AUTHOR=Handebo Simegnew , Demie Takele Gezahegn , Woldeamanuel Berhanu Teshome , Biratu Tolesa Diriba , Gessese Getachew Tilahun 

TITLE=Enrollment of reproductive age women in community-based health insurance: An evidence from 2019 Mini Ethiopian Demographic and Health Survey

JOURNAL=Frontiers in Public Health

VOLUME=Volume 11 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1067773

DOI=10.3389/fpubh.2023.1067773

ISSN=2296-2565

ABSTRACT=Background: Universal Health Coverage (UHC) is aimed at ensuring that everyone has access to high-quality healthcare without the risk of financial ruin. Community-based health insurance (CBHI) is one of the essential means to achieve the Sustainable Development Goals (SDGs) global health priority of universal health coverage. Therefore, this study aimed to assess health insurance enrollment and associated factors among reproductive age women in Ethiopia.
Methods: We computed the health insurance enrollment of reproductive-age women using secondary data from the most recent Ethiopian Mini Demographic and Health Surveys (EMDHS) 2019. The EMDHS was a community-based cross-sectional study conducted in Ethiopia from March 21 to June 28, 2019.  The survey used a two-stage stratified cluster sampling technique. The study comprised 8885 (weighted) reproductive-age women. STATA 14 was used for data processing and analysis. Bivariate and multivariable logistic regression analyses were employed. Adjusted odds ratio (AOR) with 95% confidence interval (CI) was reported and statistical significance was set at a p-value < 0.05.
Results: Of the 8,885 study participants, 3835 (43.2%) of women had health insurance. Women aged 20-24 years, 25-29 years, and 30-34 years less likely to enroll in health insurance compared to their younger counterparts (15–19 years). Women living in rural areas, had greater than five family sizes, living with a female household head, and having more than five living children were negatively associated with enrollment in health insurance. Besides, health insurance enrollment among reproductive-age women is significantly affected by region and religious variation.
Conclusion: The overall community-based health insurance enrolment among reproductive-age women in Ethiopia was low. To achieve the SDGs of reducing maternal mortality ratio and neonatal mortality, improving reproductive-age women’s access to health insurance is essential. The national, regional, and local officals, policymakers, NGOs, program planners, and other supporting organizations working on improving health insurance enrollment  of  reproductive age women need to create awareness and support them based on these significant factors.