|
|
| |
| Factors affecting enrollment into Community Based Health Insurance scheme among indigenous Batwa in households bordering Bwindi Impenetrable National Park
Download PDF
|
Nahabwe Haven, Andrew E. Dobson, Birungi Mutahunga R, Asaph Owamukamaeli and Mugarura Evatt
|
Abstract:
Millions of individuals globally suffer and succumb to health-related issues due to financial constraints hindering access to healthcare services. Community-based health insurance (CBHI) initiatives aim to alleviate these barriers, particularly among impoverished populations, yet enrollment rates remain suboptimal. This study investigates the determinants of enrollment into a CBHI scheme among the indigenous Batwa community residing near the Bwindi Impenetrable National Park. Utilizing a cross-sectional quantitative approach with simple random sampling, data were collected via semi-structured questionnaires and analyzed using STATA-12. Sample size calculation employed the Kish Leslie formula. Associations between enrollment factors were assessed using Chi-Square and Fisher's exact tests, with odds ratios and p-values presented in tabular format. Significant variables underwent multivariable logistic regression analysis, with an alpha level set at P < 0.05. Among the 100 respondents interviewed, 90% reported previous CBHI membership, with 64% currently insured. Factors significantly associated with CBHI enrollment included the household's ability to access healthcare services at the nearest CBHI facility (adjusted odds ratio [aOR]=21.9, p=0.007), the inability of household heads to articulate the CBHI membership process (aOR=9.6, p=0.001), and lack of awareness regarding the frequency of CBHI premium payments (aOR=6.3, p=0.04). Conversely, socio-demographic variables exhibited no significant association with CBHI enrollment. This study sheds light on the enrollment determinants within rural communities, particularly among marginalized populations such as the Batwa. It underscores the pivotal role of healthcare service availability and robust sensitization efforts in fostering the successful implementation of CBHI initiatives within Uganda's national health insurance scheme.
|
|
|
| | |