PONE-D-20-00655

Determinants of enrollment in Community based health insurance among Households in Tach-Armachiho Woreda, North Gondar, Ethiopia, 2019

PLOS ONE

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Reviewer #2: Yes

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Reviewer #2: Yes

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Reviewer #2: Yes

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Reviewer #2: Yes

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Reviewer #1: Manuscript #: PONE-D-20-00655

Title: Determinants of enrollment in Community based health insurance among Households in Tach-Armachiho Woreda, North Gondar, Ethiopia, 2019

Comments:

The aim of the present study is to identify factors affecting of enrollment in community based health insurance. The topic is out side the ambit of my subject expertise and an expert from the relevant field is required to do better justice to the article.

Reviewer #2: Comments to the authors:

The study by MUULKEN GENETU CHANIE and GOJJAM ESHETIE EWUNETIE identified determinants of enrollment in CBHI (community-based health insurance) among households in Tach-Armachiho district. The structured questionnaire revealed that, there was no significant association between marital-status, family size, educational status, distance, religion, and chronic illness in the uptake of CBHI. They showed that uptake of the scheme was significantly depends on the sex of the household head. They also demonstrated that female headed households were more likely to enroll as compared to male-headed households. These findings are similar to others conducted in Ghana, Mali and Senegal. Dissimilar to this, studies conducted in Fogera Woreda, North West Ethiopia, Burkina Faso and Nigeria found that male-headed households were more likely to enroll as compared to female headed households. There were few studies which founds that no association exist between household head and uptake of the scheme. The study also demonstrated the link between age of the head of the households, and uptake of the CBHI scheme. The manuscript is well written and presented. All of the important points are discussed in diligent manner. Few questions that can be discussed are given below:

1. Why the authors have chosen the different numbers of CBHI and non CBHI cases. The non CBHI cases are double to the CBHI cases? How this difference can change the outcome of the study?

2. Are the biased male cases in both CBHI and non CBHI case could influence the outcome?

3. The enrolled cases could be more including both CBHI and non CBHI cases. Are the authors think that this could influence the outcome of the study?

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Reviewer #1: No

Reviewer #2: Yes: Mohd Shariq

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Attachments

Attachment

Submitted filename: PONE-D-20-00655_reviewer.docx

Determinants of enrollment in Community based health insurance among Households in Tach-Armachiho Woreda, North Gondar, Ethiopia, 2019

PONE-D-20-00655R1

Dear Dr. Chanie,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

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Kind regards,

Hasnain Seyed Ehtesham

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

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