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Globalization and Health

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Open Access 01-12-2020 | Research

Determinants of enrollment decision in the community-based health insurance, North West Ethiopia: a case-control study

Authors: Getasew Taddesse, Desta Debalkie Atnafu, Asmamaw Ketemaw, Yibeltal Alemu

Published in: Globalization and Health | Issue 1/2020

Abstract

Objective

To identify the determinants for enrollment decision in the community-based health insurance program among informal economic sector-engaged societies, North West Ethiopia.

Method

Unmatched case-control study was conducted on 148 cases (member-to-insurance) and 148 controls (not-member-to-insurance program) from September 1 to October 30,2016. To select the villages and households, stratified then simple random sampling method was employed respectively. The data were entered in to Epi-info version 7 and exported to SPSS version 20 for analysis. Descriptive statistics, bi-variable, and multi-variable logistic regression analyses were computed to describe the study objectives and identify the determinants of enrolment decision for the insurance program. Odds ratio at 95% CI was used to describe the association between the independent and outcome variables.

Results

A total of 296 respondents (148 cases and 148 controls) were employed. The mean age for both cases and controls were 42 ± 11.73 and 40 ± 11.37 years respectively. Majority of respondents were males (87.2% for cases and 79% for controls). Family size between 4 and 6 (AOR = 2.26; 95% CI: 1.04, 4.89), history of illness by household (AOR = 3.24; 95% CI: 1.68, 6.24), perceived amount of membership contribution was medium (AOR = 2.3; 95% CI: 1.23, 4.26), being married (AOR = 6; 95% CI:1.43, 10.18) and trust on program (AOR = 4.79; 95% CI: 2.40, 9.55) were independent determinants for increased enrollment decision in the community-based health insurance. While, being merchant (AOR = 0.07; 95% CI: 0.09, 0.6) decreased the enrollment decision.

Conclusion

Societies’ enrollment decision to community-based health insurance program was determined by demographic, social, economic and political factors. Households with large family sizes and farmers in the informal sector should be given maximal attention for intensifying enrollment decision in the insurance program.

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Title: Determinants of enrollment decision in the community-based health insurance, North West Ethiopia: a case-control study
Authors: Getasew Taddesse
Desta Debalkie Atnafu
Asmamaw Ketemaw
Yibeltal Alemu
Publication date: 01-12-2020
Publisher: BioMed Central
Published in: Globalization and Health / Issue 1/2020
Electronic ISSN: 1744-8603
DOI: https://doi.org/10.1186/s12992-019-0535-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Determinants of enrollment decision in the community-based health insurance, North West Ethiopia: a case-control study

Abstract

Objective

Method

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Method

Results

Conclusion

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