National Health Insurance for Universal Health Coverage: willingness to participate and pay in a National Health Insurance Scheme

Abstract

Introduction

Following the adoption of World Health Assembly resolution on Universal Health Coverage (UHC) in 2005, some low- and low middle- income countries have introduce National Health Insurance Schemes (NHIS). This is in line with efforts to reform health financing and strengthen health systems to achieve Universal Health Coverage (UHC). Although the Gambia is implementing a results- based financing (RBF) for health system strengthening, there is no prepayment mechanism. The current line item budgeting is not predictable and sustainable, thus, leading to poor quality of care and high out-of-pocket spending on health.

Goal

The goal of this study is to assess the willingness of Gambians to participate and pay in a National Health Insurance scheme.

Methods and Materials

Researchers will use a mixed method to assess Gambian’s willingness to participate and pay in National Health Insurance Scheme (NHIS). Multi-stage sampling method will be utilize to select study sample. An interviewer administered questionnaire will be use to collect relevant information on willingness to participate and to pay. Data will be analyzed using stata. Descriptive and inferential statistics will be perform to identify factors that are associated with the willingness to participate and pay.

Findings

Our study will provide understanding of the factors that determine people’s willingness to participate and pay in a NHIS in the Gambia. In addition, the findings can be useful for evidence- based planning and decision-making for the

 

 

 

Samarbeid

  • Samarbeid med Ministry of Health in the Gambia
  • UiO er forskningsansvarlig
  • UiO har behandlingsansvar for personopplysninger

Prosjektbeskrivelse med vedlegg

Disse dokumentene er kun synlige for prosjektleder, enhetens leder og forskningsadministrasjon.

TSD

  • Nei
  • Begrunnelse: No personal identifiable data collected

Biobank

  • Nei

Godkjenninger

NSD - Ja 1 fil

Disse dokumentene er kun synlige for prosjektleder, enhetens leder og forskningsadministrasjon.

Tidspunkt for anonymisering og sletting av dataene

  • Anonymisering: november 2022
  • Sletting: januar 2024

REK - Ikke behov 1 fil

Disse dokumentene er kun synlige for prosjektleder, enhetens leder og forskningsadministrasjon.

Rek is not mandatory

Prosjektleder / prosjektansvarlig ved UiO

Johanne Sundby

Ansvarlig enhet

Avdeling for samfunnsmedisin og global helse

Forskere

  • Hassan Njie (Phd Student UIO, employee Min of health the Gambia)

Prosjekttype

  • Ph.d.-prosjekt

Helsefaglig forskning

  • Ja

Personopplysninger

  • Ja

Tidsperiode

  • Start: september 2019
  • Slutt: september 2022