UPTAKE OF COMMUNITY BASED HEALTH INSURANCE AND ITS EFFECT ON HOUSEHOLD HEALTH EXPENDITURE IN HARAMAYA AND KERSA DISTRICTS IN EASTERN HARARGHE, ETHIOPIA

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Abstract:

The purpose of this study was to examine the determinant of household uptake in community-based health insurance and the effect of uptake in community-based health insurance on household health expenditure in Haramaya and Kersa District. The study used cross-sectional survey research design and quantitative approach. A survey was conducted by using 360 structured close-ended questionnaires distributed equally to community-based health insurance adopters and non adopters in the district. Quantitative data analysis mechanism was used to analyze collected data. From quantitative data analysis descriptive statistics and logistic regression statistical tools were used to examine the determinant of uptake in community based health insurance. Linear regression statistical tools were used to examine the effect of uptake in community based health insurance on household health expenditure. The findings of the study indicate that marketing strategy, quality of healthcare, and demographic factors determine uptake in community based health insurance. The findings also show uptake in community based health insurance negatively affects household health expenditure. Thus this study recommended that both Haramaya and Kersa District community based health insurance coordinators should really give emphasis on addressing marketing strategy, quality of healthcare, and demographic factors to reach their goal of reaching all low income households in informal urban sectors and rural areas.

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UPTAKE OF COMMUNITY BASED HEALTH INSURANCE AND ITS EFFECT ON HOUSEHOLD HEALTH EXPENDITURE IN HARAMAYA AND KERSA DISTRICTS IN EASTERN HARARGHE, ETHIOPIA

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