Dataset Information

Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study.

ABSTRACT:

Objectives

The objective of this study was to compare differences in healthcare utilisation between community-based health insurance member households and non-member households and to identify factors for community-based health insurance enrolment in South Achefer District.

Design

Comparative, cross-sectional study.

Settings

Community-based.

Participants

A total of 652 selected households (326 insured and 326 uninsured households) participated in the study.

Methods

A two-sample t-test (for proportions) and ?² (for categorical data) were computed.

Main outcome measure

Utilisation of healthcare.

Results

There was a significant difference in the rate of healthcare utilisation between insured (50.5%) and uninsured (29.3%) households (?²=27.864, p<0.001). Significant variations of enrolment status in community-based health insurance were observed in the following variables: educational status, family size, occupation, marital status, travel time to the nearest health institution, perceived quality of care, first choice of place for treatment during illness and expected healthcare cost of a recent treatment.

Conclusions

Utilisation of health services among insured households with community-based health insurance was higher. Educational status, family size, occupation, marital status, travel time to the nearest health institution, perceived quality of care, first choice of place for treatment during illness and expected healthcare cost of a recent treatment should be emphasised to enhance community health insurance enrolment.

SUBMITTER: Atnafu DD

PROVIDER: S-EPMC6089309 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Publications

Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study.

Atnafu Desta Debalkie DD Tilahun Hiwot H Alemu Yihun Mulugeta YM

BMJ open 20180808 8

<h4>Objectives</h4>The objective of this study was to compare differences in healthcare utilisation between community-based health insurance member households and non-member households and to identify factors for community-based health insurance enrolment in South Achefer District.<h4>Design</h4>Comparative, cross-sectional study.<h4>Settings</h4>Community-based.<h4>Participants</h4>A total of 652 selected households (326 insured and 326 uninsured households) participated in the study.<h4>Method ...[more]

PMID: 30093509

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Project description:ObjectiveThis research was aimed at assessing latrine utilization and associated factors in East Gojjam Zone, North West Ethiopia.MethodsA community-based cross-sectional study was conducted on households of East Gojjam Zone, from 1 February to 30 May 2021. Multistage cluster sampling technique was used to select 806 study participants into the study. Data were collected through pretested structured interview questionnaires and direct observation. Collected data were entered and cleaned using EPI info version 7.2 and analysed using SPSS version 23 software package. Bivariable and multivariable logistic regression was employed to assess association of the variables and controlling the effect of confounders, respectively. P value less than 0.05 was taken as statistically significant.ResultsThe overall latrine utilization in East Gojjam Zone was found to be 45.4% (95% confidence interval = 42.2-49.1). Occupation (adjusted odds ratio = 2.248, 95% confidence interval = 1.037-4.876), participating in model family training (adjusted odds ratio = 2.481, 95% confidence interval = 1.802-3.415), water availability (adjusted odds ratio = 2.456, 95% confidence interval = 1.514-3.983), and type of latrine (adjusted odds ratio = 2.013, 95% confidence interval 1.648-2.972) had statistically significant association with latrine utilization.ConclusionLatrine utilization in East Gojjam Zone was found to be low relative to other studies and the country's plan. It is very far apart from the Ethiopian latrine coverage and utilization plan (100%). Occupational status, participated in the model family training, water availability, and type of toilet were significantly associated with toilet utilization. Encouraging private latrine construction with accessibility of water and all households participating in model family training may increase latrine utilization in East Gojjam Zone. Further observational study triangulated with qualitative research should be conducted to provide more strong evidence for further improvement of household latrine utilization status in East Gojjam Zone.

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Dataset Information

Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study.

Objectives

Design

Settings

Participants

Methods

Main outcome measure

Results

Conclusions

Publications

Community-based health insurance and healthcare service utilisation, North-West, Ethiopia: a comparative, cross-sectional study.

Similar Datasets

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