Health Insurance Education Strategies for Increasing the Insured among Older Population – A Quasi Experimental Study in Rural Kenya

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dc.contributor.authorNyagero, J.
dc.contributor.authorGakure, R.
dc.contributor.authorKeraka, M.
dc.date.accessioned2013-12-30T09:06:43Z
dc.date.available2013-12-30T09:06:43Z
dc.date.issued2012-05-13
dc.description.abstractINTRODUCTION: The older population in most developing countries are uninsured and lack access to health services. This study assessed the extent to which a multi-strategy health insurance education intervention would increase the number of insured among the older population in rural Kenya. METHODS: The quasi-experimental study prospectively followed 1,104 unpaired older persons (60 years or more) in a 10-month health insurance education and enrollment intervention. The adjusted odds ratios computed at 95% confidence interval using a binary logistic regression tested the association between being insured and the multi-strategies. RESULTS: At baseline, the lack of adequate knowledge on health insurance (52.9%) and high premiums (38.1%) were the main reasons for being uninsured. The insured older persons increased three-fold (from 7.7% to 23.8%) in the experimental site but remained almost unchanged (from 4.0% to 4.6%) in the control. The computed adjusted odds ratio for variables with significance (p < 0.05) show that the older people who obtained health insurance education through the chief's public meeting, an adult daughter, an adult son, a relative-sister/brother, an agent of the National Hospital Insurance Fund, and a health insurance beneficiary were 2.6, 4.2, 2.8, 2.3, 2.5 and 2.5 times respectively more likely to be insured. Access to health insurance education using a combination of 1-3 strategies and >3 strategies predisposed the older people 14.3 times and 52.2 times respectively to being insured. CONCLUSION: Health insurance education through multiple strategies and their intensity and frequency were pivotal in increasing being insured among the older population in rural Kenya.en_US
dc.identifier.issn1937-8688
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/8276
dc.language.isoenen_US
dc.publisherPubMeden_US
dc.subjectInsureden_US
dc.subjectKenyaen_US
dc.subjectEducationen_US
dc.subjectHealth insuranceen_US
dc.subjectMulti-strategiesen_US
dc.subjectOlder populationen_US
dc.subjectUninsureden_US
dc.titleHealth Insurance Education Strategies for Increasing the Insured among Older Population – A Quasi Experimental Study in Rural Kenyaen_US
dc.typeArticleen_US
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