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Health professionals in Mekelle municipal government hospital in northern Ethiopia receive social medical insurance

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Document pages: 9 pages

Abstract: Background Ethiopia is one of the countries with high out of pocket expenses leading to disastrous medical expenses. The Ethiopian government has launched the social health insurance (SHI) plan, with the overall goal of achieving universal health care. Studying whether health professionals accept the payment of social medical insurance is very important for the successful implementation of the plan. Therefore, the purpose of this study is to evaluate the acceptance of social medical insurance by health professionals in Mekelle municipal government hospital in northern Ethiopia and its related factors. method. The cross-sectional study design based on mechanism is adopted. The study participants were selected by systematic random sampling. Structured interviews were used to collect datationnaire and analyzed using SPSS version 20. Bivariable and multivariable logistic regression models at a 5 level of significance, and odds ratios with 95 CI level were used to determine the association between the health professionals’ acceptance of health insurance and explanatory variables. Results. The study revealed that 62.5 of the respondents were willing to participate in the SHI scheme in which 74.9 were willing to pay 3 or more of their monthly salary. Health professionals’ acceptance for SHI significantly associated with monthly salary (AOR = 9.49; 95 CI: 2.51, 35.86), awareness about SHI (AOR = 3.89; 95 CI: 1.05, 14.28), history of difficulty in covering medical bills (AOR = 6.2; 95 CI: 2.42, 15.87), attitudes towards social health insurance (AOR = 7.57; 95 CI: 3.14, 18.21), and perceived quality of health care services if SHI implemented (AOR = 2.89; 95 CI: 1.18, 7.07). Conclusion. The study indicated that there were still a high proportion of health professionals who were not willing to pay for SHI. Therefore, strengthening awareness creation, creating awareness about SHI, promoting the scheme using the different channels of communication to bring about favorable attitude, and providing health care services with required standard quality could help to increase the acceptance of SHI by health professionals.

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