Willingness of community based health insurance uptake and associated factors among urban residents of Oromia regional state, Oromia, Ethiopia, a cross-sectional study

Abstract

Background Globally, Millions of people cannot use health services because of the fear of payment for the service at the time of service delivery. From the agenda of transformation and the current situation of urbanization as well as to ensure universal health coverage implementing this program to the urban resident is mandatory. The aim of this study is to assess the willingness of community-based health insurance (CBHI) uptake and associated factors among urban residents of Oromia regional state, Oromia, Ethiopia, 2018. Methods A community-based cross-sectional study was conducted. From the total of eighteen towns; six towns which account for 33% of the total were selected randomly for the study. One population proportion formula was employed to get a total of 845 households. A pre-tested, semi-structured interviewer-administered questionnaire was used to collect the required data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the scheme, and a multiple logistic regression model was used to determine the effect of various factors on the willingness to join and willingness to pay for the households. Result About 839 (99.3%) of the respondents participated. The mean ages of the respondents were 40.44(SD ± 11.12) years. 621 (74.1%) ever heard about CBHI with 473 (56.3%) knowing the benefits package. Out of 839, 724 (86.3%) were willing to uptake CBHI of which 704 (83.9%) were willing to pay if CBHI established in their town. Conclusion If CBHI established about 86.3% of the households would enroll in the scheme. Having education, with a family size between 3 & 6, having difficulty in paying for health care and less than 20mins it took to reach the nearest health facility were the independent predictors of the willingness of CBHI uptake. The Oromia and Towns Health Bureau should consider the availability of health facilities near to the community and establishing CBHI in the urban towns.

Willingness of Households to Pay Community Based Health Insurance and its Associated Factors in Mecha District, Northwest Ethiopia: Community based Cross-sectional Study

“…Based on this, 89.8% of the household heads in the study area were willing to pay community based health insurance. The study nding is in line with the was done in selected districts in Jimma Zone, South west Ethiopia, 90 % (18).the nding higher than the studies was done in the area Oromiya region, 83.9% and north central Nigeria, 87% (3,19).This study revealed that, the mean amount of money household heads willing to pay was 334.02 ETB (±142.608) per house hold per annual and the median amount was 280 birr. This greater than the study was carried out in the rural community of Fogera district, the mean amount of money household heads willing to pay was 187birr (+21) per house hold per annual and the median amount was 200 birr(1).…”

“…and north central Nigeria, 87% (3,19).This study revealed that, the mean amount of money household heads willing to pay was 334.02 ETB (±142.608) per house hold per annual and the median amount was 280 birr. This greater than the study was carried out in the rural community of Fogera district, the mean amount of money household heads willing to pay was 187birr (+21) per house hold per annual and the median amount was 200 birr(1).…”

Willingness to join community based health insurance among households in South Wollo, Northeast Ethiopia: A community-based cross-sectional study

“…This low level of willingness could result in low CBHI utilization and a high dropout rate and which in turn affect the 2035 country plan of achieving universal health coverage [21]. Besides, there was regional variation among studies regarding willingness to join the program and associated factors [33][34][35][36][37][38][39][40][41]. This study was intended to examine willingness towards the community-based health insurance and associated factors in south wollo zone northeast Ethiopia.…”

Community‐Based Health Insurance Membership Renewal Rate and Associated Factors among Households in Gedeo Zone, Southern Ethiopia

“…The magnitude of OOP accounted for 34% of the total health-care expenditures in Ethiopia. As a result, a significant number of households were exposed to financial hardship for many years [5][6][7]. However, to bring the cost of catastrophic health care to insignificant levels, the World Health Organization (WHO) recommended the OOP payment at a level of less than 15 to 20% of the total health-care expenditure.…”