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Insured-non-insured disparity of catastrophic health expenditure in Northwest Ethiopia: a multivariate decomposition analysis

Author

Listed:
  • Yawkal Tsega

    (Wollo University)

  • Gebeyehu Tsega

    (Bahir Dar University)

  • Asnakew Molla Mekonen

    (Wollo University)

  • Tesfaye Birhane

    (Wollo University)

  • Elsabeth Addisu

    (Wollo University)

  • Abebe Getie

    (Wollo University)

  • Fekade Demeke Bayou

    (Wollo University)

  • Mulugeta Desalegn Kasaye

    (Wollo University)

  • Natnael Kebede

    (Wollo University)

  • Amare Muche

    (Wollo University)

Abstract

Background Financial risk protection is one indicator of universal health coverage (UHC). All people should be protected from financial risks such as catastrophic health expenditures (CHE) to ensure equitable health services. Ethiopia has launched community-based health insurance (CBHI) since 2011 to protect people from financial risk. However, out-of-pocket health expenditure is a financial barriers to achieve UHC. The insured-non-insured disparity of CHE has not been well studied in Ethiopia in general and in Debre Tabor town in particular. Therefore, this study aimed to assess the disparity of CHE between insured and non-insured households and its contributing factors in Debre Tabor town. Methods This study used the primary household survey data collected from May to June 2022 in Debre Tabor town. Data were collected from 825 household heads and analyzed using STATA version 17.0 statistical software. Logit-based multivariate decomposition analysis was conducted to determine insured-non-insured disparity of CHE. Statistical significance for all analysis was declared at a p

Suggested Citation

  • Yawkal Tsega & Gebeyehu Tsega & Asnakew Molla Mekonen & Tesfaye Birhane & Elsabeth Addisu & Abebe Getie & Fekade Demeke Bayou & Mulugeta Desalegn Kasaye & Natnael Kebede & Amare Muche, 2024. "Insured-non-insured disparity of catastrophic health expenditure in Northwest Ethiopia: a multivariate decomposition analysis," Health Economics Review, Springer, vol. 14(1), pages 1-11, December.
    • Handle: RePEc:spr:hecrev:v:14:y:2024:i:1:d:10.1186_s13561-024-00533-3
    DOI: 10.1186/s13561-024-00533-3
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    References listed on IDEAS

    as
    1. Gebeyehu Tsega & Gebremariam Getaneh & Getasew Taddesse, 2021. "Are Ethiopian diabetic patients protected from financial hardship?," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-14, January.
    2. Adam Wagstaff & Eddy van Doorslaer, 2003. "Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998," Health Economics, John Wiley & Sons, Ltd., vol. 12(11), pages 921-933, November.
    3. Asnakew Molla Mekonen & Measho Gebreslassie Gebregziabher & Alemayehu Shimeka Teferra, 2018. "The effect of community based health insurance on catastrophic health expenditure in Northeast Ethiopia: A cross sectional study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-13, October.
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