Community-Based Health Insurance Membership Dropout Rate and Associated Factors in Dera District, Northwest Ethiopia

Figures & data

Table 1 Socio-Economic and Demographic Characteristics of Respondents for CBHI Dropout Rate and Associated Factors at Dera District Northwest Ethiopia, 2020

Variables	Category	Total Frequency
		Frequency	Percent
Residence of respondent	Rural	476	81.5
	Urban	108	18.5
Age of respondent in years	20–24	275	47.1
	25–49	259	44.3
	≥50	50	8.6
Sex of respondent	Male	547	93.7
	Female	37	6.3
Religion of respondent	Orthodox	565	96.7
	Muslim	19	3.3
Marital status of household head	Unmarried	48	8.2
	Married	536	91.8
Educational status of household head	Unable to read and write	291	49.8
	Able to read and write	167	28.6
	Primary (1–8)	111	19.0
	Secondary and above	15	2.5
Occupation of household head	Farmer	500	85.6
	Merchant	58	9.9
	Daily laborer	15	2.6
	Private organization	11	1.9
No. of household size	<5	334	57.2
	≥5	250	42.8
No. of under-five children in HH	None	271	46.4
	1–3	313	53.6
Age above 64 years in HH	None	536	92.1
	1–2	48	7.9
No. of pregnant women in HH	None	505	86.5
	≥1	79	13.5
Wealth status	Poorest	116	19.9
	Poor	117	20
	Medium	118	20.2
	Rich	118	20.2
	Richest	115	19.7

Table 2 Experience and Expectation with CBHI for Dropout Rate and Associated Factors at Dera District Northwest Ethiopia 2020

Variables	Category	Total
		Frequency	Percent
Length of enrolment in CBHI scheme	1–3 years	321	55
	≥4 years	263	45
Have you ever participated in CBHI-related meeting and training?	Yes	86	14.7
	No	498	85.3
From which type of health facility did you get health care?	H/center	575	98.5
	Hospital	9	1.5
During the recent health facility visit, did the sick family members receive drugs?	Yes	443	75.9
	No	141	24.1
During the recent health facility visit, did the sick family members receive laboratory services?	Yes	355	60.8
	No	229	39.2
How many times did you visit this health facility per year?	1–3	345	59.1
	4–6	163	27.9
	≥7	76	13
How far is your home to hospital in travel hours	1–2	50	8.6
	≥3	534	91.4
How far is your home to health center in travel hours	<1	576	98.6
	1–2	8	1.4
Is the hospital accessible to you?	Yes	108	18.5
	No	476	81.5
Is the health center accessible to you?	Yes	573	98.1
	No	11	1.9
Is the waiting time in health facility convents?	Yes	128	21.9
	No	456	78.1
Have you trusted by the health professional in health facilities?	Yes	392	67.1
	No	192	32.9
Have you trusted by the contracted health facility?	Yes	326	55.8
	No	258	44.2

Table 3 Health Status, Health Care Seeking Behavior, Participation in Informal Networking and Social Support Group for CBHI Dropout Rate Dera District Northwest Ethiopia 2020

Variables	Category	Total
		Frequency	Percent
Was there chronic illness among the family members?	Yes	77	13.2
	No	507	86.8
How is your self-rated health status?	Very poor	31	5.3
	Poor	114	19.5
	Medium	196	33.6
	Good	167	28.6
	Very good	76	13.0
Were there sick under-five children in your HH in the last 4 weeks?	Yes	145	24.8
	No	439	75.2
Was there adult household member who fall ill in the last 3 months?	Yes	264	45.2
	No	320	54.8
Was the sick adult in your HH visit health facility?	Yes	259	98.1
	No	5	1.9
Have you ever participate in any solidarity group?	Yes	466	79.8
	No	118	20.2
Have you ever participate in any local informal credit association?	Yes	209	35.8
	No	375	64.2
Have you ever participate in any religious activity?	Yes	530	90.8
	No	54	9.2
Who is official position holder for decision rule among household members	Husband	169	28.9
	Wife	36	6.2
	Both	379	64.9

Figure 1 Reasons for CBHI dropout rate and associated factors at Dera district Northwest Ethiopia 2020.

Table 4 Bi-Variable and Multivariable Logistic Regression Analysis for CBHI Dropout Rate and Associated Factors at Dera District Northwest Ethiopia 2020

Variables	Category	CBHI Dropout
		No	Yes	COR(95% CI)	AOR(with 95% CI)
Age of respondent in years	20–24	167	108	1	1
	25–49	167	92	0.26(0.86,0.81)	1.37(0.67,2.80)
	>50	32	18	1.02(0.54,1.92)	1.21(0.60,2.44
Number of family size	<5	196	138	1
	≥ 5	170	80	0.66(0.47,0.94)	0.73(0.49,1.08)
Length of CBHI enrolment	1–3 years	174	147	1	1
	≥4 years	192	71	0.43(0.30,0.62)	0.39(0.26,0.59)*
Frequency of health facility visit	1–3 times	223	122	1	1
	4–6 times	107	56	2.03(1.23,3.35)	1.92(1.10,3.32)*
	≥7 times	36	40	1.12(1.22,3.69)	1.41(0.76,2.62)
Accessibility of hospital	Yes	61	47	1
	No	305	171	1.84(1.12,3.01)	1.68(1.02,2.77)*
Knowledge about CBHI	Good knowledge	199	146	1
	Poor knowledge	167	72	1.70(1.20,2.41)	1.93(1.32,2.82)
Self-rated health status	Very poor	24	7	1	1
	Poor	72	42	3.08(1.18,8.01)	2.39(0.86,6.64)
	Medium	133	63	1.15(0.85,2.78)	1.32(0.58,2.20)
	Good	97	70	1.90(1.10,3.26)	1.46(0.78,2.58)
	Very good	40	36	1.25(0.72,2.15)	0.87(0.48,1.59)
Sick adult in the last 3 months	Yes	180	84	1	1
	No	186	134	0.64(0.46,0.91)	0.79(0.54,1.15)
Participation in any solidarity	Yes	303	163	1	1
	No	63	55	0.61(0.40,0.92)	0.86(0.55,1.35)
Position holder for decision rule	Wife	21	15	1
	Husband	120	49	1.67(1.13,2.47)	2.07(1.33,3.23)*
	Jointly	255	154	0.96(0.48,1.92)	1.27(0.59,2.76)

Note: *Indicates the variables with p-value ≤0.05.