National Hospital Insurance Fund Enrolment in Uasin Gishu County, Kenya

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dc.contributor.authorWanjiru, Emma Phyllis
dc.contributor.authorYitambe, Andre
dc.contributor.authorChomi, Eunice
dc.date.accessioned2023-05-18T09:48:36Z
dc.date.available2023-05-18T09:48:36Z
dc.date.issued2022
dc.descriptionArticleen_US
dc.description.abstractBackground: 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.en_US
dc.identifier.citationWanjiru, 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.en_US
dc.identifier.urihttps://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
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/25339
dc.language.isoenen_US
dc.publisherIJHSRen_US
dc.subjecthealth insuranceen_US
dc.subjectenrolmenten_US
dc.subjectdeterminantsen_US
dc.subjectout-of-pocketen_US
dc.subjectUHCen_US
dc.titleNational Hospital Insurance Fund Enrolment in Uasin Gishu County, Kenyaen_US
dc.typeArticleen_US
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