scholarly journals Ensuring gender and social equity in health: an analysis of Nigeria's Social Health Insurance Scheme and Basic Health Care Provision Fund

2020 ◽  
Vol 8 ◽  
pp. S8
Author(s):  
Iboro Nelson
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Social Equity ◽  
Social Health Insurance ◽  
Social Health ◽  
Health Care Provision ◽  
Care Provision ◽  
Insurance Scheme ◽  
Equity In Health ◽  
Basic Health

scholarly journals Factors affecting the Utilization of Social Health Insurance by the General Population in Bhaktapur Municipality

2020 ◽  
Vol 3 (1) ◽  
pp. 42-48
Author(s):  
Punam Karanjit ◽  
Prajita Mali ◽  
Rakshya Khadka ◽  
Lisasha Poudel
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
General Population ◽  
Financial Burden ◽  
Household Head ◽  
Social Health Insurance ◽  
Health Insurance Scheme ◽  
Social Health ◽  
Insurance Scheme ◽  
Factors Affecting

Introduction:  For the reduction of financial burden and to achieve universal health care, Government of Nepal launched a security program called as Social Health Insurance Program. This study aimed to find the factors associated with the utilization of the social health insurance scheme. Methods: Descriptive cross-sectional study was conducted in the Bhaktapur Municipality ward no 2. 422 households were chosen using systematic random sampling. Questionnaires were used to measure the factors affecting the utilization. The collected data was entered in Epidata and analyzed in SPSS version 16. The data were presented in the frequency and percentage. Bivariate analysis was done to identify factors utilizing social health insurance. Factors having p value less than 0.05 was taken as significantly associated. Multivariate analysis was done to examine the association between the outcome variables. Results: Almost half of the general population (42.4 %) were utilizing social health insurance scheme and reason for not utilizing includes lack of confidence in the scheme and the services of the scheme, followed by high premium cost. Age (p=0.044), occupation (p= 0.049), wealth quintiles (p=<0.001) were found to be significantly associated with utilization of social health insurance. Logistic regression analysis showed that the odds of enrollment among very rich population group were lower than the medium (AOR 0.550, 95% CI 0.305-0.993) and rich population (AOR 0.557, 95% CI 0.316-0.981). Conclusions: Multiple factors were found to be associated with the utilization of the health insurance scheme which includes age of the household head, occupation of the household head, economic status, availability of the drugs and charge paid during their visit in the health care services, behavior showed by the health care provider, confidence in the scheme, satisfaction in the services that have been providing and source of the information.

scholarly journals The Benefits of Mandatory Health Insurance. The Institutional Approach in Albania

2015 ◽  
Vol 3 (1) ◽  
pp. 55
Author(s):  
Fjoralba Memia
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Social Health Insurance ◽  
Health Insurance Scheme ◽  
Social Health ◽  
Insurance Fund ◽  
Insurance Scheme ◽  
Social Risks ◽  
Mandatory Health Insurance ◽  
The Way

Albanian health insurance system is currently facing multifaceted challenges, standing in the way of meeting the Government’s commitment to provide basic health care to the entire population. Law no.10383, dated 24.02.2011” On compulsory Health care Insurance in the Republic of Albania”, is a major step in the process of redefining and expanding social health insurance in Albania. The Law establishes a Social Health Insurance Fund as autonomous legal person in charge of financing packages of services for social health insurance beneficiaries. Mandatory health insurance scheme as part of the social protection system has been set up in order to prevent and overcome social risks standing in the way of health care services financing. This research aims to make an analysis of the benefits in context of mandatory health insurance scheme, especially between the Compulsory Healthcare Insurance Fund and health service providers. The research also intends not only to provide a theoretical analyses of legal acts, but also presented some conclusions and concrete practical suggestions in terms of necessary changes.

scholarly journals Urban Self-employed Social Health Insurance Program as an Option in Financing Health Care within the Informal Sector? An Insight into the Acceptability of the Scheme by the Self-employed in Rivers State, Nigeria

2019 ◽  
pp. 1-9
Author(s):  
Ikeokwu E. Anderson ◽  
Foluke O. Adeniji
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Social Health Insurance ◽  
Health Insurance Scheme ◽  
The Self ◽  
Social Health ◽  
Insurance Scheme ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Rivers State

Introduction: Health care financing in the Nigerian health sector has been a major impediment within the sector due to increasing healthcare costs. Various forms of financing mechanisms are employed within the country with majority tilting to out-of-pocket payment, which led to the launch of the National Health Insurance Scheme in 2005. The National Health Insurance Scheme has the ambition to provide universal coverage to the population in 15-20 years, but the scheme had its limitations in achieving universal health coverage because it is limited to federal government civil servants neglecting the informal sector, which includes self-employed individuals. Although other forms of social health insurance scheme are being implemented within the country such as the Community Based Health Insurance Scheme. There is no sufficient evidence on the actualization of a health insurance program specifically for the self-employed despite its presence in the health insurance package known as Urban Self-Employed Social Health Insurance Program. This study aims to ascertain the perceived impact and acceptability of the Urban Self-employed Social Health Insurance Program as a viable option in financing healthcare among the self-employed. Methodology: This was a cross-sectional descriptive study of 204 self-employed individuals who were selected from seven different trade associations in Port Harcourt using semi-structured interviewer-administered pre-tested questionnaires. A Socio-Economic Status index was used to divide the households into quintile. The respondents rated their perception about the possible benefits of health insurance from 1 (none) to 4 (high) and the willingness of respondents to enrol in a community-based health insurance scheme (elicited as a binary ‘yes’ or ‘no’ variable) was also used as a proxy of acceptability data collected were analysed using the statistical package for social science (SPSS), version 23 software. Result: A majority 201 (98.5%) of the respondents perceived that having any form of insurance has the potential to improve access to health care and affordable. Respondents gave responses rated with an average mean of 3, which translates to medium impact on financial protection, improved access to healthcare, affordability and improving quality of treatment. Most respondents 183 (89.7%) accepted the urban self-employed health insurance scheme as a strategy for financing healthcare. Conclusion: Urban Self-Employed Social Health Insurance Program appears to be a viable and acceptable method of paying for healthcare among the self-employed in Port Harcourt city of Rivers State, Nigeria.

scholarly journals Authoritarian Regime Legitimacy and Health Care Provision: Survey Evidence from Contemporary China

2021 ◽  
Author(s):  
Jane Duckett ◽  
Neil Munro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Central Government ◽  
Authoritarian Regimes ◽  
Public Health Insurance ◽  
System Support ◽  
Health Care Provision ◽  
Care Provision ◽  
Regime Legitimacy

Abstract Context: Over the last two decades a growing body of research has shown authoritarian regimes trying to increase their legitimacy by providing public goods. But there has so far been very little research on whether or not these regimes are successful. Methods: This article analyzes data from a 2012–2013 nationally representative survey in China to examine whether health care provision bolsters the communist regime’s legitimacy. Using multivariate ordinal logistic regression, we test whether having public health insurance and being satisfied with the health care system are associated with separate measures of the People’s Republic of China’s regime legitimacy: support for “our form of government” (which we call “system support”) and political trust. Findings: Having public health insurance is positively associated with trust in the Chinese central government. Health care system satisfaction is positively associated with system support and trust in local government. Conclusions: Health care provision may bolster the legitimacy of authoritarian regimes, with the clearest evidence showing that concrete benefits may translate into trust in the central government. Further research is needed to understand the relationship between trends in provision and legitimacy over time and in other types of authoritarian regime.

scholarly journals Impacts of the type of social health insurance on health service utilisation and expenditures: implications for a unified system in China

2018 ◽  
Vol 14 (4) ◽  
pp. 468-486 ◽  
Author(s):  
Si Ying Tan ◽  
Xun Wu ◽  
Wei Yang
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Insurance Coverage ◽  
Social Health Insurance ◽  
Rapid Expansion ◽  
Social Health ◽  
Service Utilisation ◽  
Provider Payment ◽  
Out Of Pocket Payments ◽  
The Impact

AbstractWhile moving towards unified social health insurance (SHI) is often a politically popular policy reform in countries where rapid expansion in health insurance coverage has given rise to the segmentation of SHI systems as different SHI schemes were rolled out to serve different populations, the potential impacts of reform on service utilisation and health costs have not been systematically studied. Using data from the Chinese Health and Retirement Longitudinal Study (CHARLS), we compared the mean costs incurred for both inpatient and outpatient care under different health insurance schemes, and the impact of different SHI schemes on treatment utilisation and health care costs using a two-part model. Our results show that Urban Employee Medical Insurance, which offers the most generous benefits, incurs the highest total costs prior to reimbursement when compared to other SHI schemes. Our analysis also shows that utilisation of SHI did not show significant reduction in out-of-pocket payments for outpatients. We argue that, unless effective measures are introduced to deal with perverse provider payment incentives, the move towards a unified system with more generous benefits may usher in a new wave of cost escalation for health care systems in China.

scholarly journals Willingness to Join and Pay for Social Health Insurance Scheme Among employees in Debere Berhan Town, Ethiopia

2019 ◽  
Author(s):  
Wassie Negash Mekonnen ◽  
Mesfin Wondaferew ◽  
Adugnaw Birhane Mekonen
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Contingent Valuation Method ◽  
Social Health Insurance ◽  
Health Insurance Scheme ◽  
Social Health ◽  
P Value ◽  
Multivariable Logistic Regression Analysis ◽  
Insurance Scheme ◽  
The Government

Abstract Back ground: Social Health Insurance improves access to health services among civil servants by removing catastrophic health expenditure. In Ethiopia, only 7.3% of the population covered by health insurance. Due to this fact the government of Ethiopia initiated Social Health Insurance scheme to be applied in the formal employers and employees with compulsory membership of the scheme. This study therefore aimed to assess willingness to join and pay for social health insurance scheme among government and private employees in Debere Berhan Town, Ethiopia .Methods: Cross-sectional study was conducted .At mean time Stratified sampling technique was used to select 619 employees. A modified dichotomous contingent valuation method (CVM) was applied to elicit employees’ willingness to pay. Bi-variant and multivariable logistic regression analysis was done . Then the result at 95% CI and P value <0.05 was declared as variables have statistically significant association. Results: A total of 619 employees with response rate of 97.8% were participated in the study. About 406 (65%) of the respondents were willing to join to Social Health Insurance scheme. Of which 113 (27.8%) of employees were willing to pay the government proposed 3% premium. The employee’s average willingness to pay for social health insurance scheme was 1.88% of their monthly salary. In this study the odds of respondents who had degree and above (AOR=3.608, 95%CI 1.177-11.061), employees good perception on quality health service (AOR=3.150, 95% CI 1.140-8.699) and employees who perceive benefit packages of social health insurance as enough (AOR=5.229, 95%CI: 2.230-12 .594) were higher than the counter parts. Conclusion: Employees willingness to join of the Social Health Insurance scheme(SHIS) is low and very low number of employees agree to pay the government proposed premium for SHIS. So decision-makers should emphasize to revise the benefit packages and the premiums to be contributed. likewise insurance agency and all responsible bodies should aware the society about the importance of social health insurance for the employees.

scholarly journals Factors Affecting Enrollment in Government Health Insurance Program in Kailali District

2019 ◽  
Vol 17 (3) ◽  
pp. 388-393
Author(s):  
Deepak Raj Paudel
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Chronic Illness ◽  
Social Health Insurance ◽  
Social Health ◽  
Factors Affecting ◽  
Government Health ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Insurance Enrollment

Background: Health care financial burden on households is high in Nepal. High health care expenditure is a major obstacle in achieving universal health coverage. The health insurance is expected to reduce healthcare expenditure. However, only small segments of the population are covered by health insurance in Nepal.This study assessed the factors affecting enrollment in government health insurance program in the first piloted district, Kailali, Nepal.Methods: A cross-sectional survey was conducted among 1048 households located in 26 wards of Kailali district after 21 months of the implementation of social health insurance program, Nepal. The sample was selected in two stages, first stage being the selection of wards and second, being the households.Results: The higher level of household economic status was associated with increased odds of enrollment in health insurance program (ORs=4.99, 5.04, 5.13, 8.05, for second, third, fourth, and the highest quintile of households, respectively). A higher level of head’s education was associated with increased odds of health insurance enrollment (ORs = 1.58, 1.78, 2.36, for primary, secondary, tertiary education, respectively). Presence of chronic illness in the household was positively associated with increased odds of health insurance enrollment (OR= 1.29). Conclusions: The poor and low educated groups were less benefited by social health insurance program in Kailali district, Nepal. Hence, policymakers should focus to implement income-based premium scheme for ensuring equal access to healthcare.Since household with chronic illness leads to high odds of being enrolled, a compulsory health insurance scheme can make the program financially sustainable.Keywords: Enrollment; health expenditure; health insurance; inequality; Nepal.

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