Lauren Falvo, Anna Bona, Melanie Heniff, Dylan Cooper, Malia Moore, Devin Doos, Elisa Sarmiento, Cherri Hobgood, Rami Ahmed
How to HEEAL: A Patient and Peer-Centric Simulation Curriculum for Medical Error Disclosure
MedEdPORTAL : the journal of teaching and learning resources
despite fact communitybased health insurance cbhi promising program achieve goal universal health coverage uhc faces challenges due low enrollment also due membership renewal decision impact sustainability hence study aimed identify determinants cbhi membership renewal decision among rural households kellem wollega zone ethiopia study conducted kellem wollega ethiopia among rural households march 30april 30 2022 using communitybased crosssectional study design intervieweradministered structured questionnaire facetoface interviews used using systematic random sampling method 551 households selected making 540 98 response rates data entered epi data 31 analyzed using spss 25 software descriptive statistics binary multiple logistic regressions performed using multiple logistic regressions significant association cbhi membership renewal decision independent variables identified declaring statistical significance level using 95 confidence interval ci p 005 overall rate cbhi membership renewal decision among households estimated 365 676 95 ci 637715 factors significantly influenced households membership renewal decision family size aor 046 95 ci 025086 low literacy status aor 028 95 ci 012064 lower middlelevel wealth index aor 980 95 ci 2753492 premium affordability aor 434 95 ci 208904 unavailability services aor 026 95 ci 012055 trusting health facilities aor 581 95 ci 2821194 favorable providers attitude toward members aor 823 95 ci 3961964 good quality service aor 447 95 ci 228885 health care seeking behavior aor 325 95 ci 132798 overall cbhi membership dropout decision rate among rural households high could affect health service provision utilization therefore insurance scheme contracted health facilities consider work family size wealth status membership premiums calculated education level households creating awareness scheme building trust contracted health facilities providing promised benefit packages health services good quality improving attitude health care providers towards scheme members