Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 643

Full Length Research Paper

Willingness of community to enroll in community based health insurance and associated factors at household Level in Siraro District, West Arsi Zone, Ethiopia

Kasim Ebrahim1*, Fanos Yonas2 and Muhammedawel Kaso3
1Department of Communicable Disease Control, Shashemene District Health Office, West Arsi Zone, Ethiopia. 2Department of Public Health, College of medicine and health science, Woliata Sodo University, Woliata Sodo, Ethiopia. 3Department of Public Health, College of Health Science, Arsi University, Arsi Asella, Ethiopia.
Email: [email protected]

  •  Received: 02 November 2018
  •  Accepted: 05 January 2019
  •  Published: 31 August 2019


To ensure that health care is accessible to all, Community Based Health Insurance (CBHI) should be promoted and more people should be encouraged to participate in it. The aim of this study is to assess the willingness of community to enroll in community based health insurance and factors associated at household level in Siraro District, Ethiopia, 2017. Community based cross sectional study design was employed for 413 household samples. Simple random sampling method was used and face to face interviews, key informants and focus group discussions were conducted using semi-structured questionnaire. Data were entered and cleaned by EPI info and exported to SPSS. Bivariate and multivariate logistic regression was used for analysis of variables and 95% confidence level and P- value£ 0.05 was used to measure strength of association. Seventy three percent were willing to enroll in community based health insurance. Marital status (AOR=5.411, 2.448-11.959), being a member of Idir (AOR=2.618, 1.460- 4.690), being aware of community based health insurance principles (AOR=1.938, 1.083-3.464), having knowledge of inpatient services (AOR= 0.269, 0.121-0.597) and poor health status (AOR = 0.517, 0.279-0.957) were factors affecting the enrollment of community in health insurance.

Key words: Community, health insurance, willingness, enroll.