New Health Services Research Findings from University of Gondar Described (Determinants of community-based health insurance implementation in west Gojjam zone, Northwest Ethiopia: a community based cross sectional study design)

2019 AUG 21 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Data detailed on Health and Medicine - Health Services Research have been presented. According to news originating from Gondar, Ethiopia, by NewsRx correspondents, research stated, “In most developing countries, healthcare cost is mainly paid at the time of sickness and out-of-pocket at the point of service delivery which potentially could inhibit access. The total economic cost of illness for households is also estimated to be frequently above 10% of household income which is categorized as catastrophic.”

Our news journalists obtained a quote from the research from the University of Gondar, “The purpose of this study was to assess factors that determine decisions to join the community based health insurance in West Gojjam zone. A community based cross sectional survey was conducted to collect data from 690 household heads using a multistage sampling technique. A binary logistic regression was used to identify the determinants of household decisions for CBHI enrollment. Out of the participants, 58% were CBHI members. Besides, family size (AOR=1.17; CI=1.02-1.35), average health status (AOR=.380; CI=.179-.805), chronic disease (AOR=3.42; CI=1.89-6.19); scheme benefit package adequacy (AOR=2.17; CI=1.20-3.93), perceived health service quality (AOR=3.69; CI=1.77-7.69), CBHI awareness (AOR=4.90; CI=1.65-14.4); community solidarity (AOR=3.77; CI=2.05-6.92) and wealth (AOR=3.62; CI=1.67-7.83) were significant determinant factors for enrolment in the community based health insurance scheme. CBHI awareness, family health status, community solidarity, quality of service of health institutions, and wealth were major factors that most determine the household decisions to enroll in the system. Therefore, in-depth and sustainable awareness creation programs on the scheme; stratified premium-based on economic status of households; incorporation of social capital factors, particularly building community solidarity in the scheme implementation are vital to enhance sustainable enrollment.”

According to the news editors, the research concluded: “As perceived family health status and the existence of chronic disease were also found significant determinants of enrollment, the Government might have to look for options to make the scheme mandatory.”

For more information on this research see: Determinants of community-based health insurance implementation in west Gojjam zone, Northwest Ethiopia: a community based cross sectional study design. Bmc Health Services Research, 2019;19(1):544. Bmc Health Services Research can be contacted at: Biomed Central LTD, Middlesex House, 34-42 Cleveland St, London W1T 4LB, England. (BioMed Central - http://www.biomedcentral.com/; Bmc Health Services Research - http://www.biomedcentral.com/bmchealthservres/)

The news correspondents report that additional information may be obtained from G.D. Demissie, Dept. of Health Education and Behavioral Sciences, College of Medicine, University of Gondar, Gondar, Ethiopia. Additional authors for this research include G.D. Demissie and G.A Biks.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1186/s12913-019-4363-z. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

The publisher’s contact information for the journal Bmc Health Services Research is: Biomed Central LTD, Middlesex House, 34-42 Cleveland St, London W1T 4LB, England.

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