Community-Based Health Insurance Utilization and Its Determinants among Informal Workers: Cross-Sectional Study

Abstract

Background: Ethiopia has implemented a community-based health insurance (CBHI) program to provide coverage to 80% of the  population and shield underprivileged individuals from the detrimental effects of exorbitant medical expenses. However, there is a  paucity of data regarding its utilization and pertinent concerns. This study aimed to evaluate the utilization of CBHI and its associated  factors among informal workers in Berek District. Methods: This community-based cross-sectional study was conducted between June 15  and July 15, 2022. The sample population comprised 538 households selected using a multistage sampling approach. Data analysis was done using SPSS Version 26. Variables with P-values of less than 0.25 during the bivariate analysis were selected for multivariate analysis  using binary logistic regression. The statistical significance threshold was set at a p-value of 0.05. Results: The utilization of Community- Based Health Insurance (CBHI) was 49.8%. Age between 30 and 39 years, monthly earnings of less than 1500 Ethiopian Birr, presence of  chronic illness, membership in social organization, and possessing adequate knowledge were found to have a statistically significant association with the use of CBHI. Conclusion: The utilization of CBHI was low within the confines of this district. Age, income, social group  membership, and chronic illnesses were significantly associated with CBHI utilization.