scholarly journals Factors associated with enrollment for community-based health insurance scheme in Western Ethiopia: Case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252303
Author(s):  
Meseret Belete Fite ◽  
Kedir Teji Roba ◽  
Bedasa Taye Merga ◽  
Belay Negash Tefera ◽  
Gemechu Ayela Beha ◽  
...  

Introduction Modern health services utilization in developing countries has continued low. Financial shortage to access health-care services might be averted by stirring from out-of-pocket payment for health care at the time of use. The government of Ethiopia; depend greatly on foreign aid (50%) and out-of-pocket payments (34%) to fund health services for its population. This study was aimed to identify factors associated with households’ enrollment to CBHI scheme membership. Methods Case-control study design was conducted from May 18–July 27, 2019 among 332 participants (166 enrolled and 166 non-enrolled to CBHI scheme). Simple random sampling technique was used to select the study participants. Bi-variable and multivariable logistic regression model were fitted to identify factors associated with enrollment to community based health insurance. Adjusted odds ratio (AOR) with 95% CI was used to report association and significance was declared at P<0.05. Result A total of 332 (100% response rate) were involved in the study. Educational status (College and above, AOR = 3.90, 95%CI; 1.19, 12.75), good awareness about CBHI scheme (AOR = 21.595, 95% CI; 7.561, 61.681), affordability of premium payment (AOR = 3.403, 95% CI; 5.638–4.152), wealth index {(Poor, AOR = 2.59, 95%CI; 1.08, 6.20), (Middle, AOR = 4.13, 95%CI; 1.11, 15.32)} perceived health status (AOR = 5.536; 95% CI; 1.403–21.845), perceived quality of care (AOR: 21.014 95%CI; 4.178, 105.686) and treatment choice (AOR = 2.94, 95%CI; 1.47, 5.87) were factors significantly associated with enrollment to CBHI. Conclusion Enrolment to CBHI schemes is influenced by educational level, awareness level, affordability of premium, wealth index, perceived health status, perceived quality of care and treatment choice. Implementation strategies aimed at raising community awareness, setting affordable premium, and providing quality healthcare would help in increasing enrollment of all eligible community groups to the CBHI scheme.

Author(s):  
Christa Kingston ◽  
Aravindan J. ◽  
Srikumar Walsalam

Background: Diabetic neuropathy is one among the most common complication in diabetes mellitus. Diabetic peripheral neuropathy hinders the quality of life causing morbidity and mortality. The purpose of this study was to find the risk factors associated with diabetic neuropathy.Methods: This case control study involved 100 diabetic patients attending the Dohnavur fellowship hospital, Dohnavur from October 2019 to March 2020. Sociodemographic profile and diabetic characteristics of the study group were obtained and analysed. Diagnosis of Diabetic Neuropathy was done by using the diagnostic method proposed by American Diabetic Association.Results: Of the total study population with mean age 59.43 years, 63% had family history of diabetes. Almost 70% had poor diabetic control. Statistically significant relationships were found between neuropathy and duration of diabetes, glycaemic control, history of hypertension, monofilament test and pinprick sensation.Conclusions: In this study, glycemic control, dyslipidemia and hypertension were modifiable risk factors for diabetic neuropathy. Early interventional programs to sensitize diabetics on these factors could improve the quality of life of Diabetic patients. 


PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0218952 ◽  
Author(s):  
Rozina Thobani ◽  
Saleem Jessani ◽  
Iqbal Azam ◽  
Sayyeda Reza ◽  
Neelofar Sami ◽  
...  

1998 ◽  
Vol 27 (suppl 2) ◽  
pp. 43-43
Author(s):  
C.A. Dyer ◽  
S.L. Hill ◽  
R.A. Stockley ◽  
A.J. Sinclair

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Magdalena-Isabel Rosell-Murphy ◽  
Rafael Abós-Herràndiz ◽  
Josep Tarrés Olivella ◽  
Constança Alberti-Casas ◽  
Isabel García Allas ◽  
...  

2020 ◽  
Author(s):  
Kassahun Dessie Gashu ◽  
Ayenew Engida Yismaw ◽  
Dereje Nibret Gessesse

Abstract Introduction: Mass media are often essential to communicate health messages. Women’s exposure to mass media remained low in Ethiopia. Evidence was scarce on underlined factors for enhancing women’s exposure to mass media. Objective: This study aimed to assess factors associated with women’s exposure to mass media in Ethiopia. Methods: The study was a secondary data analysis of the Ethiopian demographic and health survey 2016. A case-control study applied with frequency matching by place of residence and women’s educational levels using a 1:1 ratio. A total of 9885 participants (4824 cases and 5061 controls) were involved in the study. Cases were women who had exposure and controls were who did not have exposure to mass media. Women’s exposure to mass media is defined as the total number of women aged 15-49 who report exposure to either radio, television, newspapers, or magazines at least once a week. Logistic regressions analysis was conducted and the level of statistical significance was determined by a p-value of less than 0.05to identify factors associated with women’s exposure to mass media.Result: Being in Women’s age group 30-34 years (AOR=1.19,95% C.I:1.04-1.35), having own mobile phones (AOR=1.92,95% C.I:1.71-2.15), women ever used internet (AOR=1.56,95% C.I:1.13-2.13), Women in the female-headed household (AOR=0.76,95%C.I:0.68-0.86),Women in middle (AOR=1.48,95%C.I:1.25-1.76), richer (AOR=2.13,95%C.I:1.82-2.49) and richest (AOR=2.67,95% C.I:2.22-3.21) wealth index, and women visited by health care provider (AOR=1.41,95% C.I:1.17-1.71) were factors affecting women’s exposure to mass media.Conclusion: Women’s access to mobile phones, internet, and care provider counseling were facilitating factors for exposure to mass media. Younger age women, lower wealth quantile, and female headship in the household were risk factors for the non-exposure of women to mass media. Empowering household wealth and improving access to ICT could improve women’s exposure to mass media.


2020 ◽  
Author(s):  
ATAKLTI Weldegebriel Gebertsadik ◽  
Gebremedhin Gebreegziabiher Gebrehiwot ◽  
Abraham Aregay Desta ◽  
Kiros Fenta Ajemu ◽  
Asfawosen Aregay Berhe ◽  
...  

Abstract Background: Obstetric fistula is major public and reproductive health concerns in Ethiopia .It are most disturbing among all maternal morbidities.Method: A community-based unmatched case control study was conducted from the EDHS, 2016 dataset. All 70 cases and 210 non cases were selected using random number table from the dataset. Reproductive age mothers who had experiencing lifelong obstetric fistula were considered as cases .Logistic regression was used to identify factors associated with obstetric fistula at 95% confidence interval. Factors significant at p value of ≤ 0.05 were included into multivariable logistic regression model to generate adjusted odds ratios.Results: The majority of fistula cases were from rural residences. Independent risk factors associated with obstetric fistula included age at first marriage, rural residence, poorest wealth index and decision making for contraceptive use mainly husband partner.ConclusionObstetric fistula is a major public and reproductive health concern in Ethiopia. Majority of women with obstetric fistula were from rural areas. Comprehensive intervention strategies should be in place customized to different government hierarchies (national, regional and district level) including household and individual level interventions for combating obstetric fistula by giving an emphasis on the identified risks.


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