Table 2.
Predictors of Dropout from CBHI Among Households in Manna District, Jimma Zone, Oromia Regional State, Southwest Ethiopia, 2020
| Variables | CBHI Status | COR (95% CI) | AOR (95% CI) | |
|---|---|---|---|---|
| Renewed, N (%) |
Dropped, N (%) |
|||
| Household heads’ age in years | ||||
| 18–30 | 37 (8.8) | 25 (12.7) | Ref | |
| 31–40 | 131 (31.2) | 74 (37.6) | 0.84 (0.47–1.49) | 0.61 (0.24–1.56) |
| 40–50 | 133 (31.7) | 64 (32.5) | 0.71 (0.39–1.28) | 0.55 (0.20–1.47) |
| ≥51 | 119 (28.3) | 34 (17.3) | 0.42 (0.22–0.79) | 0.26 (0.10–0.78) * |
| Household heads’ sex | ||||
| Male | 370 (88.1) | 152 (77.2) | Ref | |
| Female | 50 (11.9) | 49 (22.8) | 2.19 (1.40–3.40) | 1.60 (0.75–3.30) |
| Household heads’ educational level | ||||
| Unable to read and write | 105 (25.0) | 94 (47.7) | Ref | |
| Able to read and write | 74 (17.6) | 40 (20.3) | 0.60 (0.38–0.97) | 0.64 (0.28–1.50) |
| Primary education | 135 (32.1) | 46 (23.4) | 0.38 (0.25–0.59) | 0.32 (0.16–0.66) * |
| Secondary and above | 106 (25.2) | 17 (8.6) | 0.18 (0.1–0.32) | 0.16 (0.10–0.41)** |
| Households family size | ||||
| ≤5 | 175 (41.7) | 126 (64.0) | Ref | |
| >5 | 245 (58.3) | 71 (36.0) | 0.40 (0.28–0.57) | 0.36 (0.19–0.66) ** |
| Distance from the nearest health facility (in minutes) | ||||
| <30 | 134 (32.6) | 48 (24.4) | Ref | |
| ≥30 | 283 (67.4) | 149 (75.6) | 1.50 (1.00–2.20) | 0.99 (0.49–1.99) |
| Understanding of CBHI | ||||
| Low level | 97 (23.1) | 81 (41.1) | Ref | |
| High level | 323 (76.9) | 116 (58.9) | 0.086 (0.03–0.2) | 0.57 (0.32–1.03) |
| Attitude towards CBHI | ||||
| Unfavorable | 27 (6.4) | 35 (17.8) | 3.26 (1.9–5.6) | 1.43 (0.37–5.57) |
| Neutral | 8 (1.9) | 9 (4.6) | 2.83 (1.1–7.5) | 0.44 (0.17–1.15) |
| Favorable | 386 (91.7) | 153 (77.7) | Ref | |
| Capacity to afford | ||||
| Low level | 65 (15.5) | 105 (53.3) | Ref | |
| Medium level | 22 (5.2) | 26 (13.2) | 0.22 (0.14–0.34) | 0.61 (0.29–1.31) |
| High level | 333 (79.3) | 66 (33.5) | 0.19 (0.13–0.3) | 0.68 (0.31–1.47) |
| Perceived quality of service | ||||
| Poor | 44 (10.5) | 120 (60.9) | 21.5 (13.1–35) | 5.7 (2.8–11.8) ** |
| Medium | 108 (25.7) | 43 (21.8) | 3.1 (1.9–5.2) | 1.3 (0.67–2.69) |
| Good | 268 (63.8) | 34 (17.3) | Ref | |
| Received promised Benefit package | ||||
| Disagree | 50 (11.9) | 100 (50.8) | 11.7 (7.4–18.5) | 4.9 (2.4–9.9) ** |
| Neutral | 83 (19.8) | 48 (24.4) | 3.39 (1.1–5.4) | 2.8 (1.4–5.8) * |
| Agree | 287 (68.3) | 49 (24.9) | Ref | |
| Provider’s attitude | ||||
| Unfavorable | 67 (16.0) | 141 (71.5) | 48 (22.5–104) | 10 (4.0–25.4) ** |
| Neutral | 169 (40.2) | 48 (24.4) | 6.5 (3.0–14.2) | 4.0 (1.5–9.99) * |
| Favorable | 184 (43.8) | 8 (4.1) | Ref | |
| Trust in health facility | 0.22 (0.17–0.29) | 0.43 (0.30–0.61) ** | ||
| Trust in the scheme | 0.29 (0.23–0.36) | 0.61 (0.45–0.84) * | ||
| Seek medical treatment in the past 12 months | ||||
| Yes | 340 (81) | 101 (51.3) | 0.25 (0.17–0.36) | 0.59 (0.32–1.08) |
| No | 80 (19) | 96 (48.7) | Ref | |
| Wealth index | ||||
| Poorest | 73 (17.4) | 78 (24.4) | Ref | |
| Poor | 83 (19.8) | 41 (20.8) | 0.75 (0.45–1.27) | 1.20 (0.52–3.03) |
| Middle | 92 (21.9) | 33 (16.8) | 0.55 (0.32–0.94) | 0.42 (0.16–1.07) |
| Rich | 85 (20.2) | 38 (19.3) | 0.68 (0.40–1.15) | 0.94 (0.38–2.33) |
| Richest | 87 (20.7) | 37 (18.8) | 0.65 (0.38–1.10) | 0.62 (0.24–1.58) |
Note: **and *Denote statistical significance at the 1% and 5% level, respectively.
Abbreviation: Ref, reference group.