scholarly journals Socioeconomic Determinants of National Hospital Insurance Fund Health Contributions and Absorption: A Time Series Investigation Among the Counties in Kenya

2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Eugene Wanzetse Musungu
Author(s):  
Mureithi Reginah Wanjira; Dr. Lucy Njiru

The purpose of this study was to assess the influence of psychosocial demands factors on job satisfaction among employees at the National Hospital Insurance Fund (NHIF) in Kenya. Psychological demands refer to job aspects that are physical, social, or organizational that required for physical and psychological effort to be sustained. A descriptive research design was adopted and all the 1918 employees at NHIF were targeted for this study. A stratified random sampling technique was used to obtain 330 respondents from the study population. To collect primary data on psychological demand, the study used the demand-control-support questionnaire while job satisfaction was measured using the Warr-Cook-Wall questionnaire. While 330 questionnaires were distributed, only 301 questionnaires were duly filled and returned. Descriptive and inferential statistics encapsulated the data analysis and the results were presented in the form of tables. Analysis of the data was done through the use of SPSS version 24. The findings of the study showed that psychological demand had a statistically significant influence on job satisfaction at NHIF Kenya (p<0.05). The study recommends the need to reduce psychological demands at NHIF Kenya as well as ensure that the reduction of conflicting demands at the place of work. For future researchers, the study recommends that a similar study be conducted in other public sector organizations in Kenya. The results of this study add to the body of knowledge on psychological demand and job satisfaction.


Author(s):  
Priscilla Nduku Wangai ◽  
Amos Njuguna ◽  
Joseph Ngugi

Co-payment is an out-of-pocket payment collected by the service provider from members capitated by a health scheme for the purpose of gatekeeping against the misuse of the services. This paper documents an assessment of the effect of copayment on the effectiveness of health services delivered under the capitation scheme in Kenya. The unit of analysis was the 1152 health facilities capitated by the National Hospital Insurance Fund to provide outpatient primary healthcare in Kenya as of July 2015. logit regression was used to analyze the data collected from a sample of 297 capitated health facilities. The Effectiveness of the delivery of health services was evaluated using three metrics; quality, accessibility, and affordability. The regression model for each of the metrics was constructed in order to examine the effect of copayment on the delivery of services. The results revealed that an increment of one unit on copayment increased the index of delivery of quality, accessible and affordable health services by .073, 4.349 and 79.4 respectively. The optimal amount of copayment is determined from the models using theories of calculus.


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