Community-based health insurance dropout and its determinants among women in Sidama National Regional State, Southern Ethiopia, 2024: A multilevel analysis

Kare Chawicha Debessa, Keneni Gutema Negeri and Mesay Hailu Dangisso

PLOS ONE, 2025, vol. 20, issue 8, 1-18

Abstract: Introduction: Ensuring accessible and affordable healthcare continues to be a key priority in low- and middle-income countries, including Ethiopia. To enhance healthcare coverage and provide financial protection, especially for vulnerable populations such as women, community-based health insurance (CBHI) schemes have been introduced. Methods: A community-based cross-sectional study was conducted between December 15, 2023, and January 12, 2024, involving 835 women aged 18 years and above in the central zone of Sidama. Participants were selected via a multistage sampling technique. Data were collected through structured, pre-tested face-to-face interviews encompassing demographic, household, and scheme-related factors. Findings: Among the 845 women sampled, 835 participated in the interviews with a response rate of 98.8%. Of these, 77 women (9%) dropped from the CBHI scheme (AOR = 9; 95% CI: 7.43% −11.38%; p

Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0329382

DOI: 10.1371/journal.pone.0329382

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