Research Article

Community-Based Health Insurance Utilization and Its Associated Factors among Rural Households in Akaki District, Oromia, Ethiopia, 2021

Table 4

Multivariate analysis of factors associated with CBHI utilization among rural households in Akaki District, 2021.

Variables/characteristicsCategoriesCBHI utilizationCOR (95% CI)AOR (95% CI)
No (0)Yes (1)

SexMale156 (31.6%)337 (68.4%)1.629 (1.063, 2.497)1.629 (1.063, 2.497)
Female46 (43%)61 (57%)Ref

Household family size≤5182 (35.6%)329 (64.4%)2.968 (1.987, 4.139)2.968 (1.987, 4.139)
˃520 (22.5%)69 (77.5%)

Occupational status of respondentsFarmer191 (32.8%)393 (67.2%)3.763 (1.371, 10.327)3.763 (1.371, 10.327)
Merchant11 (64.7%)6 (35.3%)

Annual income of respondents<30,00023 (19.3%)96 (80.7%)0.474 (1.514, 4.043)2.474 (1.514, 4.043)
≥30,000179 (37.2%)302 (62.8%)Ref

Awareness about CBHINo51 (91.1%)5 (8.9%)Ref
Yes151 (27.8%)393 (72.2%)0.38 (0.015, 0.096)0.38 (0.015, 0.096)

Frequency of visit to health facility during illness to use health service in previous six monthsOnce78 (25.2%)231 (74.8%)5.183 (2.095, 12.821)5.183 (2.095, 12.821)
Twice43 (24.3%)134 (75.7%)5.453 (2.143, 13.879)5.453 (2.143, 13.879)
Three times14 (63.6%)8 (36.4%)Ref

Distance from health facility≤235 (31.8%)75 (68.2%)Ref
2–5 km60 (26.4%)167 (73.6%)1.909 (1.300, 2.803)1.909 (1.300, 2.803)
≥5107 (40.7%)156 (59.3%)Ref

Waiting time to utilize health serviceLess than one Hour45 (19.4%)187 (80.6%)2.011 (1.33, 3.034)2.011 (1.33, 3.034)
1 to 2 hours90 (32.6%)186 (67.4%)Ref

Satisfaction with the attitude of health professionalsNo105 (45.7%)125 (54.3%)Ref
Yes30 (11.4%)233 (88.6%)0.153 (0.97, 0.243)0.153 (0.097, 0.243)

Satisfaction with healthcare service you received during a visit to HFNo110 (57.9%)80 (42.1%)Ref
Yes25 (8.3%)278 (91.7%)0.065 (0.040, 0.108)0.065 (0.040, 0.108)

Affordability of premium (regular contribution)Yes, suitable35 (21.6%)127 (78.4%)2.862 (1.862, 4.339)2.862 (1.862, 4.399)
Somewhat suitable14 (15.4%)77 (84.6%)4.33 (2.362, 7.964)4.338 (2.362, 7.964)
Not suitable153 (44.1%)194 (55.9%)Ref

Trust in the scheme managementYes105 (37.1%)178 (62.9%)0.432 (0.285, 0.654)0.432 (0.285, 0.654)
Somewhat55 (50%)55 (50%)0.255 (0.154, 0.422)0.255 (0.154, 0.422)
No42 (20.3%)165 (79.7%)Ref