Abstract

Background: Community-Based Health Insurance scheme (CBHI) can guarantee access to quality healthcare services and increase universal health coverage. Enrolments for this scheme in Nigeria is however low. This study sought to assess the awareness and willingness of households in Rivers State to participate in CBHI. Methodology: This is a cross-sectional descriptive study done in Rivers State, Nigeria. A total of 332 heads of households recruited through multistage sampling and gave written informed consent were interviewed using a pretested interviewer-administered questionnaire. Participants gave information on their socio-demography, awareness and willingness to participate in CBHI and reasons for unwilling to participate. Data were analyzed using IBM SPSS Statistics 22 and results were presented in frequency tables. Chi-square test was done at P< 0.05.

Highlights

  • In Nigeria and other countries in Africa, the informal sector constitutes the majority population. 14 life expectancy at birth has improved globally, disparity still exists between the highincome countries on one side and the low- andThese reside in rural settings where healthcare service is of low quality and access poor with attendant adverse consequences on their health, dignity and medium-income countries (LMIC) on the other side. ability to earn income.[6,15] Health insurance systems thatThese improvements in life expectancy at birth has been provides financial protection from catastrophic attributed inter alia to improvements in standard of healthcare needs of this sector is community-based living, health care services delivery and its access.[1]

  • Associated with the willingness to participate in CBHI were awareness (P = 0.037), the number of living children (P = 0.025), partner’s level of education (P = 0.041) and experience of catastrophic health introduced social health insurance programs aimed at ensuring access to healthcare when needed without unduly exposing individuals and families to financial hardship or impoverishment

  • Nigeria; more than half (57.0%) had spent on the Health Insurance is low in Rivers State, knowledge of average N10,000.00 on healthcare expenses in the last CBHI is high among those with awareness

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Summary

Introduction

In Nigeria and other countries in Africa, the informal sector constitutes the majority population. 14 life expectancy at birth has improved globally, disparity still exists between the highincome countries on one side and the low- andThese reside in rural settings where healthcare service is of low quality and access poor with attendant adverse consequences on their health, dignity and medium-income countries (LMIC) on the other side. ability to earn income.[6,15] Health insurance systems thatThese improvements in life expectancy at birth has been provides financial protection from catastrophic attributed inter alia to improvements in standard of healthcare needs of this sector is community-based living, health care services delivery and its access.[1]. Life expectancy at birth has improved globally, disparity still exists between the highincome countries on one side and the low- and These reside in rural settings where healthcare service is of low quality and access poor with attendant adverse consequences on their health, dignity and medium-income countries (LMIC) on the other side.

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