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Community-based health insurance dropout and its determinants among women in Sidama National Regional State, Southern Ethiopia, 2024: A multilevel analysis

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  • Kare Chawicha Debessa
  • Keneni Gutema Negeri
  • Mesay Hailu Dangisso

Abstract

Introduction: Ensuring accessible and affordable healthcare continues to be a key priority in low- and middle-income countries, including Ethiopia. To enhance healthcare coverage and provide financial protection, especially for vulnerable populations such as women, community-based health insurance (CBHI) schemes have been introduced. Methods: A community-based cross-sectional study was conducted between December 15, 2023, and January 12, 2024, involving 835 women aged 18 years and above in the central zone of Sidama. Participants were selected via a multistage sampling technique. Data were collected through structured, pre-tested face-to-face interviews encompassing demographic, household, and scheme-related factors. Findings: Among the 845 women sampled, 835 participated in the interviews with a response rate of 98.8%. Of these, 77 women (9%) dropped from the CBHI scheme (AOR = 9; 95% CI: 7.43% −11.38%; p

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  • Kare Chawicha Debessa & Keneni Gutema Negeri & Mesay Hailu Dangisso, 2025. "Community-based health insurance dropout and its determinants among women in Sidama National Regional State, Southern Ethiopia, 2024: A multilevel analysis," PLOS ONE, Public Library of Science, vol. 20(8), pages 1-18, August.
    • Handle: RePEc:plo:pone00:0329382
    DOI: 10.1371/journal.pone.0329382
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    1. 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.
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