Haile Melaku, Ololo Shimeles, Megersa Berhane
Aman College of Health Sciences, Southern Nations, Nationalities and People's Regional Health Bureau, P,O, Box 240, Mizan-Aman, Ethiopia.
BMC Public Health. 2014 Jun 11;14:591. doi: 10.1186/1471-2458-14-591.
Even though Ethiopia bears high burden of diseases, utilization of modern health care services is limited. One of the reasons for low utilization of healthcare services is the user-fee charges. Moving away from out-of-pocket charges for healthcare at the time of use is an important step towards averting the financial hardship associated with paying for health service. Prepaid plans for health are not accustomed in Ethiopia. Therefore, social and community based health insurance schemes were introduced since 2010.In this study, willingness of rural households in Debub Bench District, to join community based health insurance was assessed.
Cross-sectional community based study was conducted in Debub Bench District in March 2013 using a pretested structured questionnaire. Two stage sampling technique was used to select 845 households as study units which were allocated to the kebeles proportionately. The sampled households were selected using simple random sampling technique. Data were entered into EPIDATA 3.0 and analyzed with SPSS version 20.
Among 845 sampled households, 808 were interviewed (95.6% response rate). About 78% of the respondents were willing to join the scheme. Most of demographic, socioeconomic variables and social capital were found to be significantly associated with willingness to join community based health insurance.
If the scheme is initiated in the district, majority of the households will enroll in the community based health insurance. Farmers, the married households, Bench ethnic groups and illiterate, the dominant segments of the population, are more likely to enroll the schemes. Therefore initiation of the scheme is beneficial in the district.
尽管埃塞俄比亚疾病负担沉重，但现代医疗服务的利用率却很有限。医疗服务利用率低的原因之一是使用者付费。取消使用医疗服务时的自付费用是避免与支付医疗服务相关的经济困难的重要一步。埃塞俄比亚不习惯实行预付健康计划。因此，自2010年起引入了基于社会和社区的健康保险计划。在本研究中，评估了德布卜·本奇区农村家庭加入社区健康保险的意愿。
2013年3月在德布卜·本奇区开展了一项基于社区的横断面研究，使用经过预测试的结构化问卷。采用两阶段抽样技术选择845户家庭作为研究单位，并按比例分配到各个社区。抽样家庭采用简单随机抽样技术选取。数据录入EPIDATA 3.0并使用SPSS 20版进行分析。
在845户抽样家庭中，808户接受了访谈（应答率为95.6%）。约78%的受访者愿意加入该计划。大多数人口统计学、社会经济变量和社会资本被发现与加入社区健康保险的意愿显著相关。
如果该计划在该地区启动，大多数家庭将参加社区健康保险。农民、已婚家庭、本奇族和文盲，即人口中的主要群体，更有可能参加该计划。因此，在该地区启动该计划是有益的。
