Socio-Demographic Predictors of Willingness to Pay for Premium of National Health Insurance: A Cross-sectional Survey of Six Districts in Sierra Leone
- سال انتشار: 1401
- محل انتشار: مجله بین المللی سیاست و مدیریت بهداشت، دوره: 11، شماره: 8
- کد COI اختصاصی: JR_HPM-11-8_021
- زبان مقاله: انگلیسی
- تعداد مشاهده: 126
نویسندگان
Department of Health Policy Management and Economics, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
University of Makeni (UNIMAK), Makeni, Sierra Leone
Department of Health Policy Management and Economics, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
Department of Health Policy Management and Economics, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
Department of Health Policy Management and Economics, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
College of Nursing and Midwifery, Nalerigu, Ghana
Sierra Leone Ministry of Health and Sanitation, Makeni, Sierra Leone
Medicine San Frontières (MSF), Makeni, Sierra Leone
چکیده
Background The government of Sierra Leone introduced Social Health Insurance Scheme as a measure to remove financial barriers that beset the people in accessing health to ensure universal coverage. Under this policy, the citizens were encouraged to subscribe to the scheme to avoid out of pocket payment for healthcare at the point of use. This study was conducted to find out the predictors of willingness among the people to pay for health insurance premium. Methods A cross-sectional study design was employed in six selected districts in Sierra Leone. Quantitative data was collected for this study through the use of semi-structured questionnaire with a sample size of ۱۱۸۵ respondents. Data was analysed into descriptive and inferential statistics using the contingent valuation model. Statistical analysis was run at ۵% significant level using Stata version ۱۴.۰ software. Results The results showed that majority of the respondent are willing to join and pay a monthly premium of Le ۱۰ ۰۰۰ (US۱.۰۳) with an estimated mean contribution of about Le ۱۴ ۰۸۹ (US۱.۴۴) and the top five predictors of willingness to pay (WTP) were household monthly income, age, district of resident, gender, and educational qualification. Conclusion The findings on predictors of WTP premium of Sierra Leone National Social Health Insurance (SLeNSHI), suggests that the socio-demographic characteristics of the population are important in premium design and payment. Efforts at improving the socio- economic statuses of the population could be helpful in premium design and payment.کلیدواژه ها
Predictors, Willingness, Premium, Health Insurance, Districts, Sierra Leoneاطلاعات بیشتر در مورد COI
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