The impact of community-based health insurance on the utilization of medically trained healthcare providers among informal workers in Bangladesh

Ahmed, S. et al. (2018) The impact of community-based health insurance on the utilization of medically trained healthcare providers among informal workers in Bangladesh. PLoS ONE, 13(7), e0200265. (doi: 10.1371/journal.pone.0200265) (PMID:29995899) (PMCID:PMC6040718)

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We aimed to estimate the impact of a Community-Based Health Insurance (CBHI) scheme on utilization of healthcare from medically trained providers (MTP) by informal workers. A quasi-experimental study was conducted where insured households were included in the intervention group and uninsured households in comparison group. In total 1,292 (646 insured and 646 uninsured) households were surveyed from Chandpur district comprising urban and rural areas after 1 year period of CBHI introduction. Matching of the characteristics of insured and uninsured groups was performed using a propensity score matching approach to minimize the observed baseline differences among the groups. Multilevel logistic regression model, with adjustment for individual and household characteristics was used for estimating association between healthcare utilization from the MTP and insurance enrolment. The utilization of healthcare from MTP was significantly higher in the insured group (50.7%) compared to the uninsured group (39.4%). The regression analysis demonstrated that the CBHI beneficiaries were 2.111 (95% CI: 1.458–3.079) times more likely to utilize healthcare from MTP.CBHI scheme increases the utilization of MTP among informal workers. Ensuring such healthcare for these workers and their dependents is a challenge in many low and middle income countries. The implementation and scale-up of CBHI schemes have the potential to address this challenge of universal health coverage.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Ahmed, Dr Sayem
Creator Roles:
Ahmed, S.Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Validation, Writing – original draft, Writing – review and editing
Authors: Ahmed, S., Sarker, A. R., Sultana, M., Chakrovorty, S., Ahmed, M. W., Dorin, F., Mirelman, A. J., Islam, Z., Rahman, M. H., Niessen, L. W., Rehnberg, C., and Khan, J. A. M.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Health Economics and Health Technology Assessment
Journal Name:PLoS ONE
Publisher:Public Library of Science
ISSN (Online):1932-6203
Copyright Holders:Copyright © 2018 Ahmed et al.
First Published:First published in PLoS ONE 13(7): e0200265
Publisher Policy:Reproduced under a Creative Commons License

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