Research Article Health-Related Quality of Life between Insured and Uninsured Households at Rural Communities of Southwestern Ethiopia: A Comparative Cross-Sectional Study Serawit Lakew , 1 Tesfahun Mekene , 2 and Tesfaye Feleke 3 1 Maternal•Reproductive Health Nursing, School of Nursing, Arba Minch University, College of Medicine and Health Sciences, Arba Minch, Ethiopia 2 Health Services Management, School of Public Health, Arba Minch University, College of Medicine and Health Sciences, Arba Minch, Ethiopia 3 Health Education (MPH), School of Public Health, Arba Minch University, College of Medicine and Health Sciences, Arba Minch, Ethiopia Correspondence should be addressed to Serawit Lakew; lserawit@yahoo.com Received 26 August 2022; Revised 15 November 2022; Accepted 7 December 2022; Published 9 February 2023 Academic Editor: Ayush Dogra Copyright©2023SerawitLakewetal.TisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. Community•based health insurance (CBHI) is one of the strategies among others to be used for the achievement of universal health coverage (UHC) through providing fnancial protection to the citizens of a country. Te schemes have been seen as efective in reducing out•of•pocket (OOP) payments and improving access to the healthcare services. Tis study tried to assess health•related quality of life between members and nonmembers of the scheme in rural southwest Ethiopia. Study Method.A community•based comparative cross•sectional study was conducted between the insured and uninsured populations. A stan• dardized WHOQOL•BREF questionnaire was used. Cross•tab and frequency table analysis were done to tabulate for mono• variable and bivariable analysis. Multiple linear regressions were employed to determine associations by adjusting for potential confounders. Te association decision was made after ftted assumptions and adjustments done by modeling. Results. About six hundred thirty•four (634) households completed the survey with a response rate of 97.2%. More than 90% of the participants were illiterate and elementary education completed and farmers. Most uninsured family members claimed that they had difculty afording annual payments 72.5%, P < 0.001. Willingness to pay was higher for insured members of households (72.2%), P < 0.001. Being insured had experienced a higher quality of life than uninsured, β (95% CI), 4.15 (2.52, 5.77), and P < 0.001. Marital status other than married had lower quality of life experiences than married alone, β (95% CI), −6.83 (−9.75, −3.92), and P < 0.001. Male respondents were experiencing lower quality than females, β (95% CI), −2.49 (−4.25, −0.72), and P � 0.006. Family number of the household and quality of life had positive linear relations, β (95% CI), 0.87 (0.43, 1.31), P < 0.001. Conclusions and Recom• mendations. Being insured had positive implications for quality of life. Inhabitants have to be encouraged to the scheme membership. 1. Background Despite incredible improvements in health since 1950, there are still several challenges that should have been easy to solve [1]. One billion people lack access to healthcare systems, and nearly one•third of the world population could not use health services due to diferent socioeconomic and cultural reasons [1–3]. Te health service utilization rate in Africa is low, and sub•Saharan Africa, in particular, is very low ranging from only 0.2 annual visits to 2 visits [4]. Healthcare•seekers, through out•of•pocket (OOP) spending at the time and place of treatment, defray most healthcare costs in developing countries [5, 6]. One way to enhance coverage could be through community•based health in• surance (CBHI) schemes, which are local mutual aid schemes that put in place arrangements for mobilizing, Hindawi Health & Social Care in the Community Volume 2023, Article ID 2076963, 9 pages https://doi.org/10.1155/2023/2076963