211
Views
0
CrossRef citations to date
0
Altmetric
Health Systems

Patterns of enrollment to community-based health insurance and the situations influencing utilization of the services in Southern Ethiopia: a qualitative study

ORCID Icon, ORCID Icon &
Article: 2338943 | Received 26 Aug 2023, Accepted 01 Apr 2024, Published online: 13 Apr 2024

References

  • Acharya, A., Vellakkal, S., Taylor, F., Masset, E., Satija, A., Burke, M., & Ebrahim, S. (2013). The impact of health insurance schemes for the informal sector in low-and middle-income countries: A systematic review. The World Bank Research Observer, 28(2), 1–13. https://doi.org/10.1093/wbro/lks009
  • Ahmed, S., Hoque, M. E., Sarker, A. R., Sultana, M., Islam, Z., Gazi, R., & Khan, J. A. M. (2016). Willingness-to-pay for community-based health insurance among informal workers in urban Bangladesh. PloS One, 11(2), e0148211. https://doi.org/10.1371/journal.pone.0148211
  • Alemayehu, Y. K., Dessie, E., Medhin, G., Birhanu, N., Hotchkiss, D. R., Teklu, A. M., & Kiros, M. (2023). The impact of community-based health insurance on health service utilization and financial risk protection in Ethiopia. BMC Health Services Research, 23(1), 1–13. https://doi.org/10.1186/s12913-022-09019-6
  • Asfaw, D. M., Shifaw, S. M., Belete, A. A., & Aychiluhm, S. B. (2022). The impact of community-based health insurance on household’s welfare in Chilga District, Amhara Regional State, Ethiopia. Frontiers in Public Health, 10(June), 868274. https://doi.org/10.3389/fpubh.2022.868274
  • Ashagrie, B., Biks, G. A., & Belew, A. K. (2020). Community-based health insurance membership dropout rate and associated factors in Dera District, Northwest Ethiopia. Risk Management and Healthcare Policy, 13, 2835–2844. https://doi.org/10.2147/RMHP.S277804
  • Atnafu, A. A. (2018). Community-based health insurance in Ethiopia: Enrollment, membership renewal, and effects on health service utilization. http://s-space.snu.ac.kr/handle/10371/140841
  • Babatunde, O., & Akande, T. (2012). Willingness to pay for community health insurance and its determinants among household heads in rural communities in North-Central Nigeria. Irssh.Com, 2(2), 133–142. http://irssh.com/yahoo_site_admin/assets/docs/15_IRSSH-168-V2N2.9005955.pdf
  • Bantie, G. M., Woya, A. A., & Zewdie, B. M. (2020). Community-based health insurance and associated factors in north-western Ethiopia. The case of Bahir Dar city. International Journal of General Medicine, 13, 1207–1217. https://doi.org/10.2147/IJGM.S264337
  • Bayked, E. M., Kahissay, M. H., & Workneh, B. D. (2021). Factors affecting the uptake of community-based health insurance in Ethiopia: A systematic review. International Journal of Scientific Reports, 7(9), 459. https://doi.org/10.18203/issn.2454-2156.IntJSciRep20213261
  • Carrin, G., Waelkens, M. P., & Criel, B. (2005). Community-based health insurance in developing countries: A study of its contribution to the performance of health financing systems. Tropical Medicine & International Health: TM & IH, 10(8), 799–811. https://doi.org/10.1111/j.1365-3156.2005.01455.x
  • Chankova, S., Sulzbach, S., & Diop, F. (2008). Impact of mutual health organizations: Evidence from West Africa. Health Policy and Planning, 23(4), 264–276. https://doi.org/10.1093/heapol/czn011
  • Creswell, J. W. (2009). Research design; qualitative, quantitative, and mixed methods (3rd ed.). SAGE. https://www.worldcat.org/title/research-design-qualitative-quantitative-and-mixed-methods-approaches/oclc/269313109
  • Demissie, G. D., & Atnafu, A. (2021). Barriers and facilitators of community-based health insurance membership in rural Amhara region, Northwest Ethiopia: A qualitative study. ClinicoEconomics and Outcomes Research: CEOR, 13, 343–348. https://doi.org/10.2147/CEOR.S293847
  • Eze, P., Ilechukwu, S., & Lawani, L. O. (2023). Impact of community-based health insurance in low- and middle-income countries: A systematic review and meta-analysis. PloS One, 18(6), e0287600–e0287600. https://doi.org/10.1371/journal.pone.0287600
  • Eze, P., Lawani, L. O., Agu, U. J., & Acharya, Y. (2022). Catastrophic health expenditure in sub-Saharan Africa: Systematic review and meta-analysis. Bulletin of the World Health Organization, 100(5), 337–351J. https://doi.org/10.2471/BLT.21.287673
  • Fite, M. B., Roba, K. T., Merga, B. T., Tefera, B. N., Beha, G. A., & Gurmessa, T. T. (2021). Factors associated with enrollment for community-based health insurance scheme in Western Ethiopia: Case-control study. PloS One, 16(6), e0252303. https://doi.org/10.1371/journal.pone.0252303
  • Fufa, G., & Yasin, A. (2021). Assessing factors associated with poor community based health insurance client satisfaction level with public health care services in Negele Arsi Woreda Health Centers, West Arsi Zone Ethiopia Abstract. (Lmic), 1–10.
  • Fusch, P. I., & Ness, L. R. (2015). Are we there yet? Data saturation in qualitative research. The Qualitative Report, 20(9), 1408–1416. https://doi.org/10.46743/2160-3715/2015.2281
  • Geferso, A. T., & Sharo, S. B. (2022). Community-based health insurance utilization and its associated factors among rural households in Akaki District, Oromia, Ethiopia, 2021. Advances in Public Health, 2022, 1–12. https://doi.org/10.1155/2022/9280269
  • Ghimire, S., Khanal, P., Sagtani, R. A., & Paudel, S. (2022). Factors Affecting Health Insurance Utilization among Insured Population: Evidence from Health Insurance Program of Nepal. In www.researchsquare.com. Preprint. https://www.researchsquare.com/article/rs-1543440/v1
  • Hussien, M., Azage, M., & Bayou, N. B. (2022). Continued adherence to community-based health insurance scheme in two districts of northeast Ethiopia: Application of accelerated failure time shared frailty models. International Journal for Equity in Health, 21(1), 16. https://doi.org/10.1186/s12939-022-01620-9
  • Kebede, A. (2014). Willingness to pay for community based health insurance among households in the rural community of Fogera District, North West Ethiopia. International Journal of Economics, Finance and Management Sciences, 2(4), 263. https://doi.org/10.11648/j.ijefm.20140204.15
  • Kutzin, J. (2013). Health financing for universal coverage and health system performance: Concepts and implications for policy. Bulletin of the World Health Organization, 91(8), 602–611. https://doi.org/10.2471/blt.12.113985
  • Macha, J., Kuwawenaruwa, A., Makawia, S., Mtei, G., & Borghi, J. (2014). Determinants of community health fund membership in Tanzania: A mixed methods analysis. BMC Health Services Research, 14(1), 538. https://doi.org/10.1186/s12913-014-0538-9
  • Minyihun, A., Gebregziabher, M. G., & Gelaw, Y. A. (2019). Willingness to pay for community-based health insurance and associated factors among rural households of Bugna District, Northeast Ethiopia. BMC Research Notes, 12(1), 55. https://doi.org/10.1186/s13104-019-4091-9
  • Mirach, T. H., Demissie, G. D., & Biks, G. A. (2019). Determinants of community-based health insurance implementation in west Gojjam zone, Northwest Ethiopia: A community based cross sectional study design. BMC Health Services Research, 19(1), 544. https://doi.org/10.1186/s12913-019-4363-z
  • Mladovsky, P.,Soors, W.,Ndiaye, P.,Ndiaye, A., &Criel, B. (2014). Can social capital help explain enrolment (or lack thereof) in community-based health insurance? Results of an exploratory mixed methods study from Senegal. Social Science and Medicine, 101, 18–27. https://doi.org/10.1016/j.socscimed.2013.11.016
  • Moyehodie, Y. A., Fenta, S. M., Mulugeta, S. S., Agegn, S. B., Yismaw, E., Biresaw, H. B., Muluneh, M. W., Masresha, B. M., & Dagnaw, F. T. (2022). Factors associated with community based health insurance healthcare service utilization of households in South Gondar Zone, Amhara, Ethiopia. A community-based cross-sectional study. Health Services Insights, 15, 11786329221096065. https://doi.org/10.1177/11786329221096065
  • Mulat, A. K., Mao, W., Bharali, I., Balkew, R. B., & Yamey, G. (2022). Scaling up community-based health insurance in Ethiopia: A qualitative study of the benefits and challenges. BMC Health Services Research, 22(1), 473. https://doi.org/10.1186/s12913-022-07889-4
  • Negash, B., Dessie, Y., Gobena, T., & Tefera, B. (2019). Community based health insurance utilization and associated factors among informal workers in Gida Ayana District. Journal of Health and Biomedical Sciences, 3(2), 13–22.
  • Negera, M., & Abdisa, D. (2022). Willingness to pay for community based health insurance scheme and factors associated with it among households in rural community of South West Shoa Zone, Ethiopia. BMC Health Services Research, 22(1), 734. https://doi.org/10.1186/s12913-022-08086-z
  • Nshakira-Rukundo, E., Mussa, E. C., Nshakira, N., Gerber, N., & von Braun, J. (2021). Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: A propensity score matching approach. International Journal of Health Economics and Management, 21(2), 203–227. https://doi.org/10.1007/s10754-021-09294-6
  • Nshakira-Rukundo, E., Mussa, E. C., Nshakira, N., Gerber, N., & Von Braun, J. (2019). Determinants of enrolment and renewing of community-based health insurance in households with under-5 children in rural South-Western Uganda. International Journal of Health Policy and Management, 8(10), 593–606. https://doi.org/10.15171/ijhpm.2019.49
  • Obse, A., Hailemariam, D., & Normand, C. (2015). Knowledge of and preferences for health insurance among formal sector employees in Addis Ababa: A qualitative study. BMC Health Services Research 15(1). https://doi.org/10.1186/s12913-015-0988-8
  • Ryan, F., Coughlan, M., & Cronin, P. (2009). Interviewing in qualitative research: The one-to-one interview. International Journal of Therapy and Rehabilitation, 16(6), 309–314. https://doi.org/10.12968/ijtr.2009.16.6.42433
  • Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity, 52(4), 1893–1907. https://doi.org/10.1007/s11135-017-0574-8
  • Schneider, P., & Diop, F. (2001). Synopsis of Results on the Impact of Community-Based Health Insurance on Financial Accessibility to Health Care in Rwanda. In openknowledge.worldbank.org. https://openknowledge.worldbank.org/entities/publication/466541ee-5e1e-5ab0-bd90-5ae77f84f5d0
  • Sinha, T., Ranson, M. K., Chatterjee, M., Acharya, A., & Mills, A. J. (2006). Barriers to accessing benefits in a community-based insurance scheme: Lessons learnt from SEWA Insurance, Gujarat. Health Policy and Planning, 21(2), 132–142. https://doi.org/10.1093/heapol/czj010
  • Tabor, S. R. (2005). Community-Based Health Insurance and Social Protection Policy (Social Protection Discussion Paper Series No. 0503). http://tric.ru/files/2006/01/18/CD-Rom Content/pdfs/Papers/English/0503.pdf
  • Tahir, A., Abdilahi, A. O., & Farah, A. E. (2022). Pooled coverage of community based health insurance scheme enrolment in Ethiopia, systematic review and meta‑analysis, 2016–2020. Health Economics Review, 12(1), 38. https://doi.org/10.1186/s13561-022-00386-8
  • Umeh, C. A., & Feeley, F. G. (2017). Inequitable access to health care by the poor in community-based health insurance programs: A review of studies from low-and middle-income countries. Global Health, Science and Practice, 5(2), 299–314. https://doi.org/10.9745/GHSP-D-16-00286
  • Wang, H., Yip, W., Zhang, L., Wang, L., & Hsiao, W. (2005). Community-based health insurance in poor rural China: The distribution of net benefits. Health Policy and Planning, 20(6), 366–374. https://doi.org/10.1093/heapol/czi045
  • WHO. (2005). Designing health financing systems to reduce catastrophic health expenditure. Syria Studies (Vol. 7). https://www.researchgate.net/publication/269107473_What_is_governance/link/548173090cf22525dcb61443/download%0Ahttp://www.econ.upf.edu/∼reynal/Civilwars_12December2010.pdf%0Ahttps://think-asia.org/handle/11540/8282%0Ahttps://www.jstor.org/stable/41857625
  • WHO (2010). Health Systems Financing: The path to universal coverage, https://www.who.int, 210, https://www.who.int/publications/i/item/9789241564021
  • Yechale, D. (2014). Assesment of Ethiopian community based health insurance at South Achefer Woreda, West/Gojjam, Amhara regional state. Addis Ababa University.
  • Yismaw Jembere, M. (2018). The role of community based health insurance scheme on financial protection and healthcare seeking behavior of households in Tehuledere District, Northeast Ethiopia. International Journal of Health Economics and Policy, 3(2), 13. https://doi.org/10.11648/j.hep.20180302.11