scholarly journals Community based health insurance as a viable option for health financing: An assessment of household willingness to pay in Lagos, Nigeria

2019 ◽  
Vol 11 (2) ◽  
pp. 49-57
Author(s):  
Ijeoma Agbo ◽  
Adebayo Onajole ◽  
Babatunde Ogunnowo ◽  
Angela Emechebe
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Health Financing ◽  
Viable Option ◽  
Community Based ◽  
Community Based Health Insurance

scholarly journals Feasibility and Desirability of Scaling up Community –based Health Insurance (CBHI) in rural communities in Uganda. Lessons from Kisiizi hospital CBHI scheme.

2019 ◽  
Author(s):  
ALEX KAKAMA AYEBAZIBWE
Keyword(s):  
Health Insurance ◽  
Health Financing ◽  
Scaling Up ◽  
Healthcare Services ◽  
Community Based ◽  
Leadership And Management ◽  
Community Based Health Insurance ◽  
Community Associations ◽  
Key Informant

Abstract Background Community-based health Insurance (CBHI) schemes have been implemented world over as initial steps for National Health Insurance. The CBHI concept developed out of a need for financial protection against catastrophic health expenditure to the poor after failure of other health financing mechanisms. CBHI schemes reduce out-of-pocket payments, and improve access to healthcare services in addition to raising additional revenue for health sector. Kisiizi hospital CBHI scheme has 41,500 registered members since 1996, organised in 210 community associations known as ‘Bataka’ or ‘Engozi’ societies. Members pay annual premium fees and a co-payment fee before service utilisation. This Study aimed at exploring the feasibility and desirability of scaling up CBHI in Rubabo County, with objectives of; exploring community perceptions and determining acceptability of CBHI, identifying barriers and enablers to scaling up CBHI and documenting lessons regarding CBHI expansion in a rural community. Method: Explorative study using qualitative methods. Key informant interviews and Focus Group Discussions (FGD) were used in data collection. Twenty two key informant interviews were conducted using semi-structured questionnaires. Three FGD for scheme members and three for non-scheme members were conducted. Data was analysed using thematic approach. Results : Scaling up Kisiizi hospital CBHI is desirable because: it conforms to the government social protection agenda, conforms to society values, offers a comprehensive benefits package, and is a better healthcare financing alternative for many households. Scaling up Kisiizi hospital CBHI is largely feasible because of a strong network of community associations, trusted quality of services at Kisiizi Hospital, affordable insurance fees, and trusted leadership and management systems. Scheme expansion faces a few obstacles: long distances and high transport costs to Kisiizi hospital, low levels of knowledge about insurance, overlapping financial priorities at household level and inability of some households to pay insurance fees. Conclusions CBHI implementation requires the following considerations: Conformity with society values and government priorities, a comprehensive benefits package, trusted quality of healthcare services, affordable fees, and trusted leadership and management systems. Key words Community-based Health Insurance, Universal Health Coverage, Health financing, Enrolment

scholarly journals Social Capital and Willingness-to-Pay for Community-Based Health Insurance in Rural Cameroon

2011 ◽  
Vol 3 (1) ◽  
Author(s):  
Hermann Pythagore Donfouet ◽  
Jean-Roger Essombè Edimo ◽  
Pierre-Alexandre Mahieu ◽  
Eric Malin
Keyword(s):  
Social Capital ◽  
Health Insurance ◽  
Willingness To Pay ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Rural Cameroon

scholarly journals Willingness to pay for community-based health insurance in Nigeria: do economic status and place of residence matter?

2009 ◽  
Vol 25 (2) ◽  
pp. 155-161 ◽  
Author(s):  
O. Onwujekwe ◽  
E. Okereke ◽  
C. Onoka ◽  
B. Uzochukwu ◽  
J. Kirigia ◽  
...  
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Economic Status ◽  
Place Of Residence ◽  
Community Based ◽  
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.

Inequality in willingness-to-pay for community-based health insurance

Health Policy ◽  
2005 ◽  
Vol 72 (2) ◽  
pp. 149-156 ◽  
Author(s):  
Hengjin Dong ◽  
Bocar Kouyate ◽  
John Cairns ◽  
Rainer Sauerborn
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Community Based ◽  
Community Based Health Insurance

scholarly journals Awareness and Willingness to Pay for Community Based Health Insurance Scheme in North-Western Nigeria

2018 ◽  
Vol 9 (2) ◽  
pp. 19-23
Author(s):  
Giwa Abdulganiyu ◽  
Kabir Muhammad ◽  
Umar Ibrahim ◽  
Suleiman HH ◽  
Lawal BK
Keyword(s):  
Health Insurance ◽  
Willingness To Pay ◽  
Financial Burden ◽  
Health Insurance Scheme ◽  
Insurance Scheme ◽  
Financing System ◽  
Community Based ◽  
Level Of Education ◽  
Community Based Health Insurance ◽  
North Western

There is a need for the communities to develop their health financing system, most especially those that were not covered by the National Health Insurance Scheme (NHIS). This will give the people an opportunity to finance their medical care which in turn would alleviate financial burden at the point of treatment. Therefore, this study is aimed to determine the level of awareness for Community Based Health Insurance Scheme (CBHIS) among communities and to measure the degree of willingness to pay for the scheme in Katsina, North-Western Nigeria. Semi structured interviewer-assisted questionnaires were used to collect information from the respondents. Statistical analyses were performed using SPSS version 20.0. The results indicates that majority of the respondents attained tertiary level of education (68.3%) and 81.1% were employed. About 74.2% were earning more than the Nigerian minimum wage N18, 000 (≈$59). About 52.2% of the respondents were aware of the CBHIS. And 81% were willing to pay for premium while 62.2% will pay between N 1, 000 – 5, 000 (≈$3.3- $16.4). There was strong significant relationship between monthly income and knowledge of CBHIS (p = < 0.0001). However, gender and educational level were not significantly associated with the knowledge of CBHIS. Awareness about CBHIS was not sufficiently adequate but a significant number of the respondents were willing to pay for CBHIS after learning about the scheme. Factors such as level of education and income levels were found to have positive effect on willingness to pay.Bangladesh Journal of Medical Education Vol.9(2) 2018: 19-23

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