Community-Based Health Insurance Utilization and Its Determinants among Informal Workers: Cross-Sectional Study

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES
Tilahun Deresse, Akine Eshete, Hailu Mulatu, Megbar Dessalegn
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 Methods: This community-based cross-sectional study was conducted between June 15 and July 15, 2022. The sample population comprised 538 households selected using a multistage sampling approach. Data analysis was done using SPSS Version 26. Variables with P-values of less than 0.25 during the bivariate analysis were selected for multivariate analysis using binary logistic regression. The statistical significance threshold was set at a p-value of 0.05.
 Results: The utilization of Community- Based Health Insurance (CBHI) was 49.8%. Age between 30 and 39 years, monthly earnings of less than 1500 Ethiopian Birr, presence of chronic illness, membership in social organization, and possessing adequate knowledge were found to have a statistically significant association with the use of CBHI.
 Conclusion: The utilization of CBHI was low within the confines of this district. Age, income, social group membership, and chronic illnesses were significantly associated with CBHI utilization.","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethiopian Journal of Health Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/ejhs.v33i5.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Ethiopia has implemented a community-based health insurance (CBHI) program to provide coverage to 80% of the population and shield underprivileged individuals from the detrimental effects of exorbitant medical expenses. However, there is a paucity of data regarding its utilization and pertinent concerns. This study aimed to evaluate the utilization of CBHI and its associated factors among informal workers in Berek District. Methods: This community-based cross-sectional study was conducted between June 15 and July 15, 2022. The sample population comprised 538 households selected using a multistage sampling approach. Data analysis was done using SPSS Version 26. Variables with P-values of less than 0.25 during the bivariate analysis were selected for multivariate analysis using binary logistic regression. The statistical significance threshold was set at a p-value of 0.05. Results: The utilization of Community- Based Health Insurance (CBHI) was 49.8%. Age between 30 and 39 years, monthly earnings of less than 1500 Ethiopian Birr, presence of chronic illness, membership in social organization, and possessing adequate knowledge were found to have a statistically significant association with the use of CBHI. Conclusion: The utilization of CBHI was low within the confines of this district. Age, income, social group membership, and chronic illnesses were significantly associated with CBHI utilization.
非正式工人社区医疗保险利用及其决定因素:横断面研究
背景:埃塞俄比亚实施了一项以社区为基础的健康保险方案,覆盖80%的人口,保护贫困人口免受高昂医疗费用的不利影响。但是,缺乏关于其利用情况和有关问题的数据。本研究旨在评估Berek区非正规工人对cbi的利用及其相关因素。 方法:以社区为基础的横断面研究于2022年6月15日至7月15日进行。样本人口包括538户,采用多阶段抽样方法选择。使用SPSS Version 26进行数据分析。选取双变量分析中p值小于0.25的变量,采用二元逻辑回归进行多变量分析。p值为0.05。 结果:社区医疗保险使用率为49.8%。年龄在30 - 39岁之间,月收入低于1500埃塞比尔,患有慢性疾病,加入社会组织,拥有足够的知识,这些因素与cbi的使用有统计学意义上的显著关联。结论:本区中药中药的利用率较低。年龄、收入、社会群体成员和慢性疾病与chi的使用显著相关。
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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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