Determinants of the decision to enroll in community-based health insurance among households in the West Guji Zone, Oromia State, southern Ethiopia, in 2022

This study revealed that a lack of formal education, negative perceptions, and a lower wealth index negatively impact CBHI enrolment. However, community solidarity practices, trust, quality of service, availability of prescribed drugs, and satisfaction positively influence CBHI enrolment. This study highlights the need for targeted interventions to increase community awareness, foster community solidarity at the local level, increase trust in the health system, and increase the affordability of premiums, thereby promoting community-based health insurance enrolment and achieving universal health coverage in Ethiopia.