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. 2023 Sep;33(5):781-794.
doi: 10.4314/ejhs.v33i5.8.

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

Tilahun Deresse  1 , Akine Eshete  2 , Hailu Mulatu  2 , Megbar Dessalegn  3
Affiliations

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

Tilahun Deresse et al. Ethiop J Health Sci. 2023 Sep.

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.

Keywords: Berek; Community-Based Health Insurance; Ethiopia; Informal Workers.

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Figures

Figure 1
Figure 1
Schematic presentation of the sampling method to assess community-based health insurance utilization and its associated factors in Berek district, 2022
See this image and copyright information in PMC

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