IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0276676.html
   My bibliography  Save this article

Determinants of household dropout from community-based health insurance program in northwest Ethiopia; A community-based case-control study

Author

Listed:
  • Gizachew Tadesse Wassie
  • Getasew Tadesse
  • Gebeyehu Tsega Nebeb
  • Amare Alemu Melese
  • Agumas Fentahun Ayalew
  • Getasew Mulat Bantie

Abstract

Background: Community-Based Health Insurance (CBHI) is an evolving program for delivering financial protection against the cost of illness and enhancing access to quality health services for low-income informal households. Objective: The study aimed to identify determinants of household dropout from a CBHI program in Mecha district, North West Ethiopia, 2019. Methods: A community-based case-control study was conducted in the Mecha district from March 10 to June 10, 2018. The final sample was 634 (317 cases and 317 controls) determined by the two-population proportion formula, and these samples were selected using a multi-stage sampling technique. The collected data was entered into Epi-data version 3.1 and analyzed using R version 4.0 software. Descriptive statistics computed. A simple logistic analysis was run (at 95% CI and p-value

Suggested Citation

  • Gizachew Tadesse Wassie & Getasew Tadesse & Gebeyehu Tsega Nebeb & Amare Alemu Melese & Agumas Fentahun Ayalew & Getasew Mulat Bantie, 2023. "Determinants of household dropout from community-based health insurance program in northwest Ethiopia; A community-based case-control study," PLOS ONE, Public Library of Science, vol. 18(1), pages 1-16, January.
  • Handle: RePEc:plo:pone00:0276676
    DOI: 10.1371/journal.pone.0276676
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0276676
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0276676&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0276676?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Hermann Donfouet & Pierre-Alexandre Mahieu, 2012. "Community-based health insurance and social capital: a review," Health Economics Review, Springer, vol. 2(1), pages 1-5, December.
    2. Akiko Maeda & Edson Araujo & Cheryl Cashin & Joseph Harris & Naoki Ikegami & Michael R. Reich, 2014. "Universal Health Coverage for Inclusive and Sustainable Development : A Synthesis of 11 Country Case Studies [Une couverture sanitaire universelle pour un développement durable inclusive : Une synt," World Bank Publications - Books, The World Bank Group, number 18867, April.
    3. Dong, Hengjin & De Allegri, Manuela & Gnawali, Devendra & Souares, Aurélia & Sauerborn, Rainer, 2009. "Drop-out analysis of community-based health insurance membership at Nouna, Burkina Faso," Health Policy, Elsevier, vol. 92(2-3), pages 174-179, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Hsiao, William C. & Yip, Winnie, 2024. "Financing and provision of healthcare for two billion people in low-income nations: Is the cooperative healthcare model a solution?," Social Science & Medicine, Elsevier, vol. 345(C).
    2. 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.
    3. Darius Erlangga & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on healthcare utilisation in Indonesia: evidence from panel data," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 603-613, May.
    4. Guowu Huang & Wanying Wu & Qiaoxi Wen & Liyong Lu & Jay Pan, 2025. "Building an integrated healthcare system of China: an assessment of coupling coordination between disease prevention, medical services, and healthcare financing from 2012 to 2021," Health Economics Review, Springer, vol. 15(1), pages 1-17, December.
    5. Gabriela de Carvalho, 2022. "The World Bank and Healthcare Reforms: A Cross‐National Analysis of Policy Prescriptions in South America," Social Inclusion, Cogitatio Press, vol. 10(1), pages 5-18.
    6. Nshakira-Rukundo, Emmanuel & Mussa, Essa Chanie & Gerber, Nicolas & von Braun, Joachim, 2020. "Impact of voluntary community-based health insurance on child stunting: Evidence from rural Uganda," Social Science & Medicine, Elsevier, vol. 245(C).
    7. Mladovsky, Philipa, 2014. "Why do people drop out of community-based health insurance? Findings from an exploratory household survey in Senegal," Social Science & Medicine, Elsevier, vol. 107(C), pages 78-88.
    8. Darius Erlangga & Marc Suhrcke & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    9. Lê, Gillian & Morgan, Rosemary & Bestall, Janine & Featherstone, Imogen & Veale, Thomas & Ensor, Tim, 2016. "Can service integration work for universal health coverage? Evidence from around the globe," Health Policy, Elsevier, vol. 120(4), pages 406-419.
    10. Atakorah, Yaw Boateng & Arthur, Eric & Osei-Fosu, Anthony Kofi & Novignon, Jacob, 2024. "Economic inequalities in health insurance subscription renewal: Evidence from Ghana's National Health Insurance Scheme," Social Science & Medicine, Elsevier, vol. 341(C).
    11. Gabriela de Carvalho, 2022. "The World Bank and Healthcare Reforms: A Cross‐National Analysis of Policy Prescriptions in South America," Social Inclusion, Cogitatio Press, vol. 10(1), pages 5-18.
    12. Bocoum, Fadima & Grimm, Michael & Hartwig, Renate & Zongo, Nathalie, 2017. "Nudging Households to Take Up Health Insurance: Evidence from a Randomized Experiment in Burkina Faso," IZA Discussion Papers 10744, Institute of Labor Economics (IZA).
    13. Panda, P. & Chakraborty, A. & Raza, W.A. & Bedi, A.S., 2015. "Renewing membership in three community-based health insurance schemes in rural India," ISS Working Papers - General Series 608, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    14. Mussa, Essa Chanie & Otchere, Frank & Vinci, Vincenzo & Reshad, Abduljelil & Palermo, Tia, 2021. "Linking poverty-targeted social protection and Community Based Health Insurance in Ethiopia: Enrolment, linkages, and gaps," Social Science & Medicine, Elsevier, vol. 286(C).
    15. Hermann Donfouet & Pierre-Alexandre Mahieu, 2012. "Community-based health insurance and social capital: a review," Health Economics Review, Springer, vol. 2(1), pages 1-5, December.
    16. Geoff Clark & Michael O'Dwyer & Ysanne Chapman & Benjamin Rolfe, 2018. "An Ounce of Prevention is Worth a Pound of Cure—Universal Health Coverage to Strengthen Health Security," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 5(1), pages 155-164, January.
    17. Donfouet, Hermann Pythagore Pierre & Mohamed, Shukri F. & Otieno, Peter & Wambiya, Elvis & Mutua, Martin Kavao & Danaei, Goodarz, 2020. "Economic valuation of setting up a social health enterprise in urban poor-resource setting in Kenya," Social Science & Medicine, Elsevier, vol. 266(C).
    18. Platteau, Jean-Philippe & Ugarte Ontiveros, Darwin, 2021. "Cognitive bias in insurance: Evidence from a health scheme in India," World Development, Elsevier, vol. 144(C).
    19. 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.
    20. Bocoum, Fadima & Grimm, Michael & Hartwig, Renate & Zongo, Nathalie, 2019. "Can information increase the understanding and uptake of insurance? Lessons from a randomized experiment in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 220(C), pages 102-111.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0276676. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.