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Spatial distribution and associated factors of health insurance coverage in Ethiopia: further analysis of Ethiopia demographic and health survey, 2016
Authors: Sewnet Adem Kebede, Alemneh Mekuriaw Liyew, Getayeneh Antehunegn Tesema, Chilot Desta Agegnehu, Achamyeleh Birhanu Teshale, Adugnaw Zeleke Alem, and Yigizie Yeshaw
Source: Archives of Public Health, 78(25); DOI: 10.1186/s13690-020-00407-0
Topic(s): Health equity
Country: Africa
Published: MAR 2020
Abstract: Background Health insurance is one of the instruments to achieve universal health coverage. However, in Ethiopia, the coverage of health insurance is very low and varies from place to place as well. Therefore, exploring the spatial distribution of health insurance is important to prioritize and design targeted intervention programs in the country. Methods A total of 16,583 reproductive age group women (15–49?years) were included in this study. The Bernoulli model was used by applying Kulldorff methods using the SaTScan software to analyse the purely spatial clusters of health insurance coverage. ArcGIS version 10.3 was used to visualize the distribution of health insurance coverage across the country. Mixed-effect logistic regression analysis was also used to identify predictors of health insurance coverage. Results Health insurance coverage among women aged 15–49?years had spatial variations across the country (Moran’s I: 0.115, p?