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HEALTH SERVICE UTILIZATION AND ASSOCIATED FACTORS AMONG COMMUNITY BASED HEALTH INSURANCE MEMBERS IN EFRATANAGIDM WOREDA IN NORTH SHEWA ZONE, AMHARA REGION, ETHIOPIA.

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dc.contributor.author Anchalem, Engida
dc.date.accessioned 2019-08-16T07:47:00Z
dc.date.available 2019-08-16T07:47:00Z
dc.date.issued 2019-06
dc.identifier.uri http://localhost:8080/xmlui/handle/123456789/277
dc.description.abstract Background: In Ethiopia, utilization of health services remains low and unevenly distributed. To ensure appropriate health care use, we need to understand factors affecting health care use, and the reasons for low levels of utilization among our community. Objective: To assess health service utilization and associated factors among community based health insurance members in Efratanagidm district in North Shewa zone, Amhara region, Ethiopia, June, 2019. Method: A community based cross-sectional study was conducted from February to March, 2019. Six hundred thirty four participants were selected using cluster sampling method and were interviewed using structured and pretested questionnaires. Data was coded, entered and cleaned by using EPI INFO version 7 and analysis was done by using SPSS version 20. Bivariate and multivariable analysis were employed to determine the relationships between health service utilization and factors associated with it. Variables which had p<=0.25 in bivariate was interred in to multivariate logistic regression. Results: The health service utilization (70.7%) was found to be less than two visits. Married respondents were 4.11(AOR=4.11, 95%CI: 1.848-9.140) times more likely to visit health institution. Those who perceived their family health status was poor were 2.15(AOR=2.15, 95%CI: 1.434-3.236) times more likely to visit the health institution. Participants those who had no a history of inpatient were 0.37(AOR=0.37, 95%CI: 0.2020.667) times less likely to visit the health institutions. Respondents who prefer health center for their first treatment were 1. 98(AOR=1.98, 95%CI: 1.288-3.047) times more likely utilize health service. Conclusion: In this study, health service utilization among community based health insurance members was poor(less than two visits). Marital status, family health status, being inpatient, challenges face during health facility visit, perceive presence of medical equipment in health facility, interested in health service, first choice of health facility and health professional respect to patient were the factors which affect health service utilization. en_US
dc.language.iso en en_US
dc.subject Health services utilization, Health insurance, Community based health insurance. en_US
dc.title HEALTH SERVICE UTILIZATION AND ASSOCIATED FACTORS AMONG COMMUNITY BASED HEALTH INSURANCE MEMBERS IN EFRATANAGIDM WOREDA IN NORTH SHEWA ZONE, AMHARA REGION, ETHIOPIA. en_US
dc.type Thesis en_US


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