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

Ahmed, S, Sarker, AR, Sultana, M, Chakrovorty, S, Ahmed, MW, Dorin, F, Mirelman, AJ, Islam, Z, Rahman, MH, Niessen, LW, Rehnberg, C and Khan, JAM 2018, The impact of community-based health insurance on the utilization of medically trained healthcare providers among informal workers in Bangladesh, PLoS ONE, vol. 13, no. 7, pp. 1-16, doi: 10.1371/journal.pone.0200265.

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Title The impact of community-based health insurance on the utilization of medically trained healthcare providers among informal workers in Bangladesh
Author(s) Ahmed, S
Sarker, AR
Sultana, M
Chakrovorty, S
Ahmed, MW
Dorin, F
Mirelman, AJ
Islam, Z
Rahman, MH
Niessen, LW
Rehnberg, C
Khan, JAM
Journal name PLoS ONE
Volume number 13
Issue number 7
Article ID e0200265
Start page 1
End page 16
Total pages 16
Publisher PLOS
Place of publication San Francisco, CA
Publication date 2018-07-11
ISSN 1932-6203
1932-6203
Keyword(s) Science & Technology
Multidisciplinary Sciences
Science & Technology - Other Topics
SEEKING BEHAVIOR
RURAL BANGLADESH
SAMPLE-SIZES
ASIA
PAYMENTS
Summary 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.
Language eng
DOI 10.1371/journal.pone.0200265
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2018, Ahmed et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30145515

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.