scholarly journals Effect of Community-Based Health Insurance on Healthcare-Seeking Behavior for Childhood Illnesses Among Rural Mothers in Aneded District, East Gojjam Zone, Amhara Region, Northwest Ethiopia

2021 ◽  
Vol Volume 14 ◽  
pp. 1659-1668
Author(s):  
Muluye Molla Simieneh ◽  
Mezgebu Yitayal ◽  
Abebaw Addis Gelagay
2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Martha Bellete ◽  
Moges Muluneh Boke ◽  
Melaku Kindie Yenit

Abstract Background Appropriate healthcare-seeking behavior and access to the health care facility is key to improving health service utilization. Although the accessibility of comprehensive childhood disease intervention services in Ethiopia has been modified at the community level, the use of such health care services has remained limited. Therefore, this study aimed to assess the healthcare-seeking behavior of common childhood illness and its determinants. Methods A community-based cross-sectional study design was used. A multi-stage sampling method was used to recruit eight hundred and thirty-four study participants. A pre-tested and standardized questionnaire was used to collect data. The collected data were visually checked for incompleteness and entered into the statistical software Epi-info version 7 and exported to SPSS version 20 software for descriptive and bi-variable analysis. To identify variables associated with the healthcare-seeking behavior. Logistic regression analysis was performed. Adjusted odds ratios with a 95% confidence interval were used to see the strength of association, and variables with P-values of < 0.05 were considered statistically significant. Results The proportion of health care seeking behavior of care-givers for childhood illness was 69.5% (95% CI, 66.4, 72.4%). The education level of caregiver (AOR: 1.61, 95% CI: 1.01–2.60), knowledge of childhood illness (AOR: 2.02, 95% CI: 1.46–2.79), cough (AOR: 1.94, 95% CI: 1.39–2.71) and diarrhea (AOR: 2.09, 95% CI: 1.46–2.99) as main symptoms of illness and perceived severity of illness (AOR:3.12, 95% CI: 2.22–4.40) were significantly associated with healthcare-seeking behaviors of caregivers. Conclusion Low healthcare-seeking behavior was observed for childhood illnesses. Educational level, knowledge of childhood illness, cough, and diarrhea as primary symptoms of illness, and perceived severity of caregiver illness were significant associated with healthcare-seeking behavior. Therefore, interventions that strengthen the caregiver’s awareness of childhood illness and danger signs need to be considered. Besides, addressing the identified associated variables to healthcare-seeking behavior is critically important to curb the problem.


2019 ◽  
Author(s):  
Getu Debalkie Demissie ◽  
Asmamaw Atnafu

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.


PLoS ONE ◽  
2019 ◽  
Vol 14 (2) ◽  
pp. e0212139 ◽  
Author(s):  
Julian T. Hertz ◽  
Deng B. Madut ◽  
Revogatus A. Tesha ◽  
Gwamaka William ◽  
Ryan A. Simmons ◽  
...  

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