Sign in Subscribe
Health care costs

Household Attitudes and Associated Factors Toward Community-Based Health Insurance in Ethiopia

Strategic Insights

— 2 min read

A new study in the BMC Health Services Research journal has revealed significant factors influencing household attitudes toward community-based health insurance services in Awi zone, Ethiopia. The research, conducted by the Department of Statistics at Injibara University, aimed to identify demographic, socioeconomic, and behavioral factors affecting household attitudes toward the CBHI scheme. The study involved a community-based cross-sectional study using a quantitative approach, involving 2,939 households. The findings highlighted a combination of factors influencing household attitudes, including demographic characteristics, socioeconomic status, and behavioral factors.

Key Takeaways:

  • The study found that 56.41% of households had a positive attitude toward CBHI, while 43.59% had a negative attitude, indicating a significant divide in household attitudes toward the scheme.
  • Significant demographic factors influencing household attitudes toward CBHI included gender, marital status, and presence of under-five children in the household.
  • Socioeconomic factors such as hospitalization cost, presence of chronic illness, and household income also played a significant role in shaping household attitudes toward CBHI.
  • Behavioral factors such as awareness, satisfaction, and beneficiary status also had a substantial impact on household attitudes toward CBHI.
  • The study concluded that targeted interventions are necessary to increase awareness, improve service quality, and address the specific concerns of households with negative perceptions to enhance the overall effectiveness and uptake of the CBHI scheme.

Statistics:

  • 98% response rate from the participants in the study
  • 56.41% of households had a positive attitude toward CBHI
  • 43.59% of households had a negative attitude toward CBHI
  • Significant variables influencing household attitudes toward CBHI included:

+ Gender (AOR: 1.422, 95% CI: 1.05-1.918)

+ Marital status (married) (AOR: 2.47, 95% CI: 0.89-3.77)

+ Residence (AOR: 0.64, 95% CI: 0.45-0.92)

+ Presence of under-five children in the household (OR: 0.83, 95% CI: 0.69-0.99)

+ Hospitalization cost (AOR: 0.09, 95% CI: 0.01-1.13)

+ Presence of chronic illness (OR: 1.40, 95% CI: 1.41-1.71)

+ High level of awareness (AOR: 1.43, 95% CI: 1.00-2.04)

+ Satisfaction (AOR: 2.39, 95% CI: 1.32-4.46)

+ Being a beneficiary based on demand (AOR: 0.30, 95% CI: 0.18-0.50)

Sources:

  • Household attitudes and associated factors toward community-based health insurance in the Awi Zone, Ethiopia: a community-based cross-sectional study design. BMC Health Services Research, 2025,25(1):1-12. (BMC Health Services Research - http://bmchealthservres.biomedcentral.com)
  • Zelalem Meraf Wolde, Department of Statistics, Injibara University. Additional authors include Wegayehu Enbeyle Sheferaw, Nigussie Adam Birhan, Atalaye Nigussie Temesgen, Gedif Mulat Alemayehu, Kefale Tilahun Getahun.

Read more