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Ethiopia introduced and launched community based health insurance program as pilot program between 2011GC and 2013GC in 13 district. It is fully got to service between 2017/18GC to 2018/19GC. Since the program is new it need a lot of studies. Since it is launched a lot of problems have been identified and the government have made fewer arrangements like on payment method, registration method and so on. On the other hand reason for community based health insurance is not covered on the previous study. But still the program needs continues assessment on the problems of the program to improve further, and give the community better health insurance service. So the researcher tries to cover some of the problems that have not been mentioned in the previous studies. Method on documentation, data recording and transferring to service centres.
Background: Ethiopia has introduced community-based health insurance (CBHI) scheme to enhance health care services utilization and protect the community from expensive health expenditure in 2011.
Objective: To explore the reason for community based health insurance membership dropout in kolfe keranio sub city Addis Ababa, Ethiopia.
Methods: A phenomenological study was conducted on March 2023GC. This method allows the researcher to make an observation of the general situation or process, to make face to face in-depth interview and focused group discussion with the key informants. The study population were those who drop the scheme for different reason, active community based health insurance members, medical director, community based health insurance core process coordinator, and community based health insurance officer and Wereda women development force with the sample size of 20. A heterogeneous purposive sampling technique is used to select the study population.
Result: The result of the study indicated that, there is a problem on information exchange, there is manual data keeping, there is short registration period and promotion about CBHI, there is shortage of drug, there is also work overload on health professionals and staff members, there is lack of materials and man power, there is shortage of health centre that leaded to work load to other sectors, back payment load on the members, are identified.
Conclusion & recommendation: Based on the finding of the study the following conclusion is driven, there is a problem on information exchange, there is short registration period and promotion about CBHI, there is shortage of drug, there is also work overload health professionals and staff members, there is lack of materials and man power, there is shortage of health centre, CBHI drop out are mainly because of lack of income and awareness in the society are the reason of CHBI drop out. Finally the following recommendation was given. There should be an adequate supply of drugs in the health centres, the registration and promotion period should be extended; it should be done in order to have enough awareness for the community. Data should be managed by electrically monitor methods.......... Thesis available at Addis Continental Institute of Public Health Library |
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