Determinants of Non-Insurance in A-Duiem Administrative Unit, White Nile State, Sudan 2018
DOI:
https://doi.org/10.17140/PHOJ-5-147Keywords:
Health insurance; Non-insured; Population coverage; Knowledge; Attitudes; Sudan.Abstract
BackgroundPopulation knowledge and attitudes toward health insurance are important factors that facilitate health insurance coverage. Na-tional studies on these parameters are limited.AimThis study aims at assessing determinants of non-insurance in A-Duiem Administrative Unit and calculating as a secondary objective the household’s health insurance coverage.MethodsThe study was a descriptive cross-sectional community-based conducted in A-Duiem Administrative Unit, Sudan. It collected quantitative data from non-insured households and qualitative data by interviewing community leaders and conducting focus group discussions with community organizations members. Quantitative data analyzed using the Statistical Package for Social Sciences (SPSS) version 20, and the thematic analysis for the qualitative data.ResultsThe study interviewed 419 non-insured households’ heads and thirteen community leaders and conducted eight focus group discussions with sixty community organizations members. Around 37.9% (95% CI: 33.4-42.7) of the heads of the non-insured households did not know the health insurance, while only 2.4% (95% CI: 1.5-4.7) had good knowledge. The knowledge of non-insured community leaders and members of the community organizations was moderate. The study participants showed positive attitudes towards health insurance, as 97% (95% CI: 95.1-98.4) of the heads of the non-insured households wanted to join the health insurance and 65% (95% CI: 59.2-70.1) of them stated that they could pay its premium. Most of the com-munity leaders and members of the community organizations had health insurance cards. Those who were not enrolled, have limited knowledge about health insurance while almost all believe they should join it. The study identified 52.4% of non-insured households (95% CI: 48.9-55.8). The study showed low health insurance coverage among families, despite their positive attitude. This is mostly attributed to poor awareness of the heads of the non-insured households about health insurance. The National Health Insurance Fund (NHIF) should address this gap through effective communication strategies using motivated community institutions.
References
World Health Organization (WHO). Universal Health Coverage who.int Web site. https://www.who.int/healthsystems/universal_ health_coverage/en/. Accessed on April 21, 2020.
Barroy H, Vaughan K, Tapsoba Y, Dale E V de MN. Towards UHC: Thinking public Overview of trends in public expenditure on health (2000-2014). who.int Web site. http://www.who.int. Published April 23, 2017. Accessed on December 11, 2019.
World Meter. Sudan Population (LIVE). worldometers.info Website. https://www.worldometers.info/world-population/su-dan-population/. Accessed April 28, 2020.
Mustafa MH. Federal Ministry of Health. Sudan Health Ac-counts 2015 Country Report. Khartoum; 2015.
World Health Organization (WHO). The Right to Health. Fact Sheet no. 323 (Available in Arabic) who.int Web site. http://www. who.int/mediacentre/factsheets/fs323/ar/. Published June 26, 2017. Accessed November 15, 2017.
National Health Insurane Fund. The Most Important Priorities of the Strategic Plan of the National Health Insurance Fund 2017- 2020 [In: Arabic]. nhif.gov Web site. http://nhif.gov.sd. Accessed on November 15, 2017.
National Health Insurance Fund. Mid-Year Report of the Na-tional Health Insurance Fund for the Year 2017 [In: Arabic]. Khar-toum, Sudan; 2017.
Singh HD, Rudrapal S, Sangma RJB. Awareness on health in-surance among an urban community in imphal: A cross section-al study. J. Evolution Med. Dent. Sci. 2016; 5(27): 1383-1386. doi: 10.14260/jemds/2016/326
Psychology. Attitudes definition: Psychology research and ref-erence. psychology.iresearchnet Web site. http://psychology.ire-searchnet.com/social-psychology/attitudes/. Accessed April 21, 2020.
Social Psychology. Summary Attitudes. sparknotes Web site. https://www.sparknotes.com/psychology/psych101/socialpsy-chology/section4/. Accessed on April 19, 2020.
Wikipedia. ADuiem [In: Arabic]. Web site. https://ar.wikipe-dia.org/wiki/. Accessed on November 16, 2017.
Executive Manager of the A-Duiem Adminstrative Unit. Table of A-Duiem Popular Adminstrative Units and Population [In: Ar-Original Research | Volume 5 | Number 3 | abic]. ADuiem, Suden; 2017.
Research Methodology. Purposive Sampling. research-meth-odology.net Web site. https://research-methodology.net/sam-pling-in-primary-data-collection/purposive-sampling/. Accessed on November 16, 2017.
Kish L. Survey Samplng. New York, USA: John Wiley & Sons Inc; 1965.
Noubiap JJ, Joko WY, Obama JM BJ. Community-based health insurance knowledge, concern, preferences, and financial planning for health care among informal sector workers in a Health District of Douala, Cameroon. The Pan African Medical Journal. 2013, 16:17. doi: 10.11604/pamj.2013.16.17.2279
National Health Insurance Fund. Exploratory study about causes of dropout from health insurance in Sennar State, Sudan. Paper presented at: The Twenty Nine Meeting of the Executive Managers of Health Insurance in Sudan [In: Arabic]; 2016; Khar-toum, Sudan.
Adedeji AS, Doyin A, Kayode OG, Ayodele AA. Knowledge, practice and willingness to participate in community health insur-ance scheme among households in Nigerian Capital City. Sudan J Med Sci. 2017; 12(1): 9. doi: 10.18502/sjms.v12i1.854
Yusuf HO, Kanma-Okafor OJ, Ladi-Akinyemi TW, Eze UT, Egwuonwu CC, Osibogun OA. Health insurance knowledge, atti-tude and the uptake of community-based health insurance scheme among residents of a Suburb in Lagos, Nigeria. West African Journal of Medicine. 2019; 36(2): 103-111.
Ekwuluo Celestine E , Eluwa Achama N , Okereke Isaac C Submit your article to this journal | https://openventio.org/submit-manuscript/ Original Research | Volume 5 | Number 3 | Karaig EABA et al OSB. Knowledge, attitude and utilization of the National Health Insurance Scheme (NHIS) among health workers in the University of Nigeria Teaching Hospital (UNTH), Ituku-Ozalla, Enugu State, Nigeria. Int J Res. 2018; 6(1): 1-22. doi: 10.5281/zenodo.1162015
Health Insurance in Sudan [In: Arabic]. ashgaaly.blogspot Web site. www.ashgaaly.blogspot.com. Accessed April 21, 2020.
Salim AMA, Hamed FHM. Exploring health insurance services in Sudan from the perspectives of insurers. SAGE Open Med. 2018; 6: 2050312117752298. doi: 10.1177/2050312117752298
Republic of the Sudan, Federal Ministry of Health. Updating of the List of Health Insurance Medicines: Obtaining Citizen Sat-isfaction [In: Arabic]. moh.gov Web site. http://www.fmoh.gov.sd. Accessed April 21, 2020.
National Health Insurance Fund. Percentage of health insur-ance coverage in Sudan [In: Arabic]. Khartoum, Sudan; 2019.
Sawalha K. Percentage of Health Insurance Coverage in Oman [In: Arabic]. A dustour: An Electronic newsletter. Web site. https://www.addustour.com/articles/1000450-73. Percentage of Health Insurance Coverage. Published February July 18, 2018. Ac-cessed November 12, 2019.
Collins SR, Bhupal HK, Doty MM. Health Insurance Cov-erage Eight Years After the ACA: Fewer Uninsured Americans and Shorter Coverage Gaps, But More Underinsured. common-wealthfund Web site. https://www.commonwealthfund.org/pub-lications/issue-briefs/2019/feb/health-insurance-coverage-eight-years-after-aca. Published September 7, 2019. Accessed October 13, 2019.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Public Health - Open Journal (PHOJ) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.
