Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

Abstract

Back ground: CBHI is a kind of insurance for informal sectors through which the members contribute some amount of money to protect themselves against the high costs of seeking medical care and treatment for illness. The catastrophic nature of health care financing mechanism for the poor and often rural population has been a source of concern in the low and middle income countries . The aim of this study was to assess the household's willingness to join CBHI and factors affecting households to join community based health insurance. .Methodology: A community based cross sectional study was conducted in randomly selected districts of West Shoa Zone from January 25 to February 20, 2016.   A sample of 292 head of the house holds  were selected using simple random sampling technique from which data were collected by trained data collectors using a pre-tested structured questionnaire. The collected data were entered into SPSS version 20 for analysis .Descriptive statistics and bivariate and multiple logistic regression analyses were performed. Result: All of the 292 sampled head of the households   participated in the study  making the response rate of 100 %. About 71% of the respondents were willing to join the scheme. In multivariate logistic regression analyses, age of the head of the house holds ,    head of the household, the household's family size and having a person age 65 and above in the family,  presence of chronic illness among the house holds  , households  concern for covering the health care cost and means of getting money for health care payment  were found to be the  predictors of the households' WTJ the CBHIs .Conclusion: In the study  the households   willingness  to join community based health insurance was  considered to be high. Therefore, scaling the scheme will be beneficial in the study areas.

Keywords: Community based health insurance, Willingness to join, West Shoa Zone, Ethiopia

DOI: 10.7176/JHMN/65-03

Publication date: August 31^st 2019