Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia

Adane Kebede; Measho Gebreslassie; Mezgebu Yitayal

doi:doi:10.11648/j.ijefm.20140204.15

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Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia

Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal

Published in International Journal of Economics, Finance and Management Sciences (Volume 2, Issue 4)

Received: 19 August 2014 Accepted: 4 September 2014 Published: 20 September 2014

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Abstract

Introduction: Community-based health insurance schemes are becoming increasingly recognized as a tool to finance health care in developing countries. The Ethiopian government is now implementing community-based health insurance for citizens in the informal and agriculture sectors as a pilot basis. Objective: This study was conducted to assess the willingness to pay for community based health insurance and associated factors among household heads in the rural community of Fogera district, North West Ethiopia, 2013. Methods: A community based cross-sectional study was conducted. Multistage sampling technique was undertaken to get a total of 528 households. Pre-tested, structured interviewer administered questionnaire was used to collect the desired data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the schemes, and a multiple linear regression equation model was used to answer how much one is willing to pay once one decides to enroll in the scheme. The degree of association between independent and dependent variables were assessed using coefficient and p-value. Results: The study revealed that, 80% of respondents expressed willingness to enroll in the community-based health insurance system. The average amount of money willing to pay for the scheme was 187.4Birr per household per annual. Based on the multiple linear regression model; being male [B=17.28], large household size [B= 4.54], schooling experience [B=1.85], farmer household [B=33.79], merchant household [B=58.50], richer household [B=14.94] were significantly associated with the willingness to pay for community based health insurance scheme. Conclusion and recommendation the willingness to pay for the Community-based health insurance scheme was encouraging. However, the amount of the premium should consider the family size, wealth status and the willingness of the households.

Published in	International Journal of Economics, Finance and Management Sciences (Volume 2, Issue 4)
DOI	10.11648/j.ijefm.20140204.15
Page(s)	263-269
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Willingness, Community Based Health Insurance, Rural, Households, Fogera

References

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[8]	Banwat, M.E A, H.A, Hassan Z, al e. community based health insurance knowledge and willingness to pay, A survey of a rural community in North central zone of Nigeria. Jos Journal of medicine.6(1).
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[11]	Mbengue, Cheikh. Revitalizing Community-based Health Insurance in Africa to ward Universal Coverage. Health Systems 20/20 Project. Abt Associates Inc. February 28, 2011.
[12]	Federal Democratic Republic of Ethiopia Ministry of Health , HSDP IV. 2010.
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[19]	Onwujekwe.O, Okereke .E, Onoka .C,et.al. Willingness to pay for community-based health insurance in Nigeria: Do economic status and place of residence matter? Health Policy Plan. 2010;25(2):155-61.
[20]	Asgary.A, Willis.K, Taghvaei A, Rafeian M. Estimating rural households’ willingness to pay for health insurance. European Journal of Health Economics. 2004;5:581-7.

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APA Style

Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal. (2014). Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia. International Journal of Economics, Finance and Management Sciences, 2(4), 263-269. https://doi.org/10.11648/j.ijefm.20140204.15

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ACS Style

Adane Kebede; Measho Gebreslassie; Mezgebu Yitayal. Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia. Int. J. Econ. Finance Manag. Sci. 2014, 2(4), 263-269. doi: 10.11648/j.ijefm.20140204.15

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AMA Style

Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal. Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia. Int J Econ Finance Manag Sci. 2014;2(4):263-269. doi: 10.11648/j.ijefm.20140204.15

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@article{10.11648/j.ijefm.20140204.15,
  author = {Adane Kebede and Measho Gebreslassie and Mezgebu Yitayal},
  title = {Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia},
  journal = {International Journal of Economics, Finance and Management Sciences},
  volume = {2},
  number = {4},
  pages = {263-269},
  doi = {10.11648/j.ijefm.20140204.15},
  url = {https://doi.org/10.11648/j.ijefm.20140204.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijefm.20140204.15},
  abstract = {Introduction: Community-based health insurance schemes are becoming increasingly recognized as a tool to finance health care in developing countries. The Ethiopian government is now implementing community-based health insurance for citizens in the informal and agriculture sectors as a pilot basis. Objective: This study was conducted to assess the willingness to pay for community based health insurance and associated factors among household heads in the rural community of Fogera district, North West Ethiopia, 2013. Methods: A community based cross-sectional study was conducted. Multistage sampling technique was undertaken to get a total of 528 households. Pre-tested, structured interviewer administered questionnaire was used to collect the desired data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the schemes, and a multiple linear regression equation model was used to answer how much one is willing to pay once one decides to enroll in the scheme. The degree of association between independent and dependent variables were assessed using coefficient and p-value. Results: The study revealed that, 80% of respondents expressed willingness to enroll in the community-based health insurance system. The average amount of money willing to pay for the scheme was 187.4Birr per household per annual. Based on the multiple linear regression model; being male [B=17.28], large household size [B= 4.54], schooling experience [B=1.85], farmer household [B=33.79], merchant household [B=58.50], richer household [B=14.94] were significantly associated with the willingness to pay for community based health insurance scheme. Conclusion and recommendation the willingness to pay for the Community-based health insurance scheme was encouraging. However, the amount of the premium should consider the family size, wealth status and the willingness of the households.},
 year = {2014}
}

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TY  - JOUR
T1  - Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia
AU  - Adane Kebede
AU  - Measho Gebreslassie
AU  - Mezgebu Yitayal
Y1  - 2014/09/20
PY  - 2014
N1  - https://doi.org/10.11648/j.ijefm.20140204.15
DO  - 10.11648/j.ijefm.20140204.15
T2  - International Journal of Economics, Finance and Management Sciences
JF  - International Journal of Economics, Finance and Management Sciences
JO  - International Journal of Economics, Finance and Management Sciences
SP  - 263
EP  - 269
PB  - Science Publishing Group
SN  - 2326-9561
UR  - https://doi.org/10.11648/j.ijefm.20140204.15
AB  - Introduction: Community-based health insurance schemes are becoming increasingly recognized as a tool to finance health care in developing countries. The Ethiopian government is now implementing community-based health insurance for citizens in the informal and agriculture sectors as a pilot basis. Objective: This study was conducted to assess the willingness to pay for community based health insurance and associated factors among household heads in the rural community of Fogera district, North West Ethiopia, 2013. Methods: A community based cross-sectional study was conducted. Multistage sampling technique was undertaken to get a total of 528 households. Pre-tested, structured interviewer administered questionnaire was used to collect the desired data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the schemes, and a multiple linear regression equation model was used to answer how much one is willing to pay once one decides to enroll in the scheme. The degree of association between independent and dependent variables were assessed using coefficient and p-value. Results: The study revealed that, 80% of respondents expressed willingness to enroll in the community-based health insurance system. The average amount of money willing to pay for the scheme was 187.4Birr per household per annual. Based on the multiple linear regression model; being male [B=17.28], large household size [B= 4.54], schooling experience [B=1.85], farmer household [B=33.79], merchant household [B=58.50], richer household [B=14.94] were significantly associated with the willingness to pay for community based health insurance scheme. Conclusion and recommendation the willingness to pay for the Community-based health insurance scheme was encouraging. However, the amount of the premium should consider the family size, wealth status and the willingness of the households.
VL  - 2
IS  - 4
ER  -

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Author Information

Adane Kebede

Department of Health Service Management and Health Economics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Ethiopia
Measho Gebreslassie

Department of Health Service Management and Health Economics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Ethiopia
Mezgebu Yitayal

Department of Health Service Management and Health Economics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Ethiopia

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Plain Text BibTeX RIS

APA Style

Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal. (2014). Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia. International Journal of Economics, Finance and Management Sciences, 2(4), 263-269. https://doi.org/10.11648/j.ijefm.20140204.15

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ACS Style

Adane Kebede; Measho Gebreslassie; Mezgebu Yitayal. Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia. Int. J. Econ. Finance Manag. Sci. 2014, 2(4), 263-269. doi: 10.11648/j.ijefm.20140204.15

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AMA Style

Adane Kebede, Measho Gebreslassie, Mezgebu Yitayal. Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia. Int J Econ Finance Manag Sci. 2014;2(4):263-269. doi: 10.11648/j.ijefm.20140204.15

Copy | Download

@article{10.11648/j.ijefm.20140204.15,
  author = {Adane Kebede and Measho Gebreslassie and Mezgebu Yitayal},
  title = {Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia},
  journal = {International Journal of Economics, Finance and Management Sciences},
  volume = {2},
  number = {4},
  pages = {263-269},
  doi = {10.11648/j.ijefm.20140204.15},
  url = {https://doi.org/10.11648/j.ijefm.20140204.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijefm.20140204.15},
  abstract = {Introduction: Community-based health insurance schemes are becoming increasingly recognized as a tool to finance health care in developing countries. The Ethiopian government is now implementing community-based health insurance for citizens in the informal and agriculture sectors as a pilot basis. Objective: This study was conducted to assess the willingness to pay for community based health insurance and associated factors among household heads in the rural community of Fogera district, North West Ethiopia, 2013. Methods: A community based cross-sectional study was conducted. Multistage sampling technique was undertaken to get a total of 528 households. Pre-tested, structured interviewer administered questionnaire was used to collect the desired data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the schemes, and a multiple linear regression equation model was used to answer how much one is willing to pay once one decides to enroll in the scheme. The degree of association between independent and dependent variables were assessed using coefficient and p-value. Results: The study revealed that, 80% of respondents expressed willingness to enroll in the community-based health insurance system. The average amount of money willing to pay for the scheme was 187.4Birr per household per annual. Based on the multiple linear regression model; being male [B=17.28], large household size [B= 4.54], schooling experience [B=1.85], farmer household [B=33.79], merchant household [B=58.50], richer household [B=14.94] were significantly associated with the willingness to pay for community based health insurance scheme. Conclusion and recommendation the willingness to pay for the Community-based health insurance scheme was encouraging. However, the amount of the premium should consider the family size, wealth status and the willingness of the households.},
 year = {2014}
}

Copy | Download

TY  - JOUR
T1  - Willingness to Pay for Community Based Health Insurance among Households in the Rural Community of Fogera District, North West Ethiopia
AU  - Adane Kebede
AU  - Measho Gebreslassie
AU  - Mezgebu Yitayal
Y1  - 2014/09/20
PY  - 2014
N1  - https://doi.org/10.11648/j.ijefm.20140204.15
DO  - 10.11648/j.ijefm.20140204.15
T2  - International Journal of Economics, Finance and Management Sciences
JF  - International Journal of Economics, Finance and Management Sciences
JO  - International Journal of Economics, Finance and Management Sciences
SP  - 263
EP  - 269
PB  - Science Publishing Group
SN  - 2326-9561
UR  - https://doi.org/10.11648/j.ijefm.20140204.15
AB  - Introduction: Community-based health insurance schemes are becoming increasingly recognized as a tool to finance health care in developing countries. The Ethiopian government is now implementing community-based health insurance for citizens in the informal and agriculture sectors as a pilot basis. Objective: This study was conducted to assess the willingness to pay for community based health insurance and associated factors among household heads in the rural community of Fogera district, North West Ethiopia, 2013. Methods: A community based cross-sectional study was conducted. Multistage sampling technique was undertaken to get a total of 528 households. Pre-tested, structured interviewer administered questionnaire was used to collect the desired data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the schemes, and a multiple linear regression equation model was used to answer how much one is willing to pay once one decides to enroll in the scheme. The degree of association between independent and dependent variables were assessed using coefficient and p-value. Results: The study revealed that, 80% of respondents expressed willingness to enroll in the community-based health insurance system. The average amount of money willing to pay for the scheme was 187.4Birr per household per annual. Based on the multiple linear regression model; being male [B=17.28], large household size [B= 4.54], schooling experience [B=1.85], farmer household [B=33.79], merchant household [B=58.50], richer household [B=14.94] were significantly associated with the willingness to pay for community based health insurance scheme. Conclusion and recommendation the willingness to pay for the Community-based health insurance scheme was encouraging. However, the amount of the premium should consider the family size, wealth status and the willingness of the households.
VL  - 2
IS  - 4
ER  -

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