Community awareness and preferences on health financing options: The case of Songea rural district, Tanzania

Hussein, Asia; Mlangwa, M.N.; Hussein, Kassim

doi:10.4314/eajph.v2i2.38959

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…If all factors are held constant, patients who were not aware of the existing schemes were 99% less likely to take up health insurance compared to those who knew about health insurance schemes operating in the study area. This mirrors the findings of studies conducted in Tanzania, Ethiopia and Ghana which reported that awareness of scheme existence was a significant determinant of scheme utilization [ 24 – 26 ]. It is thus crucial that clear messages on health insurance be delivered to patients with diabetes or hypertension possibly through home visits, mass media and awareness campaigns by scheme staff, scheme members and trusted community leaders.…”

Section: Discussionsupporting

confidence: 85%

Utilization of health insurance by patients with diabetes or hypertension in urban hospitals in Mbarara, Uganda

Kangwagye

Bright

Atukunda

et al. 2023

PLOS Glob Public Health

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Background Diabetes and hypertension are among the leading contributors to global mortality and require life-long medical care. However, many patients cannot access quality healthcare due to high out-of-pocket expenditures, thus health insurance would help provide relief. This paper examines factors associated with utilization of health insurance by patients with diabetes or hypertension at two urban hospitals in Mbarara, southwestern Uganda. Methods We used a cross-sectional survey design to collect data from patients with diabetes or hypertension attending two hospitals located in Mbarara. Logistic regression models were used to examine associations between demographic factors, socio-economic factors and awareness of scheme existence and health insurance utilization. Results We enrolled 370 participants, 235 (63.5%) females and 135 (36.5%) males, with diabetes or hypertension. Patients who were not members of a microfinance scheme were 76% less likely to enrol in a health insurance scheme (OR = 0.34, 95% CI: 0.15–0.78, p = 0.011). Patients diagnosed with diabetes/hypertension 5–9 years ago were more likely to enrol in a health insurance scheme (OR = 2.99, 95% CI: 1.14–7.87, p = 0.026) compared to those diagnosed 0–4 years ago. Patients who were not aware of the existing schemes in their areas were 99% less likely to take up health insurance (OR = 0.01, 95% CI: 0.0–0.02, p < 0.001) compared to those who knew about health insurance schemes operating in the study area. Majority of respondents expressed willingness to join the proposed national health insurance scheme although concerns were raised about high premiums and misuse of funds which may negatively impact decisions to enrol. Conclusion Belonging to a microfinance scheme positively influences enrolment by patients with diabetes or hypertension in a health insurance program. Although a small proportion is currently enrolled in health insurance, the vast majority expressed willingness to enrol in the proposed national health insurance scheme. Microfinance schemes could be used as an entry point for health insurance programs for patients in these settings.

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Section: Discussionsupporting

confidence: 85%

Utilization of health insurance by patients with diabetes or hypertension in urban hospitals in Mbarara, Uganda

Kangwagye

Bright

Atukunda

et al. 2023

PLOS Glob Public Health

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“…Over one third of under-five mortality is caused by malnutrition related to inappropriate complementary feeding. Initiate safe and nutritionally adequate complementary foods at 6 months is crucial to achieve optimal growth, development and health [2]. An appropriate diet is a critical component for proper growth and development of children [3].…”

Section: Introductionmentioning

confidence: 99%

Determinants and Current Level of Optimal Complementary Feeding Practices among Lactating Mothers of Children in Ambo Town, Oromia, Ethiopia

Haile¹,

Assefa²

2020

Food Proc Nutr Sci

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An appropriate diet is critical in the growth and development of children especially in the first two years of life. Poor complementary feeding of children aged 6 months - 23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Therefore, this study aimed to assess determinants and current level of optimal complementary feeding practices among mothers of children aged 6 months to 23 months in Ambo town, Oromia Region. The study used cross sectional study design and targeted 336 mothers with children 6 months - 23 months olds. Information from the respondents were collected using standard questionnaire. Data entry and analysis was done using SPSS version 21.0 windows statistical software. All (100%) the children 6 months - 8 months old had received solid, semi-solid/soft foods. The minimum meal frequency was attained by 88.3% (95% CI 84.3-91.4) whereas the minimum dietary diversity was attained by 17.9% (95% CI 14.1-22.5). The minimum acceptable diet was attained by 15.4% (95% CI 11.9-19.8). Maternal knowledge on: importance of breastfeeding (87.3%); age of introduction of complementary foods (85.4%) and correct meal frequency for age (74.5%) was high. On the contrary, knowledge on the importance of enriching complementary foods (34.5%) was low. Mothers who knew the importance of a diverse diet were likely (chi-square test; p=0.001) to feed their children on a diverse diet. On the other hand, mothers who knew the importance of enriching complementary foods were likely to feed their children on a minimum acceptable diet (chi-square test; p = 0.007) and maternal knowledge on enriching complementary foods (OR = 3.41, p = 0.040) were significant predictors of consumption of Vitamin A rich foods, minimum meal frequency and minimum acceptable diet, respectively. Behaviour change and communication involving all the stakeholders in infant and young child feeding should be emphasized. Messages on appropriate feeding practices should include importance of dietary diversity

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Community awareness and preferences on health financing options: The case of Songea rural district, Tanzania

Cited by 2 publications

References 3 publications

Utilization of health insurance by patients with diabetes or hypertension in urban hospitals in Mbarara, Uganda

Utilization of health insurance by patients with diabetes or hypertension in urban hospitals in Mbarara, Uganda

Determinants and Current Level of Optimal Complementary Feeding Practices among Lactating Mothers of Children in Ambo Town, Oromia, Ethiopia

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