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What factors shape an individual’s probability to be enrolled in a professionally-managed community-based health insurance? Results from a cross-sectional case-control study in two districts in Mali

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  • Hamidou Niangaly
  • Manuella De Allegri
  • Laurence Touré
  • Dansiné Diarra
  • Valéry Ridde

Abstract

Across West Africa, countries are promoting new models of community-based health insurance (CBHI) to overcome the challenges faced by existing schemes. We investigated factors associated with an individual’s probability to be enrolled in one of two professionally-managed CBHI in Mali. We carried out a case-control methodology and used multi-stage sampling to select CBHI members and non-members. The primary outcome variable was being enrolled or not in the CBHI. Three-level mixed-effects logistic regression model was used to estimate the association between individual enrolment and series of individual, household, and wider community factors. Of the 1,270 people surveyed 847 and 423 were non-members and members respectively. Respondents with primary education (AOR = 1.6, P = 0,035), secondary education (AOR = 2.31, P = 0,001) or higher school/University (AOR = 5.5, P

Suggested Citation

  • Hamidou Niangaly & Manuella De Allegri & Laurence Touré & Dansiné Diarra & Valéry Ridde, 2025. "What factors shape an individual’s probability to be enrolled in a professionally-managed community-based health insurance? Results from a cross-sectional case-control study in two districts in Mali," PLOS Global Public Health, Public Library of Science, vol. 5(7), pages 1-16, July.
    • Handle: RePEc:plo:pgph00:0004892
    DOI: 10.1371/journal.pgph.0004892
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    References listed on IDEAS

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    3. Smith, Kimberly V. & Sulzbach, Sara, 2008. "Community-based health insurance and access to maternal health services: Evidence from three West African countries," Social Science & Medicine, Elsevier, vol. 66(12), pages 2460-2473, June.
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