Illness Mapping: a time and cost effective method to estimate healthcare data needed to establish community-based health insurance

Binnendijk, Erika; Gautham, Meenakshi; Koren, Ruth; Dror, David M.

doi:10.1186/1471-2288-12-153

Cited by 5 publications

(7 citation statements)

References 22 publications

(45 reference statements)

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“… 10 In developing countries including Ethiopia, the payment mechanism for the healthcare cost is Out-Of-Pocket (OOP) mainly paid at the time of sickness or point of service delivery which could inhibit healthcare access and lead to impoverishment. 13 …”

Section: Introductionmentioning

confidence: 99%

Willingness to Pay for Childhood Malaria Vaccine Among Caregivers of Under-Five Children in Northwest Ethiopia

Wagnew¹,

Hagos²,

Weldegerima³

et al. 2021

CEOR

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Background: Malaria, a protozoan disease caused by the genus Plasmodium, is responsible for serious illnesses and death across the world. RTS, S/AS01 (Mosquirix™) is a recombinant protein-based malaria vaccine valuable for the prevention and control of the disease. However, studies done so far on the willingness to pay (WTP) malaria vaccine have been inadequate to inform policy-makers. Methods: A community-based cross-sectional study was conducted to assess the WTP for childhood malaria vaccine and associated factors among caregivers of under-five children from February to April 2019 in West Dembia district. A multistage stratified systematic sampling technique was used, and the contingent valuation method was used to estimate caregivers' willingness to pay for the vaccine. AOR with 95% CI and less than 0.05 p-values were used to declare factors associated with WTP. Results: Overall, 60.6% (95% CI: 56.60, 64.40%) of caregivers of under-five children were WTP for the childhood malaria vaccine at a price of US$ 23.11 per full doses. Urban residence (AOR=1.78, 95% CI: 1.04, 3.04), educational status (AOR=3.27; 95% CI: 1.07, 9.94) and vaccination experience for children (AOR= 2.12; 95% CI: 1.29, 3.48) were positively associated with the WTP. WTP for the vaccine was higher among rich households (AOR=3.15; 95% CI: 1.90, 5.22), caregivers who had the previous history of malaria attack (AOR=2.62; 95% CI: 1.68, 4.08), households with fewer members (AOR=1.59; 95% CI: 1.06, 2.40), and families more knowledgeable about malaria prevention and control (AOR=3.56; 95% CI: 1.83, 6.93) compared with their counterparts. Conclusion: The majority of the participants were WTP for the childhood malaria vaccine. A significant rise in willingness to purchase was observed at price below the profile price. Thus, it is of great value to policy-makers to understand the price sensitivity before setting the price of the vaccine.

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Section: Introductionmentioning

confidence: 99%

Willingness to Pay for Childhood Malaria Vaccine Among Caregivers of Under-Five Children in Northwest Ethiopia

Wagnew¹,

Hagos²,

Weldegerima³

et al. 2021

CEOR

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“…In most developing countries, healthcare cost is mainly paid at the time of sickness and out-of-pocket (OOP) at the point of service delivery which potentially could inhibit access [1]. The share of health expenditure to households’ income is also considered significant.…”

Section: Introductionmentioning

confidence: 99%

Determinants of community-based health insurance implementation in west Gojjam zone, Northwest Ethiopia: a community based cross sectional study design

Mirach

Demissie

Biks

2019

BMC Health Serv Res

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Background In most developing countries, healthcare cost is mainly paid at the time of sickness and out-of-pocket at the point of service delivery which potentially could inhibit access . The total economic cost of illness for households is also estimated to be frequently above 10% of household income which is categorized as catastrophic. The purpose of this study was to assess factors that determine decisions to join the community based health insurance in West Gojjam zone. Methods A community based cross sectional survey was conducted to collect data from 690 household heads using a multistage sampling technique. A binary logistic regression was used to identify the determinants of household decisions for CBHI enrollment. Results Out of the participants, 58% were CBHI members. Besides, family size (AOR = 1.17; CI = 1.02–1.35), average health status (AOR = .380; CI = .179–.805), chronic disease (AOR = 3.42; CI = 1.89–6.19); scheme benefit package adequacy (AOR = 2.17; CI = 1.20–3.93), perceived health service quality (AOR = 3.69; CI = 1.77–7.69), CBHI awareness (AOR = 4.90; CI = 1.65–14.4); community solidarity (AOR = 3.77; CI = 2.05–6.92) and wealth (AOR = 3.62; CI = 1.67–7.83) were significant determinant factors for enrolment in the community based health insurance scheme. Conclusion CBHI awareness, family health status, community solidarity, quality of service of health institutions, and wealth were major factors that most determine the household decisions to enroll in the system. Therefore, in-depth and sustainable awareness creation programs on the scheme; stratified premium- based on economic status of households; incorporation of social capital factors, particularly building community solidarity in the scheme implementation are vital to enhance sustainable enrollment. As perceived family health status and the existence of chronic disease were also found significant determinants of enrollment, the Government might have to look for options to make the scheme mandatory.

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“…This process is repeated until stability of opinion is reached. The nominal group technique (NGT) is similar to Delphi, however, there is direct interaction between NGT group members to discuss or clarify ideas, removing the advantage of anonymous interaction provided by Delphi (Binnendijk, Gautham, Koren, & Dror, 2012 ). The four key components that define a process as the Delphi method are anonymity, iteration, controlled feedback, and aggregation of group response (Skulmoski et al, 2007 ).…”

Section: Introductionmentioning

confidence: 99%

Gadamerian philosophical hermeneutics as a useful methodological framework for the Delphi technique

Guzys

Dickson‐Swift

Kenny

et al. 2015

International Journal of Qualitative Studies on Health and Well

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In this article we aim to demonstrate how Gadamerian philosophical hermeneutics may provide a sound methodological framework for researchers using the Delphi Technique (Delphi) in studies exploring health and well-being. Reporting of the use of Delphi in health and well-being research is increasing, but less attention has been given to covering its methodological underpinnings. In Delphi, a structured anonymous conversation between participants is facilitated, via an iterative survey process. Participants are specifically selected for their knowledge and experience with the topic of interest. The purpose of structuring conversation in this manner is to cultivate collective opinion and highlight areas of disagreement, using a process that minimizes the influence of group dynamics. The underlying premise is that the opinion of a collective is more useful than that of an individual. In designing our study into health literacy, Delphi aligned well with our research focus and would enable us to capture collective views. However, we were interested in the methodology that would inform our study. As researchers, we believe that methodology provides the framework and principles for a study and is integral to research integrity. In assessing the suitability of Delphi for our research purpose, we found little information about underpinning methodology. The absence of a universally recognized or consistent methodology associated with Delphi was highlighted through a scoping review we undertook to assist us in our methodological thinking. This led us to consider alternative methodologies, which might be congruent with the key principles of Delphi. We identified Gadamerian philosophical hermeneutics as a methodology that could provide a supportive framework and principles. We suggest that this methodology may be useful in health and well-being studies utilizing the Delphi method.

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Illness Mapping: a time and cost effective method to estimate healthcare data needed to establish community-based health insurance

Cited by 5 publications

References 22 publications

Willingness to Pay for Childhood Malaria Vaccine Among Caregivers of Under-Five Children in Northwest Ethiopia

Willingness to Pay for Childhood Malaria Vaccine Among Caregivers of Under-Five Children in Northwest Ethiopia

Determinants of community-based health insurance implementation in west Gojjam zone, Northwest Ethiopia: a community based cross sectional study design

Gadamerian philosophical hermeneutics as a useful methodological framework for the Delphi technique

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