predictors. CBHI management’s involvement in awareness creation and training on requirements of the CBHI scheme would contribute to better outcomes and success. Dove Medical Press 2017-06-14 /pmc/articles/PMC5476580/ /pubmed/28652789 http://dx.doi.org/10.2147/CEOR.S136508 Text en © 2017 Workneh et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Workneh, Samuel Getachew
Biks, Gashaw Andargie
Woreta, Solomon Assefa
Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study
title Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study
title_full Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study
title_fullStr Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study
title_full_unstemmed Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study
title_short Community-based health insurance and communities’ scheme requirement compliance in Thehuldere district, northeast Ethiopia: cross-sectional community-based study
title_sort community-based health insurance and communities’ scheme requirement compliance in thehuldere district, northeast ethiopia: cross-sectional community-based study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5476580/
https://www.ncbi.nlm.nih.gov/pubmed/28652789
http://dx.doi.org/10.2147/CEOR.S136508
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