Conference abstract
Effect of education intervention on perception of financial health risk protection, health insurance for all and willingness to enroll among rural communities of north western Tanzania: a cluster randomized controlled trial
Pan African Medical Journal - Conference Proceedings. 2024:21(26).29
Apr 2024.
doi: 10.11604/pamj-cp.2024.21.26.2357
Archived on: 29 Apr 2024
Contact the corresponding author
Keywords: Financial health risk protection, catastrophic health spending, out of pocket payments and health insurance for all
Oral presentation
Effect of education intervention on perception of financial health risk protection, health insurance for all and willingness to enroll among rural communities of north western Tanzania: a cluster randomized controlled trial
Victoria Odemary Lyimo1,2,&, Clement Sobe Morabu3, James Tumaini Kengia1,3, Nyasiro S. Gibore1, Leonard Katalambula1
1School of nursing and public health, The University of Dodoma, Dodoma Tanzania, 2Ministy of Health, Community Development, Gender, Elderly and Children, Sekou Toure Regional Referral Hospital, Mwanza, Tanzania, 3Presidents Office Regional Administration and Local Government (PORALG), Dodoma Tanzania
&Corresponding author
Introduction: Tanzania has committed to attain universal health coverage by introducing health insurance for all. To achieve the mission education on health insurance is required to change community perception and increase enrollments. This study aimed to determine the effect of financial health risk protection education on perception and willingness to enroll in health insurance for all-in low-income communities.
Methods: the study was a cluster-randomized controlled trial of 560 household heads who were randomly assigned in control or intervention group, with 280 participants in each group. The intervention group received education on financial health risk protection and health insurance for all. Baseline and follow-up surveys included measures of perception and willingness to enroll in health insurance. Data were collected by a structured questionnaire. Generalized linear model was used to measure the effect of the intervention.
Results: positive perception on financial health risk protection increased in the intervention group from baseline (β=1.0, 95%CI: 0.54,1.47, p=0.06) to endline (β=3.3, 95%CI: 2.59,4.14 p<0.0001). However, there was a non-significant effect on health insurance for all perception in the intervention group from baseline (β=-1.6, 95%CI: 1.12-2.15 p=<0.0001) to endline (β=0.03, 95%CI: 0.53-0.59 p=0.9). Willingness to enroll in health insurance in the intervention group increased from baseline (β= 0.32, 95%CI: 0.07, 0.87, p=0.07) to endline (β=2.4, 95%CI: 0.68, 3.19, p<0.0001).
Conclusion: more education interventions on health insurance are required to increase enrollment in the scheme.
Effect of education intervention on perception of financial health risk protection, health insurance for all and willingness to enroll among rural communities of north western Tanzania: a cluster randomized controlled trial
Victoria Odemary Lyimo1,2,&, Clement Sobe Morabu3, James Tumaini Kengia1,3, Nyasiro S. Gibore1, Leonard Katalambula1
1School of nursing and public health, The University of Dodoma, Dodoma Tanzania, 2Ministy of Health, Community Development, Gender, Elderly and Children, Sekou Toure Regional Referral Hospital, Mwanza, Tanzania, 3Presidents Office Regional Administration and Local Government (PORALG), Dodoma Tanzania
&Corresponding author
Introduction: Tanzania has committed to attain universal health coverage by introducing health insurance for all. To achieve the mission education on health insurance is required to change community perception and increase enrollments. This study aimed to determine the effect of financial health risk protection education on perception and willingness to enroll in health insurance for all-in low-income communities.
Methods: the study was a cluster-randomized controlled trial of 560 household heads who were randomly assigned in control or intervention group, with 280 participants in each group. The intervention group received education on financial health risk protection and health insurance for all. Baseline and follow-up surveys included measures of perception and willingness to enroll in health insurance. Data were collected by a structured questionnaire. Generalized linear model was used to measure the effect of the intervention.
Results: positive perception on financial health risk protection increased in the intervention group from baseline (β=1.0, 95%CI: 0.54,1.47, p=0.06) to endline (β=3.3, 95%CI: 2.59,4.14 p<0.0001). However, there was a non-significant effect on health insurance for all perception in the intervention group from baseline (β=-1.6, 95%CI: 1.12-2.15 p=<0.0001) to endline (β=0.03, 95%CI: 0.53-0.59 p=0.9). Willingness to enroll in health insurance in the intervention group increased from baseline (β= 0.32, 95%CI: 0.07, 0.87, p=0.07) to endline (β=2.4, 95%CI: 0.68, 3.19, p<0.0001).
Conclusion: more education interventions on health insurance are required to increase enrollment in the scheme.
