Insured-non-insured disparity of catastrophic health expenditure in Northwest Ethiopia: a multivariate decomposition analysis

Yawkal Tsega (), Gebeyehu Tsega, Asnakew Molla Mekonen, Tesfaye Birhane, Elsabeth Addisu, Abebe Getie, Fekade Demeke Bayou, Mulugeta Desalegn Kasaye, Natnael Kebede and Amare Muche
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Yawkal Tsega: Wollo University
Gebeyehu Tsega: Bahir Dar University
Asnakew Molla Mekonen: Wollo University
Tesfaye Birhane: Wollo University
Elsabeth Addisu: Wollo University
Abebe Getie: Wollo University
Fekade Demeke Bayou: Wollo University
Mulugeta Desalegn Kasaye: Wollo University
Natnael Kebede: Wollo University
Amare Muche: Wollo University

Health Economics Review, 2024, vol. 14, issue 1, 1-11

Abstract: Abstract Background Financial risk protection is one indicator of universal health coverage (UHC). All people should be protected from financial risks such as catastrophic health expenditures (CHE) to ensure equitable health services. Ethiopia has launched community-based health insurance (CBHI) since 2011 to protect people from financial risk. However, out-of-pocket health expenditure is a financial barriers to achieve UHC. The insured-non-insured disparity of CHE has not been well studied in Ethiopia in general and in Debre Tabor town in particular. Therefore, this study aimed to assess the disparity of CHE between insured and non-insured households and its contributing factors in Debre Tabor town. Methods This study used the primary household survey data collected from May to June 2022 in Debre Tabor town. Data were collected from 825 household heads and analyzed using STATA version 17.0 statistical software. Logit-based multivariate decomposition analysis was conducted to determine insured-non-insured disparity of CHE. Statistical significance for all analysis was declared at a p

Keywords: Insured-non-insured disparity; Catastrophic health expenditure; Decomposition analysis (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1186/s13561-024-00533-3

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