Research Article | | Peer-Reviewed

Healthcare Seeking Behaviour and Associated Factor Among Community Based Health Insurance Members and Non-Members in Addis Ababa, Ethiopia, 2023

Received: 2 August 2024     Accepted: 19 September 2024     Published: 29 October 2024
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Abstract

Background: Community based health insurance (CBHI) is voluntary, non-profit health insurance. It helps to mobilize additional resource to the health sector. Community Based Health Insurance uses principles of insurance, members pay fees to the insurance scheme and in return their health service cost is covered by the scheme. This way risks can be shared among individuals and financial inputs pooled between individuals who need health service but are not able because they cannot afford it and those who are well but pay premium. Objective: To assess health Care seeking behavior and Community based health insurance among members and non-members in Addis Ababa, Ethiopia 2023. Methodology: A community based comparative cross-sectional study was conducted. A total of 580 households included in this study. Data was collected by data collectors using a standardized questionnaire through interviews. Associated factors for healthcare seeking behavior is identified by binary and multivariate logistic regression analysis and expressed by adjusted odds ratio (AOR). Multivariate analysis also used to control the effect of confounders. Result: Healthcare-Seeking Behavior of the Study Participants Factors Associated with Healthcare-Seeking Behavior participants the study indicated that the decision-making to visit a health facility for illnesses, disease severity, and CBHI membership had a statistically significant association with HSB. Conclusion: The overall household Health Seeking Behavior was 56.3% for Community Based Health Insurance members and 43.7% for non-Community Based Health Insurance members. Membership status has significant positive effect on healthcare seeking behavior. Decision- making process to visit a health facility for illnesses, disease severity was positively associated with membership status.

Published in Central African Journal of Public Health (Volume 10, Issue 5)
DOI 10.11648/j.cajph.20241005.13
Page(s) 211-216
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Healthcare Seeking Behavior, CBHI, Community Based Health Insurance, Members & Non Members, Health Insurance

References
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[2] Carrin G, Waelkens MP, Criel B. Community-based health insurance in developing countries: A study of its contribution to the performance of health financing systems. Trop Med Int Heal. 2005; 10(8): 799–811.
[3] McCombie. s.l. : productivity growth and economic performance. McCombie. s.l. : springer, 2002. springer. 2002;
[4] P Dupas. Health behaviour in developing countries. SSRN. 2011; 3.
[5] EDHS. Ethiopian Demographic and health servey. s.l. : CSA, 2011. Ethiopia; 2011.
[6] Ward H, Thierry, Mertens E, Thomas’ C. Health seeking behaviour and the control of sexually transmitted disease. Health Policy Plan [Internet]. 1997 [cited 2024 Jan 9]; 12(1): 19–28. Available from:
[7] Bourne PA. Socio-demographic determinants of health care-seeking behaviour, self-reported illness and self-evaluated health status in Jamaica. Int J Collab Res Intern Med Public Heal. 2009; 1(4): 101–30.
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  • APA Style

    Weldeyohannes, O., Legesse, M., Teklemariam, S. (2024). Healthcare Seeking Behaviour and Associated Factor Among Community Based Health Insurance Members and Non-Members in Addis Ababa, Ethiopia, 2023. Central African Journal of Public Health, 10(5), 211-216. https://doi.org/10.11648/j.cajph.20241005.13

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    ACS Style

    Weldeyohannes, O.; Legesse, M.; Teklemariam, S. Healthcare Seeking Behaviour and Associated Factor Among Community Based Health Insurance Members and Non-Members in Addis Ababa, Ethiopia, 2023. Cent. Afr. J. Public Health 2024, 10(5), 211-216. doi: 10.11648/j.cajph.20241005.13

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    AMA Style

    Weldeyohannes O, Legesse M, Teklemariam S. Healthcare Seeking Behaviour and Associated Factor Among Community Based Health Insurance Members and Non-Members in Addis Ababa, Ethiopia, 2023. Cent Afr J Public Health. 2024;10(5):211-216. doi: 10.11648/j.cajph.20241005.13

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  • @article{10.11648/j.cajph.20241005.13,
      author = {Oliyad Weldeyohannes and Menelik Legesse and Selamawit Teklemariam},
      title = {Healthcare Seeking Behaviour and Associated Factor Among Community Based Health Insurance Members and Non-Members in Addis Ababa, Ethiopia, 2023},
      journal = {Central African Journal of Public Health},
      volume = {10},
      number = {5},
      pages = {211-216},
      doi = {10.11648/j.cajph.20241005.13},
      url = {https://doi.org/10.11648/j.cajph.20241005.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20241005.13},
      abstract = {Background: Community based health insurance (CBHI) is voluntary, non-profit health insurance. It helps to mobilize additional resource to the health sector. Community Based Health Insurance uses principles of insurance, members pay fees to the insurance scheme and in return their health service cost is covered by the scheme. This way risks can be shared among individuals and financial inputs pooled between individuals who need health service but are not able because they cannot afford it and those who are well but pay premium. Objective: To assess health Care seeking behavior and Community based health insurance among members and non-members in Addis Ababa, Ethiopia 2023. Methodology: A community based comparative cross-sectional study was conducted. A total of 580 households included in this study. Data was collected by data collectors using a standardized questionnaire through interviews. Associated factors for healthcare seeking behavior is identified by binary and multivariate logistic regression analysis and expressed by adjusted odds ratio (AOR). Multivariate analysis also used to control the effect of confounders. Result: Healthcare-Seeking Behavior of the Study Participants Factors Associated with Healthcare-Seeking Behavior participants the study indicated that the decision-making to visit a health facility for illnesses, disease severity, and CBHI membership had a statistically significant association with HSB. Conclusion: The overall household Health Seeking Behavior was 56.3% for Community Based Health Insurance members and 43.7% for non-Community Based Health Insurance members. Membership status has significant positive effect on healthcare seeking behavior. Decision- making process to visit a health facility for illnesses, disease severity was positively associated with membership status.},
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Healthcare Seeking Behaviour and Associated Factor Among Community Based Health Insurance Members and Non-Members in Addis Ababa, Ethiopia, 2023
    AU  - Oliyad Weldeyohannes
    AU  - Menelik Legesse
    AU  - Selamawit Teklemariam
    Y1  - 2024/10/29
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    DO  - 10.11648/j.cajph.20241005.13
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 211
    EP  - 216
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20241005.13
    AB  - Background: Community based health insurance (CBHI) is voluntary, non-profit health insurance. It helps to mobilize additional resource to the health sector. Community Based Health Insurance uses principles of insurance, members pay fees to the insurance scheme and in return their health service cost is covered by the scheme. This way risks can be shared among individuals and financial inputs pooled between individuals who need health service but are not able because they cannot afford it and those who are well but pay premium. Objective: To assess health Care seeking behavior and Community based health insurance among members and non-members in Addis Ababa, Ethiopia 2023. Methodology: A community based comparative cross-sectional study was conducted. A total of 580 households included in this study. Data was collected by data collectors using a standardized questionnaire through interviews. Associated factors for healthcare seeking behavior is identified by binary and multivariate logistic regression analysis and expressed by adjusted odds ratio (AOR). Multivariate analysis also used to control the effect of confounders. Result: Healthcare-Seeking Behavior of the Study Participants Factors Associated with Healthcare-Seeking Behavior participants the study indicated that the decision-making to visit a health facility for illnesses, disease severity, and CBHI membership had a statistically significant association with HSB. Conclusion: The overall household Health Seeking Behavior was 56.3% for Community Based Health Insurance members and 43.7% for non-Community Based Health Insurance members. Membership status has significant positive effect on healthcare seeking behavior. Decision- making process to visit a health facility for illnesses, disease severity was positively associated with membership status.
    VL  - 10
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