Determinants of enrolment in health insurance scheme among HIV patients attending a clinic in a tertiary hospital in South-eastern Nigeria.

Autor: Alo CN; Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi State Nigeria.; Department of Community Medicine, Ebonyi State University, Abakaliki, Nigeria., Akamike IC; Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi State Nigeria., Okedo-Alex IN; Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi State Nigeria., Nwonwu EU; Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital Abakaliki Ebonyi State Nigeria.; Department of Community Medicine, Ebonyi State University, Abakaliki, Nigeria.
Jazyk: angličtina
Zdroj: Ghana medical journal [Ghana Med J] 2023 Jan; Vol. 57 (1), pp. 13-18.
DOI: 10.4314/gmj.v57i1.3
Abstrakt: Objective: The study aimed to assess the determinants of enrolment in health insurance schemes among people living with HIV.
Design: The study was a cross-sectional study. A pre-tested interviewer-administered questionnaire was used to collect information from 371 HIV clients attending the clinic. Chi-square statistic was used for bi-variate analysis, and analytical decisions were considered significant at a p-value less than 0.05. Logistic regression was done to determine predictors of enrolment in health insurance.
Setting: The study was carried out in the HIV clinic of Alex Ekwueme Federal University Teaching Hospital Abakaliki, Nigeria.
Participants: HIV clients attending a clinic.
Result: Mean age of respondents was 45.4±10.3, and 51.8% were males. Almost all the respondents were Christians. Only 47.7% were married, and most lived in the urban area. Over 70% had at least secondary education, and only 34.5% were civil servants. About 60% of the respondents were enrolled in a health insurance scheme. Being single (AOR: 0.374, CI:0.204-0.688), being self-employed (AOR: 4.088, CI: 2.315-7.217), having a smaller family size (AOR: 0.124, CI: 0.067-0.228), and having the higher income (AOR: 4.142, CI: 2.07-8.286) were predictors of enrolment in a health insurance scheme.
Conclusion: The study has shown that enrolment in a health insurance scheme is high among PLHIV, and being single, self-employed, having a smaller family size, and having a higher monthly income are predictors of enrolment in the health insurance scheme. Increasing the number of dependants that can be enrolled so that larger families can be motivated to enrol in health insurance is recommended.
Funding: None declared.
Competing Interests: Conflict of interest: None declared
(Copyright © The Author(s).)
Databáze: MEDLINE
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