What factors shape an individual’s probability to be enrolled in a professionally-managed community-based health insurance? Results from a cross-sectional case-control study in two districts in Mali

Hamidou Niangaly, Manuella De Allegri, Laurence Touré, Dansiné Diarra and Valéry Ridde

PLOS Global Public Health, 2025, vol. 5, issue 7, 1-16

Abstract: Across West Africa, countries are promoting new models of community-based health insurance (CBHI) to overcome the challenges faced by existing schemes. We investigated factors associated with an individual’s probability to be enrolled in one of two professionally-managed CBHI in Mali. We carried out a case-control methodology and used multi-stage sampling to select CBHI members and non-members. The primary outcome variable was being enrolled or not in the CBHI. Three-level mixed-effects logistic regression model was used to estimate the association between individual enrolment and series of individual, household, and wider community factors. Of the 1,270 people surveyed 847 and 423 were non-members and members respectively. Respondents with primary education (AOR = 1.6, P = 0,035), secondary education (AOR = 2.31, P = 0,001) or higher school/University (AOR = 5.5, P

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pgph00:0004892

DOI: 10.1371/journal.pgph.0004892

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