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Is Ethiopian community-based health insurance affordable? Willingness to pay analysis among households in South Central, Ethiopia

Author

Listed:
  • Abdene Weya Kaso
  • Abdane Haji
  • Habtamu Endashaw Hareru
  • Alemayehu Hailu

Abstract

Background: Community-based Health Insurance (CBHI) is a voluntary prepayment mechanism that guarantees the provision of basic healthcare services without financial barriers to underserved segments of the population in developing countries. The Government of Ethiopia launched the CBHI program to protect the community from high out-of-pocket health expenditure and improve health service utilization a decade ago. However, to improve the quality of healthcare services delivery in health facilities and cover the changing costs of healthcare, the government should revise the contribution of the CBHI scheme. Therefore, we determined the willingness to pay for a CBHI scheme and associated factors among rural households of Lemu and Bilbilo district, South Central Ethiopia. Methods: We conducted a community-based cross-sectional study design to assess willingness to pay for the CBHI scheme and its associated factors among households in Lemu and Bilbilo districts, South Central Ethiopia. We used a double bounded contingent valuation method to elicit households’ willingness to pay for the CBHI scheme. Data were coded, cleaned, entered into Statistical Package for Social Science (SPSS) version 25, and exported to STATA 16 for analysis. A logistic regression analysis was conducted to determine the presence of statistically significant associations between the willingness to pay for the CBHI scheme and independent variables at a p-value

Suggested Citation

  • Abdene Weya Kaso & Abdane Haji & Habtamu Endashaw Hareru & Alemayehu Hailu, 2022. "Is Ethiopian community-based health insurance affordable? Willingness to pay analysis among households in South Central, Ethiopia," PLOS ONE, Public Library of Science, vol. 17(10), pages 1-15, October.
    • Handle: RePEc:plo:pone00:0276856
    DOI: 10.1371/journal.pone.0276856
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    References listed on IDEAS

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    1. Eshetu Mamo & Getamesay Bekele, 2017. "Households¡¯ Willingness to Pay for Community Based Health Insurance Scheme: in Kewiot and EfratanaGedem Districts of Amhara Region, Ethiopia," Business and Economic Research, Macrothink Institute, vol. 7(2), pages 212-233, December.
    2. repec:plo:pone00:0225237 is not listed on IDEAS
    3. 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.
    4. Dawit Nageso & Kebede Tefera & Keneni Gutema, 2020. "Enrollment in community based health insurance program and the associated factors among households in Boricha district, Sidama Zone, Southern Ethiopia; a cross-sectional study," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-14, June.
    5. Shafie, A.A. & Hassali, M.A., 2013. "Willingness to pay for voluntary community-based health insurance: Findings from an exploratory study in the state of Penang, Malaysia," Social Science & Medicine, Elsevier, vol. 96(C), pages 272-276.
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    1. Nimesh P. Bhojak & Shakti B. Dodiya & Ashish Mathur & Mohammadali K. Momin & Sureshbhai N. Patel, 2024. "Willingness to Pay for Community-based Health Insurance: A Systematic Review and Analysis of Factors Influencing Participation and Implications for Healthcare Financing," South Asian Journal of Business and Management Cases, , vol. 13(3), pages 321-339, December.

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