Research Article

Community-Based Health Insurance Membership Renewal Rate and Associated Factors among Households in Gedeo Zone, Southern Ethiopia

Table 7

Factors associated with respondents’ community-based health insurance membership renewal in Yirga Chafe district, Southern Ethiopia, 2022.

CategoriesRenewed (%)Dropped (%)COR (95% CI)AOR (95% CI)

Age categories
18-30 years125 (28.2)31 (33.3)11
31-45 years254 (57.2)49 (52.7)1.29 (.781, 2.12)1.42 (.389, 5.08)
46 and above years65 (14.6)13 (14)1.24 (0.607, 2.53)1.33 (0.421, 4.20)

Marital status
Married385 (86.7)85 (91.4)0.62 (0.283, 1.33)0.93 (0.226, 3.83)
Other59 (13.3)8 (8.6)11

Sex
Male358 (80.6)81 (87.1)11
Female86 (19.4)12 (12.9)1.62 (0.846, 3.11)1.51 (0.558, 4.07)

Educational status
Nonformal171 (38.5)45 (48.4)11
Primary180 (40.6)33 (35.5)1.44 (0.874, 2.36)0.51 (0.220, 1.18)
Secondary and above93 (20.9)15 (16.1)1.63 (0.863, 3.09)0.78 (0.296, 2.03)

Occupational status
Farmer301 (67.8)65 (69.9)11
Merchant67 (15.1)18 (19.4)0.81 (0.448, 1.44)0.51 (0.162, 1.62)
Other76 (17.1)10 (10.7)1.64 (0.805, 3.35)1.97 (0.713, 5.46)

Monthly income
Less than 1000 birr98 (22.1)39 (41.9)11
1000-2000 birr279 (62.8)38 (40.9)2.92 (1.77, 4.83)0.51 (0.136, 1.90)
Above 2000 birr67 (15.1)16 (17.2)1.67 (0.862, 3.22)0.43 (0.08, 2.42)

Time to access health facilities
< 30 minutes57 (12.8)9 (9.7)1.38 (0.655, 2.89)1.9 0(0.642, 5.64)
≥ 30 minutes387 (87.2)84 (90.3)11

Length of enrollment
<3 years182 (41.0)68 (73.1)11
≥3 years262 (59.0)25 (26.9)3.88 (2.36, 6.37)3.12 (1.40, 6.97)

Family size
≤ 5310 (69.8)76 (81.7)11
> 5134 (30.2)17 (18.3)1.93 (1.10, 3.40)1.95 (0.762, 5.99)

Illness in last 3 months
Yes250 (56.3)26 (28)3.32 (2.04, 5.42)2.97 (1.47, 5.99)
No194 (43.7)67 (72)11

Overall knowledge
Poor34 (7.7)65 (69.9)11
Good410 (92.3)28 (30.1)27.99 (15.92, 49.23)21.11 (10.63, 41.93)

Perceived quality service
Poor59 (13.3)45 (48.4)11
Medium79 (17.8)14 (15.0)4.04 (2.02, 8.10)2.67 (0.940, 7.59)
Good306 (68.9)34 (36.6)10.38 (5.34, 20.16)4.21 (1.52, 11.68)

Overall attitude
Unfavourable69 (15.5)47 (50.5)11
Favourable375 (84.5)46 (49.5)5.55 (3.43, 8.98)3.89 (1.67, 9.04)

CBHI premium
Not affordable60 (13.5)41 (44.1)11
Affordable384 (86.5)52 (55.9)5.05 (3.09, 8.25)12.64 (3.25, 49.38)