scholarly journals Willingness to Join Community-Based Health Insurance and Factors Affect It Among Households of Selected Districts of West Shoa Zone, Ethiopia: A Community Based Cross Sectional Study

2019 ◽  
Keyword(s):  
Health Insurance ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance

scholarly journals Willingness of community based health insurance uptake and associated factors among urban residents of Oromia regional state, Oromia, Ethiopia, a cross-sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alem Deksisa ◽  
Meyrema Abdo ◽  
Ebrahim Mohamed ◽  
Daniel Tolesa ◽  
Sileshi Garoma ◽  
...  
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Urban Residents ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance ◽  
Regional State

Abstract Background Globally, Millions of people cannot use health services because of the fear of payment for the service at the time of service delivery. From the agenda of transformation and the current situation of urbanization as well as to ensure universal health coverage implementing this program to the urban resident is mandatory. The aim of this study is to assess the willingness of community-based health insurance (CBHI) uptake and associated factors among urban residents of Oromia regional state, Oromia, Ethiopia, 2018. Methods A community-based cross-sectional study was conducted. From the total of eighteen towns; six towns which account for 33% of the total were selected randomly for the study. One population proportion formula was employed to get a total of 845 households. A pre-tested, semi-structured interviewer-administered questionnaire was used to collect the required data. Double-Bounded Dichotomous Choice Variant of the contingent valuation method was used to assess the maximum willingness to pay for the scheme, and a multiple logistic regression model was used to determine the effect of various factors on the willingness to join and willingness to pay for the households. Result About 839 (99.3%) of the respondents participated. The mean ages of the respondents were 40.44(SD ± 11.12) years. 621 (74.1%) ever heard about CBHI with 473 (56.3%) knowing the benefits package. Out of 839, 724 (86.3%) were willing to uptake CBHI of which 704 (83.9%) were willing to pay if CBHI established in their town. Conclusion If CBHI established about 86.3% of the households would enroll in the scheme. Having education, with a family size between 3 & 6, having difficulty in paying for health care and less than 20mins it took to reach the nearest health facility were the independent predictors of the willingness of CBHI uptake. The Oromia and Towns Health Bureau should consider the availability of health facilities near to the community and establishing CBHI in the urban towns.

scholarly journals Willingness of Households to Pay Community Based Health Insurance and its Associated Factors in Mecha District, Northwest Ethiopia: Community based Cross-sectional Study

2021 ◽  
Author(s):  
Getaneh Bizuayehu Demeke
Keyword(s):  
Health Insurance ◽  
Low Income ◽  
Associated Factors ◽  
Scale Up ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance

Abstract Background Community-based health insurance schemes helps to give financial protection and decrease direct out- of-pocket payment for health care based on the assumption of risk-pooling and community solidarity to risks of falling sick. Ethiopia is a low income country with more of health spending out of pocket payment by households. Community based health insurance was introduced in Ethiopia in 2010.It covers only the rural community and informal sector. Objectives this study aimed to assess willingness of households to pay community based health insurance and its associated factors in Mecha district, Northwest, Ethiopia. Methods Community based cross-sectional study design was used to collect data from 285 household heads using multistage sampling techniques in Mecha district Northwest Ethiopia. The data were collected by using trained data collectors and using a pre-tested structured questionnaire. A binary logistic regression model was used to determine the presence of statistically significant associations between the dependent and independent variables at p-value < 0.05 and AOR values with 95% CI. Results From the total of 296 sampled respondents, 285 participated in the study with the response rate of 96.3%. Of these, 251(88.1%) were willing to join voluntary as well as 34(11.9%) were join mandatory and 256(89.8%) of them were willing to pay community based health insurance services. The average amount of money the households were willing to pay per household per annum was 334.02 ETB found with the interval of (317.32–351.30) with the range between 240–1000 ETB. Conclusions The willingness of house hold heads to pay for the community-based health insurance was high. Residence, join CBHI, premium affordable, CBHI have an advantage and distance from households home to HF were more willing to pay CBHI schemes. The study indicated that high willing to pay and low CBHI package fulfil the needs of HH treatment as well as overall CBHI service level was poor. Therefore, Mecha district CBHI coordinating office should be scale up the community-based health insurance services in the scheme.

scholarly journals GAMBARAN KEPUASAN PASIEN RAWAT JALAN PESERTA BPJS KESEHATAN DI RUMAH SAKIT UMUM DAERAH SANJIWANI DI KABUPATEN GIANYAR TAHUN 2018

2018 ◽  
Vol 5 (2) ◽  
pp. 46-55
Author(s):  
Ni Luh Putu Devhy ◽  
A.A. Istri Dalem Hana Yundari ◽  
Ika Setya Purwanti ◽  
Diah Prihartiningsih
Keyword(s):  
Patient Satisfaction ◽  
Health Insurance ◽  
Health Service ◽  
General Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Know How ◽  
Consecutive Sampling

Pendahuluan : Rumah sakit merupakan salah satu pusat pelayanan kesehatan yang diharapkan dapat memberikan pelayanan yang bermutu kepada masyarakat. Berdasarkan penelitian tentang kepuasan pasien rawat jalan  pengguna  BPJS masih banyak yang merasakan ketidak puasannya. Penelitian Ini Bertujuan Untuk Mengetahui Bagaimanakah Gambaran Kepuasan Pasien Rawat Jalan Peserta BPJS  Kesehatan Di Rumah Sakit Umum Daerah Sanjiwani Di Kabupaten Gianyar Tahun 2018. Metode : Rancangan penelitian ini adalah  cross-sectional Study  yang dilakukan di Rumah Sakit Umum Daerah (RSUD) Sanjiwani Gianyar selama 3 bulan dari bulan Agustus – November 2018. Sampel dipilih secara consecutive sampling  sebanyak 60 orang. Data dikumpulkan menggunakan angket. Hasil : Berdasarkan hasil penelitian 30 orang ( 50%) yang menyatakan kepuasannya, dalam aspek tangible didapatkan  sebanyak 20 orang (33,3%), untuk aspek realibility didapatkan sebanyak 23 orang (38,3%), aspek responsivnes sebanyak 39 orang (65%), aspek jaminan assurance sebanyak 27 0rang (45%), sedangkan untuk aspek emphaty sebanyak 32 orang (53,3%). Diskusi : Tingkat kepuasan pasien pengguna BPJS kesehatan sudah sebagian besar puas, walaupun  demikian ada beberapa aspek yang perlu ditingkatkan seperti pada aspek realibility dan assurance. Untuk itu rumah sakit perlu menyederhanakan sistem administrasi untuk meningkatkan layanan. Kata kunci : kepuasan,  rawat jalan, BPJS kesehatan   ABSTRACT Introduction : The hospital is one of the health service centers that are expected to provide quality services to the community. Based on research on outpatient satisfaction BPJS users still feel a lot of dissatisfaction. This Research Aims To Know How The Overview Of Outpatient Satisfaction Of BPJS Health Participants In Sanjiwani General Hospital In Gianyar Regency In 2018. Methode : The design of this study was a cross-sectional study conducted at Sanjiwani Regional General Hospital (RSUD) Gianyar for 3 months from August to November 2018. Samples were selected by consecutive sampling of 60 people.Results : Based on the research results of 30 people (50%) who expressed satisfaction, in the tangible aspect obtained as many as 20 people (33.3%), for the reliability aspect obtained as many as 23 people (38.3%), the responsiveness aspect was 39 people (65%) , assurance assurance aspects are 27 people (45%), while for empathy aspects there are 32 people (53.3%). Discussion : The level of patient satisfaction of health BPJS users has been mostly satisfied, although there are several aspects that need to be improved, such as the realibility and assurance aspects. For this reason, hospitals need to simplify administration to improve services.Keywords : satisfaction, outpatient, National health insurance

scholarly journals Client satisfaction on community based health insurance scheme and associated factors at Boru Meda Hospital, Northeast, Ethiopia: institutional based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mulugeta Tasew Hailie ◽  
Seid Legesse Hassen ◽  
Minwuyelet Maru Temesgen
Keyword(s):  
Health Insurance ◽  
Waiting Time ◽  
Client Satisfaction ◽  
Service Providers ◽  
Cross Sectional Study ◽  
Insurance Scheme ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance ◽  
Study Participants

Abstract Background Community-based health insurance systems are usually voluntary and characterized by community members pooling funds and protecting themselves against the high costs of seeking medical care and treatment for illness. Client satisfaction with health service provision during the implementation of health insurance schemes has often been neglected. This study aimed to determine client satisfaction with the community-based health insurance scheme and associated factors. Methods An institutional-based cross-sectional study design was applied from February 22–March 11 /2019. A total of 420 study participants were included in the study using a systematic random sampling technique. Data were collected using a pretested semi-structured interviewer-administered questionnaire with a patient exit interview. Bivariate and multivariate logistic regression analyses were used to identify factors associated with Community-based Health Insurance of client satisfaction. Statistical significance was decided at a p-value less than 0.05. Result A total of 420 community-based health insurance clients of health service users participated in the study with a 100% response rate. The overall client satisfaction was 80% at 95% Cl (76.1, 83.9), respondents who have perceived that partially or none availability of prescribing drugs were 0.09 times less likely satisfied as compared to full availability of prescribing drugs (AOR =0.09; 95% Cl: (0.04, 0.19)). Besides, study participants waiting time to consult service providers within 30 min were more satisfied than those who were delayed 60 min and above (AOR =3.16; 95% Cl: (1.19, 8.41)). Conclusion Community-based health insurance client satisfaction provided in the present study was 80% indicating low proportion. Full availability of prescribing drugs, clients renewed their community-based health insurance membership, and preference of clients to use the hospital for future health care need were positively associated with client satisfaction while the perception of waiting time before physician consultation negatively affected client’s satisfaction. Therefore, the hospital management members and service providers need to give attention to reduce waiting time preceding consultation, improve drug availability, and sustain the hospital preference by the client.

scholarly journals Dropping out of voluntary community-based health insurance in rural Uganda: Evidence from a cross-sectional study in rural south-western Uganda

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253368
Author(s):  
Emmanuel Nshakira-Rukundo ◽  
Essa Chanie Mussa ◽  
Min Jung Cho
Keyword(s):  
Health Insurance ◽  
Quantitative Research ◽  
Cross Sectional Study ◽  
Drop Out ◽  
Dropping Out ◽  
Health Coverage ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance ◽  
Western Uganda

Aim Community Based Health Insurance (CBHI) schemes have become central to health systems financing as avenues of achieving universal health coverage in developing countries. Yet, while emphasis in research and policy has mainly concentrated on enrolment, very little has been apportioned to high rates of dropping out after initial enrolment. The main aim of this study is to understand the factors behind CBHI dropping out through a cross-sectional quantitative research design to gain insights into curtailing the drop out of CBHI in Uganda. Methods The survey for the quantitative research component took place between August 2015 and March 2016 covering 464 households with under-5 children in south-western Uganda. To understand the factors associated with dropping out of CBHI, we employ a multivariate logistic regression on a subsample of 251 households who were either currently enrolled or had enrolled at one time and later dropped out. Results Overall, we find that 25.1 percent of the households that had ever enrolled in insurance reported dropping out. Household socioeconomic status (wealth) was one of the key factors that associated with dropping out. Larger household sizes and distance from the hospital were significantly associated with dropping out. More socially connected households were less likely to drop out revealing the influence of community social capital in keeping households insured. Conclusion The findings have implications for addressing equity and inclusion concerns in community-based health insurance programmes such as one in south-western Uganda. Even when community based informal system aim for inclusion of the poorest, they are not enough and often the poorest of the poor slip into the cracks and remain uninsured or drop out. Moreover, policy interventions toward curtailing high dropout rates should be considered to ensure financial sustainability of CBHI schemes.

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