Determinants of Community Based Health Insurance Implementation: Evidence from South Gondar Zone, Amhara Region (2020)

Abstract

Recently in Ethiopia, there is an increasing movement to implement community based mostly insurance theme as integral a part of health care finance and significant movements has resulted within the unfold of the theme in several elements of the country. Despite such increasing effort, recent empirical proof shows entering have remained low. The aim of this study is to spot determinants of enrollment in community based mostly insurance implementation in South Gondar Zone, Amhara region A community based mostly cross sectional survey was conducted to gather information from 1,035 family heads employing a multi-stag sampling technique. A binary logistic regression was accustomed to determine the determinants of family decisions for CBHI enrollment. Out of the participants, (68.17%) were CBHI members. Besides, family size (AOR=2.18; CI=1.13-1.45), average health status (AOR=.590; CI=.281-.906), chronic malady (AOR=4.42; CI=1.92-8.22), theme benefit package adequacy (AOR=3.18; CI=1.90- 6.20), perceived health service quality (AOR=4.69; CI=1.78-7.70), CBHI awareness (AOR=4.78; CI=1.75-15.7), community commonality (AOR = 4.87; CI = 2.06–6.93) and wealth (AOR = 4.52; CI = 1.78–7.94) were vital determinant factors for entering within the community based mostly insurance theme. CBHI awareness, family health condition, community commonality, quality of health service of health organizations and wealth were major factors that almost all confirm the family decisions to register within the system. Therefore, in depth and continuous awareness creation programs on the scheme; stratified premium – supported economic status of households; incorporation of social capital factors, notably building community commonality within the theme implementation are important to boost continuous enrollment. As perceived family health status and therefore the existence of chronic malady were also found vital determinants of enrollment, the government may need to seem for choices to create the theme obligatory.