Drivers of Uptake of National Hospital Insurance Fund in Kajiado County, Kenya
| dc.contributor.author | Chenonge,Judith Chenobot | |
| dc.date.accessioned | 2024-08-08T07:00:58Z | |
| dc.date.available | 2024-08-08T07:00:58Z | |
| dc.date.issued | 2024-05 | |
| dc.description | A Research Project Submitted to the School of Law, Arts And Social Sciences in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Arts in Public Policy and Administration of Kenyatta University. May, 2024 Supervisor Felix Kiruthu | |
| dc.description.abstract | According to the Constitution of Kenya (2010), the healthcare is a devolved function and all persons are entitled to receive affordable health care. With Universal Health Coverage, the County Government of Kajiado seeks to guarantee all its citizens the right to affordable health care such that residents do not have to worry about incurring financial hardship arising from prohibitive healthcare expenses. However, the communities in the county have not yet completely embraced this program, as seen by the low level of participation in the National Hospital Insurance Fund (NHIF). The study examined drivers that influence the uptake of NHIF cover in Kajiado County. The objectives of this study were: to examine how the level of awareness, accessibility, income level and education affect the uptake of NHIF in Kajiado County. The study target population was the 150 NHIF inpatients from eight health centers in Kajiado Central Sub County. They were identified using purposive sampling technique from the medical facilities records. A census of all the 150 patients was undertaken with another 78 healthcare workers involved. The research was guided by the conventional health insurance and diffusion theory of health insurance. The study employed descriptive research design and both primary and secondary .data collection tools were questionnaire with both closed and open-ended questions and an interview guide. With the help of Statistical Package for Social Scientists (SPSS), descriptive statistics were done using mean and standard deviation, while the inferential statistics was done using regression and correlation. The data is presented using frequency tables, percentages, and the regression model. Qualitative data was analyzed using content analysis. The survey found that just a small portion of the sampled population had health insurance coverage and despite widespread knowledge, there was little comprehension of the advantages of health insurance. The study found that the enrollment rate for the National Hospital Insurance Fund was at 34.5% with majority of them learning about health insurance from their family and friends. The results showed that the uptake of NHIF was determined more by the accessibility (57.3%), awareness (42.6%) and the level of income (4.7%). The education level was found to have a positive correlation with high uptake of the NHIF (60.8%). From the results, the study recommends that the enrollment and uptake of the NHIF can be enhanced if more residents acquire a higher level of education. Accessibility of the cover is enhanced and could increase coverage within the county. There is also need to increase awareness with more campaigns and marketing through various means that are appealing to the locals who are dispersed and pastoralists in nature. | |
| dc.description.sponsorship | Kenyatta University | |
| dc.identifier.uri | https://ir-library.ku.ac.ke/handle/123456789/28619 | |
| dc.language.iso | en | |
| dc.publisher | Kenyatta University | |
| dc.title | Drivers of Uptake of National Hospital Insurance Fund in Kajiado County, Kenya | |
| dc.type | Thesis |