@article{fdi:010094323,
  title = {{W}hat factors shape an individual's probability to be enrolled in a professionally-managed community-based health insurance ? {R}esults from a cross-sectional case-control study in two districts in {M}ali},
  author = {{N}iangaly, {H}. and {D}e {A}llegri, {M}. and {T}our{\'e}, {L}. and {D}iarra, {D}. and {R}idde, {V}al{\'e}ry},
  editor = {},
  language = {{ENG}},
  abstract = {{A}cross {W}est {A}frica, countries are promoting new models of community-based health insurance ({CBHI}) to overcome the challenges faced by existing schemes. {W}e investigated factors associated with an individual's probability to be enrolled in one of two professionally-managed {CBHI} in {M}ali. {W}e carried out a case-control methodology and used multi-stage sampling to select {CBHI} members and non-members. {T}he primary outcome variable was being enrolled or not in the {CBHI}. {T}hree-level mixed-effects logistic regression model was used to estimate the association between individual enrolment and series of individual, household, and wider community factors. {O}f the 1,270 people surveyed 847 and 423 were non-members and members respectively. {R}espondents with primary education ({AOR} = 1.6, {P} = 0,035), secondary education ({AOR} = 2.31, {P} = 0,001) or higher school/{U}niversity ({AOR} = 5.5, {P} < 0,001); who were economically active ({AOR} = 1.52, {P} = 0,05) and considered themselves wealthy ({AOR} = 1.94, {P} < 0,001) were more likely to subscribe to {CBHI}. {T}hose who reported having a good perception of their health ({AOR} = 0.68, {P} = 0,038) were less likely to subscribe to {CBHI}. {A}lbeit substantially higher than what experienced by community-based schemes, membership in these professionally-managed {CBHI} remains low and the determinants of participation do not differ substantially from what reported in the general literature. {T}argeting the needs of poor vulnerable people and more pervasive communication strategies are urgently needed to enhance enrolment in these new {CBHI} and ensure the way to {UHC}.},
  keywords = {{MALI}},
  booktitle = {},
  journal = {{PL}o{S} {G}lobal {P}ublic {H}ealth},
  volume = {5},
  numero = {7},
  pages = {e0004892 [16 p.]},
  year = {2025},
  DOI = {10.1371/journal.pgph.0004892},
  URL = {https://www.documentation.ird.fr/hor/fdi:010094323},
}