Abstract:
I nt r oduct i on:Ever yyear ,appr oxi mat el y44mi l l i onhousehol ds,ormor et han150mi l l i on
i ndi vi dual s,t hr oughoutt hewor l df acecat ast r ophi cexpendi t ur e.Et hi opi ai sal sooneof
t hecount r i eswi t hhi ghoutofpocketpaymentl eadi ngcat ast r ophi cheal t hexpendi t ur e.
I nOr dert oaddr esssuchpr obl em andcr eat eequi t abl ef i nanci ngmechani sm,t he
gover nmentofEt hi opi acur r ent l yi nt r oducedsoci alheal t hi nsur ancewi t ht heover al l
obj ect i veofachi evi nguni ver salheal t hcar eaccess.Forsuccessf uli mpl ement at i onof
t hesc hemest udyi ngwi l l i ngnesst opayandf act or saf f ect i ngi ti scr uci al .
Obj ect i ve:Theobj ect i veoft hest udywast oassesswi l l i ngnesst opayf orsoci alheal t h i nsur anceandi t sassoci at edf act or samongheal t hpr of essi onal si ngover nment al hospi t al s,Mekel l eci t y,Nor t hEt hi opi a.
Met hodol ogy:An i nst i t ut i on based cr osssect i onalst udydesi gn wasused.St udy par t i ci pant swer esel ect edusi ngsyst emat i cr andomsampl i ng.Dat awascol l ect edusi ng st r uct ur edi nt er vi eweradmi ni st er edquest i onnai r esandanal yzedusi ngSPSSver si on 20.Bi v ar i at eandmul t i var i at el ogi st i cr egr essi onmodel sat5% l evelofsi gni f i canceand oddsr at i owi t h95%CIl evelwasusedt oshowassoci at i onbet weent hedependentand i ndependentvar i abl es.
Resul t s:Twohundr edf i f t yf i ve( 62. 5%)ofwer ewi l l i ngt opar t i ci pat ei nt heSHIscheme. Amongt hosewhower ewi l l i ngt opar t i ci pat ei nt hescheme189( 74. 1%)wer ewi l l i ngt o pay3andmor eper centoft hei rmont hl ysal ar y.Themedi an( I QR)ofmaxi mum wi l l i ngnesst opaywer e3( 1)% ofmont hl ysal ar y.Wi l l i ngnesst opaywassi gni f i cant l y associ at edwi t hmont hl ysal ar y( AOR=9. 49,95%CI[ 2. 51,35. 86] ) ,awar enessofsoci al heal t hi nsur ance( AOR =3. 89,95% CI[ 1. 05,14. 28] ) ,hi st or yofdi f f i cul t ycover i ng medi calbi l l s( AOR = 6. 2,95% CI[ 2. 42,15. 87] ) ,at t i t udest owar dssoci alheal t h i nsur ance( AOR =7. 57,95% CI[ 3. 14,18. 21] ) andper cei vedqual i t yofheal t hcar e ser vi cesi fSHIi mpl ement ed( AOR=2. 89,95%CI[ 1. 18,7. 07] ) .
Concl usi onandr ecommendat i on:Maj or i t yofst udypar t i ci pant s( 62. 5%)wer ewi l l i ngt o par t i ci pat ei nt heSHIschemebutst i l lact i vi t i est hatenhanceawar enessandpr omot e at t i t udi nalchangear er equi r edt ohavemor e.
