National Hospital Insurance Fund Enrolment in Uasin Gishu County, Kenya
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Date
2022
Authors
Wanjiru, Emma Phyllis
Yitambe, Andre
Chomi, Eunice
Journal Title
Journal ISSN
Volume Title
Publisher
IJHSR
Abstract
Background: Despite the establishment of NHIF in 1966 to provide access to healthcare for all, enrolment
in Uasin Gishu remains low. The low enrolment led to out-of-pocket payments which were a deterrent to
seeking health care.
Objective: This study aimed to identify the determinants of uptake of NHIF among residents of Kapyemit,
in Uasin Gishu County, Kenya.
Methodology: A cross-sectional study was done with a sample (N=334), selected using stratified random
sampling. Questionnaires were pre-tested and Key-Informant interviews were done to collect data.
Data analysis: Data was analyzed using SPSS version 20 and Pearson’s Chi-square test at 95% confidence
interval to establish an association between the dependent and independent variables. The level of
statistical significance was P-value <0.05. Multivariate regression was done to determine the independent
factors associated with enrolment in NHIF.
Findings: The findings revealed that enrolment into NHIF was at 35%. The factors that were associated
with enrolment were: being married [OR 1.133; CI =0.227-5.648; p=0.879], tertiary education, [OR 3.862;
CI = 1.347-11.074; p=0.012], professional occupation, [OR 1.978; CI = 0.679-5.766; p=0.211], having
additional source of income, [OR =3.776; CI =1.656-8.611; p= 0.002], having regular monthly income
[OR=1.524 CI= 0.087- 3.142; p=0.480], prefer private facilities, [OR=6.657 CI=1.790-24.758; p=0.005],
good quality of care [OR=1.630; CI=0.890-2.985; p=0.113] and trust in scheme assed in a scale
[OR=3.418; CI=1.866-6.261; p=0.000].
Recommendation: A multi-sectoral engagement in the redesign of the scheme would be necessary to
make the scheme more responsive to the needs of the population.
Description
Article
Keywords
health insurance, enrolment, determinants, out-of-pocket, UHC
Citation
Wanjiru, E. P., Yitambe, A., & Chomi, E. (2019). National Hospital Insurance Fund enrolment in Uasin Gishu County, Kenya. International Journal of Health Sciences and Research, 9(11), 30-44.
URI
https://d1wqtxts1xzle7.cloudfront.net/63997691/520200723-24259-at24sg-libre.pdf?1595493056=&response-content-disposition=inline%3B+filename%3DNational_Hospital_Insurance_Fund_Enrolme.pdf&Expires=1684406324&Signature=e1Kv4WRRsXn7e8-rOWOfOLOs3G5dscsBTl1DkwV~9EUb7rVmbRMdDSg4V25ByCsvCH~i9zf58C7NIeyPMPszDVcafATcbMTm6zdXgzlFyb~t86Op5tT2TKNrQKKIATy6sjs8XKA5DIZMO-p1yLPYuT0Ii86~MpB-XzigpjVmhY1~svDOyWbSOdQZViE1JwGCvVoGC9CAaUNEhPCnCWlRuAv4oE~OK4-G9zDhp6b6AZH7hAWTv367ypH1H~UGy1zOoAlA-bEB3vvuMqEozR6sOevh6yV8GqHfpnU4V4f6ruiG5kB6naWcV1dVOqAg2-O2gf9ByGWuRgroPTfPYrXKQg__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA
http://ir-library.ku.ac.ke/handle/123456789/25339
http://ir-library.ku.ac.ke/handle/123456789/25339