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Factors for healthcare utilization and effect of mutual health insurance on healthcare utilization in rural communities of South Achefer Woreda, North West, Ethiopia

Author

Listed:
  • Hiwot Tilahun

    (Curative and Rehabilitative Core Process, Amhara Regional Health Bureau)

  • Desta Debalkie Atnafu

    (Bahir Dar University)

  • Geta Asrade

    (University of Gondar)

  • Amare Minyihun

    (University of Gondar)

  • Yihun Mulugeta Alemu

    (Bahir Dar University)

Abstract

Objective To identify factors for healthcare utilization and to describe effect of Mutual Health Insurance on health service utilization in rural community in South Achefer, North West Ethiopia. Methods Across-sectional study was conducted. A total of 652 households consented to participate in the study (326 insured and 326 uninsured households). Propensity score matching was used to explain possible differences in the baseline variables between enrolled and un-enrolled households. Logistic regression analysis was used to identify factors for healthcare utilization. Results Healthcare utilization among insured households was 50.5% (95% CI: 44.8%, 56.2%). Whilst among uninsured households, healthcare utilization was 29.3% (95% CI: 24.11, 34.47). In general, the overall healthcare utilization was 39.89% (95% CI: 35.7, 43.8). The overall increase in patient-attendance given illness among insured households was 25.2% higher compared with uninsured (t = 4.94, 95% CI: 0.145, 0.359). Educated (primary and above) (AOR = 1.84; 95% CI: 1.14, 2.98), chronic patient (AOR = 1.86; 95% CI: 1.13, 3.06), first choice was health facilities at the point of illness (AOR = 6.33; 95% CI: 2.97–13.51), rich (AOR = 2.1; 95%CI: 1.29, 3.43), and insured (AOR = 2.16; 95% CI: 1.45, 3.23) were independently associated with increased healthcare utilization. Conclusion Enrolment to mutual health insurance increases healthcare utilization. Presence of illness in the households, household earnings, educational status, first choice of treatment at point of illness, and membership to Mutual Health Insurance scheme should be targeted during escalating of healthcare utilization.

Suggested Citation

  • Hiwot Tilahun & Desta Debalkie Atnafu & Geta Asrade & Amare Minyihun & Yihun Mulugeta Alemu, 2018. "Factors for healthcare utilization and effect of mutual health insurance on healthcare utilization in rural communities of South Achefer Woreda, North West, Ethiopia," Health Economics Review, Springer, vol. 8(1), pages 1-7, December.
    • Handle: RePEc:spr:hecrev:v:8:y:2018:i:1:d:10.1186_s13561-018-0200-z
    DOI: 10.1186/s13561-018-0200-z
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    References listed on IDEAS

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    1. Mebratie, Anagaw D. & Sparrow, Robert & Yilma, Zelalem & Alemu, Getnet & Bedi, Arjun S., 2015. "Enrollment in Ethiopia’s Community-Based Health Insurance Scheme," World Development, Elsevier, vol. 74(C), pages 58-76.
    2. Mebratie, A.D. & Sparrow, R.A. & Debebe, Z.Y. & Alemu, G. & Bedi, A.S., 2014. "Dropping out of Ethiopia’s Community Based Health Insurance scheme," ISS Working Papers - General Series 76960, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
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    5. Aradhna Aggarwal, 2010. "Impact evaluation of India's ‘Yeshasvini’ community‐based health insurance programme," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 5-35, September.
    6. Saksena, Priyanka & Antunes, Adélio Fernandes & Xu, Ke & Musango, Laurent & Carrin, Guy, 2011. "Mutual health insurance in Rwanda: Evidence on access to care and financial risk protection," Health Policy, Elsevier, vol. 99(3), pages 203-209, March.
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    Cited by:

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    2. Kofinti, Raymond Elikplim & Koomson, Isaac & Paintsil, Jones Arkoh & Ameyaw, Edward Kwabena, 2022. "Reducing children's malnutrition by increasing mothers' health insurance coverage: A focus on stunting and underweight across 32 sub-Saharan African countries," Economic Modelling, Elsevier, vol. 117(C).
    3. Meseret Belete Fite & Kedir Teji Roba & Bedasa Taye Merga & Belay Negash Tefera & Gemechu Ayela Beha & Temesgen Tafesse Gurmessa, 2021. "Factors associated with enrollment for community-based health insurance scheme in Western Ethiopia: Case-control study," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-10, June.
    4. Anteneh, Zecharias & Celidoni, Martina & Rocco, Lorenzo, 2023. "Pathways to Better Health? Assessing the Impact of Ethiopian Community-Based Health Insurance on Children Health Outcomes," GLO Discussion Paper Series 1299, Global Labor Organization (GLO).
    5. Riska Dwi Astuti & Rindang Nuri Isnaini Nugrohowati, 2022. "Impact evaluation of subsidized health insurance programs on utilization of healthcare facilities: evidence from Indonesia," International Journal of Health Economics and Management, Springer, vol. 22(3), pages 315-331, September.

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