Determinants of uptake of national health insuarance Fund scheme by the informal sector in kabare ward, kirinyaga county, Kenya
Article Details
Abstract
Objective: To investigate the determinants influencing uptake of National Health Insurance Fund (NHIF) in the informal sector in Kabare Ward, Kirinyaga County, Kenya
Design: A cross-sectional study
Setting: Kabare ward, Kirinyaga East sub-County, Kirinyaga County.
Subjects/Participants: Males and Females between the age of 18 and 60 work in the informal sector.
Results: There is low uptake of the NHIF scheme among workers in the informal sector. Awareness, income levels and accessibility to NHIF outlets were some of the factors that played a critical role in the uptake of NHIF insurance among workers in the informal sector here.
Conclusion: Future policies needs to consider these factors to achieve maximum enrollment into NHIF scheme for workers in the informal sector in Kabare ward, Kirinyaga East sub-County, Kirinyaga County
Keywords
References
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23. Sundays, M. E., K, N. J., & C, M. (2015). Determinants of Uptake and Utilization of National Hospital Insurance Fund Medical Cover by People in the Informal Sector in Kakamega County, Kenya. Universal Journal of Public Health, 3(4), 169-176. Accessed on 5/3/2020 from https://doi.org/10.13189/ujph.2015.030405
2. Akazili, J., Ataguba, J. E., Kanmiki, E. W., Gyapong, J., Sankoh, O., Oduro, A., &McIntyre, D. (2017). Assessing the impoverishment effects of out-of-pocket healthcare payments prior to the uptake of the national health insurance scheme in Ghana. BMC International Health and Human Rights, 17(1). Accessed on 5/2/2020 from https://doi.org/10.1186/s12914-017-0121-7
3. Assadi, V., &Hassanein, K. (2017). Consumer Adoption of Personal Health Record Systems: A Self-Determination Theory Perspective. Journal of Medical Internet Research, 19(7), e270.
4. Assessment of Innovative Strategies on Service Delivery at the National Hospital Insurance Fund Nakuru, Kenya. (2016). International Journal of Science and Research (IJSR), 5(4), 1354-1362.
5. Barasa, E. W., Mwaura, N., Rogo, K., &Andrawes, L. (2017). Extending voluntary health insurance to the informal sector: experiences and expectations of the informal sector in Kenya. Wellcome Open Research, 2, 94.
6. Blair, L. (2016). Writing the Proposal. Writing a Graduate Thesis or Dissertation, 23-30. Accessed on 2/2 2020 from https://doi.org/10.1007/978-94-6300-426-8_3
7. Booysen, F., &Hongoro, C. (2018). Perceptions of and support for national health insurance in South Africas public and private healthcare sectors. Pan African Medical Journal, 30.
8. Brugiavini, A., & Pace, N. (2016). Extending health insurance in Ghana: effects of the National Health Insurance Scheme on maternity care. Health Economics Review, 6(1).
9. FachrulRezki, T., Pramono, W., HanumSiregar, C., ., U., &Bintara, H. (2016). Participation of Informal Sector Workers in Indonesia's National Health Insurance System. Southeast Asian Economies, 33(3), 317-342.
10. Gitahi, J. W., &Njuguna, A. G. (2018). Implications of Contributions to Equity in Access of Health Care: A Case of Community Based Health Insurance Schemes in Kenya. Global Journal of Health Science, 10(2), 90.
11. Ilinca, S., Di Giorgio, L., Salari, P., &Chuma, J. (2019). Socio-economic inequality and inequity in use of health care services in Kenya: evidence from the fourth Kenya household health expenditure and utilization survey. International Journal for Equity in Health, 18(1).
12. Manyazewal, T. (2017). Using the World Health Organization health system building blocks through survey of healthcare professionals to determine the performance of public healthcare facilities. Archives of Public Health, 75(1).
13. Mossialos, E. M., Wenzl, M. W., Osborn, R. O., &Sarnak, D. S. (2016). International Profiles of Health Care Systems, 2015.
14. Munge, K., Mulupi, S., Barasa, E. W., &Chuma, J. (2017). A Critical Analysis of Purchasing Arrangements in Kenya: The Case of the National Hospital Insurance Fund. International Journal of Health Policy and Management, 7(3), 244-254.
15. Munge, K., Mulupi, S., Barasa, E., &Chuma, J. (2019). A critical analysis of purchasing arrangements in Kenya: the case of micro health insurance. BMC Health Services Research, 19(1). Accessed on 12/2 2020 from https://doi.org/10.1186/s12913-018-3863-6
16. Munge, K., Mulupi, S., Barasa, E., &Chuma, J. (2019). A critical analysis of purchasing arrangements in Kenya: the case of micro health insurance. BMC Health Services Research, 19(1).
17. Munge, K., Mulupi, S., Barasa, E., &Chuma, J. (2019). A critical analysis of purchasing arrangements in Kenya: the case of micro health insurance. BMC Health Services Research, 19(1).
18. Nsiah-Boateng, E., Nonvignon, J., Aryeetey, G. C., Salari, P., Tediosi, F., Akweongo, P., &Aikins, M. (2019). Sociodemographic determinants of health insurance enrolment and dropout in urban district of Ghana: a cross-sectional study. Health Economics Review, 9(1). Accessed on 5/3/2020 from https://doi.org/10.1186/s13561-019-0241-y
19. Okech, T. C., &Lelegwe, S. L. (2015). Analysis of Universal Health Coverage and Equity on Health Care in Kenya. Global Journal of Health Science, 8(7), 218.
20. Preker, A. S. (2017). Financing Universal Access to Healthcare. World Scientific Series in Health Investment and Financing. https://doi.org/10.1142/10629
21. Salari, P., Di Giorgio, L., Ilinca, S., &Chuma, J. (2019). The catastrophic and impoverishing effects of out-of-pocket healthcare payments in Kenya, 2018. BMJ Global Health, 4(6), e001809. Accessed on 2/2 2020 from https://doi.org/10.1136/bmjgh-2019-001809
22. Sirrs, C. (2019). Promoting health protection worldwide: The International LabourOrganisation and health systems financing, 1952–2012. The International History Review, 42(2), 371-390.
23. Sundays, M. E., K, N. J., & C, M. (2015). Determinants of Uptake and Utilization of National Hospital Insurance Fund Medical Cover by People in the Informal Sector in Kakamega County, Kenya. Universal Journal of Public Health, 3(4), 169-176. Accessed on 5/3/2020 from https://doi.org/10.13189/ujph.2015.030405
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Research Articles