Universal coverage challenges: Determinants of enrolment in family-based social health insurance

Abstract

ABSTRACT Background: With the aim of achieving universal coverage, the Family-based health insurance was introduced for informal sector workers and their families in Vietnam in 2015. Objective: The objective of the study is to identify the factors influencing enrolment in Family-based health insurance. Methods: Data were collected from a cross-sectional in-house survey in Soc Son district from April to June 2016. A total of 469 household heads were interviewed with information on 2,071 residents. A logistic regression model was used to estimate the probability of uptake in Family-based health insurance in relation to socio-economic factors. Results: The results indicate a low coverage of Family-based health insurance schemes (16.6%) compared with relatively high rates of willingness to join (71.9%). The significant influential factors were: knowledge of health insurance; historical use of health services; and place of residence. Conclusion: To increase the Family-based health insurance enrolment it is necessary of strengthening communication and education about health insurance scheme at the local level and improvement of the quality of primary health care.