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Int J Health Policy Manag. 2019;8(10): 593-606. doi: 10.15171/ijhpm.2019.49
PMID: 31657186        PMCID: PMC6819630

Original Article

Determinants of Enrolment and Renewing of Community-Based Health Insurance in Households With Under-5 Children in Rural South-Western Uganda

Emmanuel Nshakira-Rukundo 1 * , Essa Chanie Mussa 2, Nathan Nshakira 3, Nicolas Gerber 2, Joachim von Braun 2

Cited by CrossRef:

1- Hussien M, Azage M. Barriers and Facilitators of Community-Based Health Insurance Policy Renewal in Low- and Middle-Income Countries: A Systematic Review. CEOR. 2021;Volume 13:359 [Crossref]
2- Kibu O, Kepgang E, Sinsai R, Conner A, Asahngwa C, Ngwa W, Ngo N, Fobellah N, Muenyi C, Zalamea N, Gobina R, Foretia D. Barriers and Motivations for Health Insurance Subscription Among Health-Care Users in Cameroon. Journal of Surgical Research. 2024;293:158 [Crossref]
3- T, Laosee O, Rattanapan C, Janmaimool P. Assessing the Determinants of Compliance with Contribution Payments to the National Health Insurance Scheme among Informal Workers in Indonesia. IJERPH. 2023;20(23):7130 [Crossref]
4- Siraw G, Zewude B, Meshesha M. Patterns of enrollment to community-based health insurance and the situations influencing utilization of the services in Southern Ethiopia: a qualitative study. Cogent Public Health. 2024;11(1) [Crossref]
5- Elmi A, Oladeji O, Tahir A. Determinants of enrolment for community-based health insurance in Somali region of Ethiopia. J Public Health Afr. 2025;16(1) [Crossref]
6- Ogundeji K, Risenga P, Thupayagale-Tshweneagae G. Direct cost of wound dressing in Nigeria: Implications for catastrophic healthcare expenditure. International Journal of Africa Nursing Sciences. 2023;19:100597 [Crossref]
7- Kaso A, Debela B, Hareru H, Ewune H, Debisa M, Sisay D, Hailu A. Willingness to join community-based health insurance and associated factors among households in Ethiopian: a systematic review and meta-analysis. Cost Eff Resour Alloc. 2025;23(1) [Crossref]
8- Nshakira-Rukundo E, Mussa E, Cho M, Khan M. Dropping out of voluntary community-based health insurance in rural Uganda: Evidence from a cross-sectional study in rural south-western Uganda. PLoS ONE. 2021;16(7):e0253368 [Crossref]
9- Kaso A, Yohanis Y, Debela B, Hareru H, Aydin M. Community‐Based Health Insurance Membership Renewal Rate and Associated Factors among Households in Gedeo Zone, Southern Ethiopia. Journal of Environmental and Public Health. 2022;2022(1) [Crossref]
10- Kagaigai A, Thomas Mori A, Anaeli A, Grepperud S. Whether or not to enroll, and stay enrolled? A Tanzanian cross-sectional study on voluntary health insurance. Health Policy OPEN. 2023;4:100097 [Crossref]
11- Kangwagye P, Bright L, Atukunda G, Basaza R, Bajunirwe F, Robinson J. Utilization of health insurance by patients with diabetes or hypertension in urban hospitals in Mbarara, Uganda. PLOS Glob Public Health. 2023;3(6):e0000501 [Crossref]
12- Geferso A, Sharo S, Bekele B. Community-Based Health Insurance Utilization and Its Associated Factors among Rural Households in Akaki District, Oromia, Ethiopia, 2021. Advances in Public Health. 2022;2022:1 [Crossref]
13- Zepre K, Yassin F, Tadesse B, Tolossa O, Hailemariam D, Wondimu A, GebreEyesus F, Tsehay T, Assfa K. Factors influencing drop-out of households from community based health insurance membership in rural districts of Gurage Zone, Southern Ethiopia: Community based case-control study. Front Public Health. 2022;10 [Crossref]
14- Hussien M, Azage M, Bayou N. Continued adherence to community-based health insurance scheme in two districts of northeast Ethiopia: application of accelerated failure time shared frailty models. Int J Equity Health. 2022;21(1) [Crossref]
15- Najjuma J, Brennaman L, Nabirye R, Ssedyabane F, Maling S, Bajunirwe F, Muhindo R. Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives. 2020;86(1) [Crossref]
16- Asfaw D, Shifaw S, Belete A, Aychiluhm S. The Impact of Community-Based Health Insurance on Household's Welfare in Chilga District, Amhara Regional State, Ethiopia. Front Public Health. 2022;10 [Crossref]
17- Abraham E, Gray C, Fagbamigbe A, Tediosi F, Otesinky B, Haafkens J, Mhalu G, Mtenga S. Barriers and facilitators to health insurance enrolment among people working in the informal sector in Morogoro, Tanzania. Open Res Africa. 2021;4:45 [Crossref]
18- Worede D, Tariku M, Asresie M, Shibesh B. Household satisfaction and associated factors with community-based health insurance scheme in Ethiopia: systematic review and meta-analysis. glob health res policy. 2023;8(1) [Crossref]
19- Berhanu G, Abebe Y, Sisay G, Animut K. Pooled prevalence and determinants of household satisfaction with the community-based health insurance (CBHI) scheme in Ethiopia: a systematic review and meta-analysis. Cogent Public Health. 2024;11(1) [Crossref]
20- Getahun T, Teklesilassie L, Habtemichael M, Abebe Y, Getahun H. “Magnitude of community-based health insurance utilization and associated factors in Bassona Worena District, North Shoa Zone, Ethiopia: a community-based cross-sectional study”. BMC Health Serv Res. 2022;22(1) [Crossref]
21- Ogundeji K, Risenga P, Thupayagale-Tshweneagae G. Cost of wound dressing in teaching hospitals: Implication for enrollment into National Health Insurance scheme, Nigeria. Curationis. 2023;46(1) [Crossref]
22- Abraham E, Gray C, Fagbamigbe A, Tediosi F, Otesinky B, Haafkens J, Mhalu G, Mtenga S. Barriers and facilitators to health insurance enrolment among people working in the informal sector in Morogoro, Tanzania. Open Res Africa. 2024;4:45 [Crossref]
23- Geta E, Lushe K, Desisa A, Terefa D, Cheme M, Shama A, Lema M. Determinants of community-based health insurance membership renewal decision among rural households in Kellem Wollega zone, Oromia regional state, Ethiopia: a community-based cross-sectional study. Front Public Health. 2024;11 [Crossref]
24- Demsash A. Spatial distribution and geographical heterogeneity factors associated with households' enrollment level in community-based health insurance. Front Public Health. 2024;12 [Crossref]
25- Addise T, Alemayehu T, Assefa N, Erkalo D. The Magnitude of Satisfaction and Associated Factors Among Household Heads Who Visited Health Facilities with Community-Based Health Insurance Scheme in Anilemo District, Hadiya Zone, Southern Ethiopia. RMHP. 2021;Volume 14:145 [Crossref]
26- Ogundeji K, Risenga P, Thupayagale-Tshweneagae G. Direct Cost of Wound Dressing in Nigeria: Implications for Catastrophic Healthcare Expenditure. SSRN Journal. 2022; [Crossref]
27- Toleha H, Bayked E. Dropout rate and associated factors of community-based health insurance beneficiaries in Ethiopia: a systematic review and meta-analysis. BMC Public Health. 2023;23(1) [Crossref]