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The effects of individual and community-level factors on community-based health insurance enrollment of households in Ethiopia

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  • Yikeber Abebaw Moyehodie
  • Solomon Sisay Mulugeta
  • Seyifemickael Amare Yilema

Abstract

Introduction: Community-based health insurance (CBHI) is a type of volunteer health insurance that has been adopted all over the world in which people of the community pool funds to protect themselves from the high costs of seeking medical care and treatment for the disease. In Ethiopia, healthcare services are underutilized due to a lack of resources in the healthcare system. The study aims to identify the individual and community level factors associated with community-based health insurance enrollment of households in Ethiopia. Methods: Data from the Ethiopian mini demographic and health survey 2019 were used to identify factors associated with community-based health insurance enrollment of households in Ethiopia. Multilevel logistic regression analysis was used on a nationally representative sample of 8,663 households nested within 305 communities, considering the data’s layered structure. We used a p-value

Suggested Citation

  • Yikeber Abebaw Moyehodie & Solomon Sisay Mulugeta & Seyifemickael Amare Yilema, 2022. "The effects of individual and community-level factors on community-based health insurance enrollment of households in Ethiopia," PLOS ONE, Public Library of Science, vol. 17(10), pages 1-14, October.
    • Handle: RePEc:plo:pone00:0275896
    DOI: 10.1371/journal.pone.0275896
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    References listed on IDEAS

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    1. David Mark Dror, 2018. "What Factors Affect Voluntary Uptake of Community-based Health Insurance Schemes in Lowand Middle-Income Countries? A Systematic Review and Meta-Analysis," World Scientific Book Chapters, in: Financing Micro Health Insurance Theory, Methods and Evidence, chapter 14, pages 271-306, World Scientific Publishing Co. Pte. Ltd..
    2. Zelalem Yilma & Anagaw Mebratie & Robert Sparrow & Marleen Dekker & Getnet Alemu & Arjun S. Bedi, 2015. "Impact of Ethiopia's Community Based Health Insurance on Household Economic Welfare," The World Bank Economic Review, World Bank, vol. 29(suppl_1), pages 164-173.
    3. Emmanuel Nshakira-Rukundo & Essa Chanie Mussa & Min Jung Cho, 2021. "Dropping out of voluntary community-based health insurance in rural Uganda: Evidence from a cross-sectional study in rural south-western Uganda," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-13, July.
    4. Mustefa Glagn Abdilwohab & Zeleke Hailemariam Abebo & Wanzahun Godana & Dessalegn Ajema & Manaye Yihune & Hadiya Hassen, 2021. "Factors affecting enrollment status of households for community based health insurance in a resource-limited peripheral area in Southern Ethiopia. Mixed method," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-16, January.
    5. Zemzem Shigute & Anagaw D. Mebratie & Robert Sparrow & Getnet Alemu & Arjun S. Bedi, 2020. "The Effect of Ethiopia’s Community-Based Health Insurance Scheme on Revenues and Quality of Care," IJERPH, MDPI, vol. 17(22), pages 1-17, November.
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