BACKGROUND: Healthcare costs and poverty are significant barriers to achieving universal access to healthcare. Thus, Community-Based Health Insurance Schemes (CBHIS) are regarded as an influential instrument for providing access to healthcare. For this purpose, this study was carried out in order to assess the community’s Willingness to Pay (WTP) for CBHIS and its determinants among the residents of Lahore City.METHODS: A cross-sectional study was adopted during the period of May 2018 to August 2018 to conduct a standardized questionnaire survey among targeted population of Lahore. A total of 250 households from lower, middle and upper-middle-class areas were approached randomly from which 200 participated in the survey, rendering a response rate of 90.9%. Sample size was determined by using single population proportion formula assuming 5% margin of error and 95% Confidence Interval (CI). Moreover, multiple regression analysis, Pearson’s correlation and t-test were employed to determine relationships between different variables affecting WTP.RESULTS: Sixty-four percent of the respondents were willing to pay for CBHIS. Among the remaining thirty-six% of unwilling the community, income level (p< 0.05, CI=0.34 to 1.11) and education level (p< 0.05, CI=0.52-1.37) were significant predictors of WTP. Moreover, strong positive relation (p<0.05) between people’s awareness and WTP for CBHIS was witnessed. The findings further suggested that the larger population of the willing community was not willing to pay more than 5000 Rs annually.CONCLUSION: Henceawareness level of the community regarding the benefits of CBHIS is a major hindrance. The key policy priority is to increase the community’s awareness regarding the benefits of CBHIS and to increase willingness to pay rate among public.
This study was carried out to provide a novel solution to treat drinking water at household levels, specifically removing arsenic (As) and faecal coliforms (microbes). In the current investigation, a synergistic iron-loaded zeolites and ozonation process (O3/Fe-ZA) was used for the first time in a modified batch reactor to remove coliform bacteria and arsenic in tap water. Moreover, the study utilizes the human health risk assessment model to confirm the health risk due to As intake in drinking water. The risk assessment study revealed a health risk threat among the residents suffering from the adverse effects of As through its intake in drinking water. Furthermore, the results also suggested that the O3/Fe-ZA process significantly removes faecal coliforms and As, when compared with single ozonation processes. Additionally, the ozone dose 0.2 mg/min and Fe-ZA dose of 10 g (in the O3/Fe-ZA process) gives the maximum removal efficiency of 100% within 15 min for faecal coliform removal. In 30 min, the removal efficiency of 88.4% was achieved at the ozone dose of 0.5 mg/min and 93% removal efficiency was achieved using 10 g Fe-ZA for the removal of As in the O3/Fe-ZA process. Hence, it was concluded that the O3/Fe-ZA process may be regarded as an effective method for removing faecal coliforms and As from drinking water compared to the single ozonation processes.
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