scholarly journals Barriers and Facilitators of Community-Based Health Insurance Membership in Rural Amhara Region, Northwest Ethiopia: A Qualitative Study

2021 ◽  
Vol Volume 13 ◽  
pp. 343-348
Author(s):  
Getu Debalkie Demissie ◽  
Asmamaw Atnafu
Keyword(s):  
Health Insurance ◽  
Qualitative Study ◽  
Northwest Ethiopia ◽  
Barriers And Facilitators ◽  
Amhara Region ◽  
Community Based ◽  
Community Based Health Insurance

scholarly journals Barriers and facilitators of community based health insurance membership in rural Amhara region, northwest Ethiopia: A qualitative study

2019 ◽  
Author(s):  
Getu Debalkie Demissie ◽  
Asmamaw Atnafu
Keyword(s):  
Health Insurance ◽  
Health Financing ◽  
Northwest Ethiopia ◽  
Amhara Region ◽  
Community Based ◽  
Main Research ◽  
Low Level ◽  
Community Based Health Insurance ◽  
Out Of Pocket Payments ◽  
Key Informant

Abstract Background: More than 150 million people encounter huge cost of health expenses every year, and most of these treatment seekers face poverty owing to out of pocket payments. Community-based health insurance won popularity as a makeshift health financing mechanism for out of pocket payments in poor communities. The aim of this study was to identify the facilitators and impediments of enrollment to community based health insurance in rural parts of the Amhara region, Ethiopia.Method: Focus group discussions (FGD) were the main research methodology supplemented by key informant interviews (KII). The FGD participants were selected by purposive sampling techniques based on the membership status of CBHI (members or non-members). Six FGDs and four key informant interviewees were conducted in March 2018 in three districts. Before analyzing the data, all FGDs and KIIs were transcribed and transferred into Atlasti version 7.1 software. Thematic analysis was done according to key themes arising from the data. Results: Low level of awareness, perception of high amount of premium, poor perception of quality of services and lack of trust in community based health insurance are the barriers to membership in community based health insurance.Conclusion: There has been a low level of awareness and misconception about community based health insurance. The major reason for not joining CBHI was incapacity to pay the premium.

scholarly journals Households’ Willingness to Pay for Community Based Health Insurance Scheme: in Kewiot and EfratanaGedem Districts of Amhara Region, Ethiopia

2017 ◽  
Vol 7 (2) ◽  
pp. 212 ◽  
Author(s):  
Eshetu Mamo Mogessie ◽  
Getamesay Bekele
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Contingent Valuation Method ◽  
Rural Households ◽  
Health Insurance Scheme ◽  
Amhara Region ◽  
Insurance Scheme ◽  
Community Based ◽  
Community Based Health Insurance ◽  
The Mean

The purpose of this study is to examine determinants of Rural Households’ Willingness to pay (WTP) for Community Based Health Insurance Scheme, in Kewiot and EfratanaGedem districts of Amhara region, Ethiopia. A cross-sectional design that followed a quantitative approach was used. Pre-tested structural and interviewer administered questionnaire was used to collect the desired data. A total of 392 sample rural households were taken by systematic random method. The contingent valuation method of double bounded dichotomous choice format (with calibration strategy) is applied to elicit households’ willingness to pay for the scheme. An interval regression model is used to estimate the mean willingness to pay and to explore the degree of association between predicted WTP and predictor variables. Households’ WTP for the scheme is found significantly associated with factor variables such as gender, education status, family size, level of awareness about the scheme, respondents’ trust in the scheme management, family ill health experience, households’ perceptions on health service quality, and their annual income level. The mean WTP amount is found 211ETB ($10.5) per annum per household. The result clearly shows that 79 % rural households are willing to pay for the scheme. Therefore, despite these factors affecting the rural households’ WTP, there is a potential demand for the community based health insurance scheme. We suggest that, among others, to improve the quality of health care and to build up community awareness and trust on the scheme management have paramount to enhance households’ WTP and hence, to expand health insurance coverage.

scholarly journals Willingness to join community based health insurance and its determinants in East Gojjam zone, Northwest Ethiopia

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Getiye Dejenu Kibret ◽  
Cheru Tesema Leshargie ◽  
Fasil Wagnew ◽  
Animut Alebel
Keyword(s):  
Health Insurance ◽  
Northwest Ethiopia ◽  
Community Based ◽  
Community Based Health Insurance

scholarly journals Willingness of Households to Pay Community Based Health Insurance and its Associated Factors in Mecha District, Northwest Ethiopia: Community based Cross-sectional Study

2021 ◽  
Author(s):  
Getaneh Bizuayehu Demeke
Keyword(s):  
Health Insurance ◽  
Low Income ◽  
Associated Factors ◽  
Scale Up ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance

Abstract Background Community-based health insurance schemes helps to give financial protection and decrease direct out- of-pocket payment for health care based on the assumption of risk-pooling and community solidarity to risks of falling sick. Ethiopia is a low income country with more of health spending out of pocket payment by households. Community based health insurance was introduced in Ethiopia in 2010.It covers only the rural community and informal sector. Objectives this study aimed to assess willingness of households to pay community based health insurance and its associated factors in Mecha district, Northwest, Ethiopia. Methods Community based cross-sectional study design was used to collect data from 285 household heads using multistage sampling techniques in Mecha district Northwest Ethiopia. The data were collected by using trained data collectors and using a pre-tested structured questionnaire. A binary logistic regression model was used to determine the presence of statistically significant associations between the dependent and independent variables at p-value < 0.05 and AOR values with 95% CI. Results From the total of 296 sampled respondents, 285 participated in the study with the response rate of 96.3%. Of these, 251(88.1%) were willing to join voluntary as well as 34(11.9%) were join mandatory and 256(89.8%) of them were willing to pay community based health insurance services. The average amount of money the households were willing to pay per household per annum was 334.02 ETB found with the interval of (317.32–351.30) with the range between 240–1000 ETB. Conclusions The willingness of house hold heads to pay for the community-based health insurance was high. Residence, join CBHI, premium affordable, CBHI have an advantage and distance from households home to HF were more willing to pay CBHI schemes. The study indicated that high willing to pay and low CBHI package fulfil the needs of HH treatment as well as overall CBHI service level was poor. Therefore, Mecha district CBHI coordinating office should be scale up the community-based health insurance services in the scheme.

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