DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20222618
Published: 2022-10-29

Determinants of utilization of National Health Insurance Fund cover in public health facilities by public health care workers in Makueni County

Angeline M. Muia, Kezia Njoroge, Musa Oluoch

Abstract


 

Background: Robust healthcare funding systems are seen as critical for guaranteeing universal healthcare access. This implies that health services should be adequately accessible to everyone ensuring health situation doesn’t reduce the patient and their family to poverty making analysis of determinants of National Health Insurance Fund (NHIF) cover utilization critical.

Methods: Descriptive research design was used to study utilization of NHIF cover among health professionals in public hospitals in Makueni County. Stratified random sampling technique was used to sample the facilities across the different levels. The study sample was 291 from a target population of 1183 health professional. The data was collected using structured questionnaires. Statistical package for social science (SPSS version 25) was used to code and analyze the raw data. Pearson's coefficient of correlation and multiple regressions were used to assess the association between determinants and NHIF utilization.

Results: The study found and concluded that at the significance level of 95%, alternative insurance covers, perceived quality of health services and NHIF communication strategy significantly influenced utilization of NHIF cover by public health care workers at α=0.05. On the other hand, NHIF scheme characteristic was an insignificant determinant of utilization of NHIF cover among public health care workers in Makueni County.

Conclusions: The study concludes alternative insurance covers, NHIF scheme characteristics, perceived quality of health services influenced utilization of NHIF cover and NHIF communication strategy influenced utilization of NHIF cover among health workers.


Keywords


Perceived quality of health services, NHIF scheme characteristics, NHIF communication approaches, Alternative insurance covers, Utilization of NHIF cover

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References


Gostin LO, Habibi R, Meier BM. Has global health law risen to meet the COVID-19 challenge? Revisiting the International Health Regulations to prepare for future threats. J Law Med Ethics. 2020;48(2):376-81.

Nagesh S, Chakraborty S. Saving the frontline health workforce amidst the COVID-19 crisis: Challenges and recommendations. J Glob Health. 2020;10(1):010345.

Greenberg N. Mental health of health-care workers in the COVID-19 era. Nature Rev Nephrol. 2020;16(8):425-6.

Chaganti S, Higgins A, Mattingly MJ. Health insurance and essential service workers in New England: Who lacks access to care for COVID-19. Federal Reserve Bank of Boston: Boston, MA, USA. 2020;20-3.

World Health Organization. Antimicrobial resistance and primary health care (No. WHO/HIS/SDS/ 2018.56). 2018. Available at: https://apps.who.int/ iris/bitstream/handle/10665/326454/WHO-HIS-SDS-2018.56-eng.pdf. Accessed on 12 June 2022.

World Health Organization. Stronger collaboration for an equitable and resilient recovery towards the health-related sustainable development goals: 2021 progress report on the global action plan for healthy lives and well-being for all. 2021. Available at: https://apps.who.int/iris/handle/10665/341411. Accessed on 12 June 2022.

Makokha TW. An examination of the legal, Policy and Institutional Framework for Universal Health Coverage in Kenya. University of Nairobi. 2019.

Liaropoulos L, Goranitis I. Health care financing and the sustainability of health systems. Int J Equity Health. 2016;14(80):1-4.

Chemouni B. The political path to universal health coverage: power, ideas and community-based health insurance in Rwanda. World Development. 2018;106:87-98.

Mcintyre D, Meheus F, Røttingen JA. What level of domestic government health expenditure should we aspire to for universal health coverage? Health Economics, Policy and Law. 2017;12(2):125-37.

Gammage S, Sultana N, Glinski A. Reducing vulnerable employment: Is there a role for reproductive health, social protection, and labor market policy? Feminist Economics. 2020;26(1):121-53.

Papanicolas I, Woskie LR, Jha AK. Comparing Spending on Medical Care in the United States and Other Countries—In Reply. JAMA. 2018;320(8):840.

Kimani J, Ettarh R, Kyobutungi C, Mberu B, Muindi K. Determinants for participation in a public health insurance program among residents of urban slums in Nairobi, Kenya: results from a cross-sectional survey. BMC Health Services Res. 2019;12(66):112-23.

Kipaseyia JS. Factors influencing membership uptake of National Hospital Insurance Fund among the poor: a pastoralist’ perspective. Nairobi, Kenya: Master's Thesis, Strathmore University, Strathmore Business School. 2016.

Otenyo EE. Policy images in Africa. In Routledge Handbook of Public Policy in Africa. 2021;95-106.

Onsomu E, Munga B, Mugo P, Nafula N, Muraya R, Mwami M, et al. Policy Brief No. 48 of 2018-2019 on an assessment of Health Care Delivery under Devolution: County Briefs. 2018.

Ombiro ON, Otieno G. Utilization of the National Hospital Insurance Fund in Embu County, Kenya. Int J Health Pharm Res. 2019;5(1):34-46.

Kironji KM, Tenambergen WM, Mwangi EM. Effects of Perceived Image of NHIF Outpatient Facilities on Utilization of Primary Care Services by Private University Employees in Nairobi County. 2019.

Krejcie RV, Morgan DW. Determining sample size for research activities. Educ Psychol Measurement. 1970;30(3):607-10.

Sekaran U, Bougie R. Research methods for business: A skill building approach. John Wiley & sons. 2016.

Pozen A, Stimpson JP. Navigating Health Insurance Alexis. 2018. Available at: https://www.jblearning. com/catalog/productdetails/9781284113129. Accessed on 12 June 2022.

Wang W, Temsah G, Mallick L. The impact of health insurance on maternal health care utilization: evidence from Ghana, Indonesia and Rwanda. Health Policy Planning. 2017;32(3):366-75.

Barasa E, Rogo K, Mwaura N, Chuma J. Kenya National Hospital Insurance Fund Reforms: Implications and Lessons for Universal Health Coverage. Health Syst Reform. 2018;4(4):346-61.

Owusu-Sekyere E, Chiaraah A. Demand for health Insurance in Ghana: what factors influence enrollment? Am J Public Health Res. 2014;2(1):27-35.

Kironji KM. Determinants of utilization of national hospital insurance fund outpatient services by private university employees in Nairobi (Doctoral dissertation). 2019.

Mulupi S, Kirigia D, Chuma J. Community perceptions of health insurance and their preferred design features: implications for the design of universal health coverage reforms in Kenya. BMC Health Services Res. 2013;13(1):1-12.

Crawford EC. Strategic urban health communication. Okigbo cc, editor. Springer. 2014.

Ophir Y. Risk and Health Communication in an Evolving Media Environment. 2018;33(4):352.

Barasa EW, Mwaura N, Rogo K, Andrawes L. Extending voluntary health insurance to the informal sector: experiences and expectations of the informal sector in Kenya. Wellcome Open Res. 2017;2:94.