Willingness to Pay for Social Health Insurance among Public Service Pensioners in Addis Ababa,2020.
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Date
2020-12
Authors
Journal Title
Journal ISSN
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Publisher
Addis Abeba University
Abstract
Background: In many developing countries, health funding is marked by high levels of out-ofpocket
spending
on
severe
diseases,
leading
to
potentially
catastrophic
health
care
expenditures
for
its
people.
Ageing and the rising burden of non-communicable diseases are key challenges for lowincome
countries
in
particular
because
of
their
effect
on
the
economy
and
on
measures
of
growth
and
competitiveness.
In order to achieve universal health care coverage, cost-sharing between
beneficiaries and governments through offering financial security and pooling funds to enable crosssubsidization
between
the
rich
and
the
poor
and
between
the
healthy
and
the
sick
is
essential.
In
order
to
this, Ethiopia is presently launching social health insurance, but implementation has been
postponed due to insufficient awareness of the recipient's demand and ability to join the newly
proposed insurance scheme. This study aimed to assess the willingness to pay for SHI among in
public service pensioners in Addis Ababa.
Methods: An institutional based quantitative cross-sectional study was conducted to determine
willingness to pay for social health insurance and associated factors among public service pensioners,
who are living in Addis Ababa and take monthly pension salary at Ethiopian postal service enterprise.
A sample was allocated to each cashier payroll list of pensioners and a respondent was selected by
systematic sampling method in every k
th
interval. Structured interviewer administered questionnaire
was used to collect data. Data was entered in to Epi-data manager and analyzed by using SPSS
version 20 statistical software. Descriptive statistics, bivariate and Multivariate logistic regression
analysis was applied.
Result: 398 participants participated in this study. Out of the total sample 307(77.1%) will join the
new stated social health insurance and 91 (22.9%) are not. The participants' monthly income, number
of dependent family members in the household, history of chronic illness in the family, hearing about
health insurance and believe health insurance is beneficial are founded to be significantly associated
with WTP for SHI.
Conclusion: The prevalence in this study is higher because of the study participants are not actively
working at the time with their age and they are facing different chronic illness. Therefore; the
government should be implement social health program for formal sectors parallel to CBHI and
creating awareness and education about the benefits of health insurance is essential.
Description
Keywords
Social health insurance, public service pensioners