Extending social health insurance to the informal sector in Kenya. An assessment of factors affecting demand
Extending social health insurance to the informal sector in Kenya. An assessment of factors affecting demand
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DOI：
10.1002/hpm.914
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发表时间：
2008-01-01
影响因子：
2.7
通讯作者：
Wenyaa, Maurice
中科院分区：
文献类型：
--
作者：
Mathauer, Inke;Schmidt, Jean-Olivier;Wenyaa, Maurice
本文有助于分析和理解的需求（社会）健康保险的非正规部门的工人在肯尼亚评估他们的看法和知识和关注的健康保险和肯尼亚国家医院保险基金（NHIF）。为了收集数据，与全国各地不同类型的非正规部门工人的有组织团体举行了焦点小组讨论，并由NHIF地区分支办事处负责人填写了一份自填问卷。研究发现，NHIF入学的最关键障碍是非正规部门工人对NHIF缺乏了解，非正规部门工人的入学选择和程序。对于某些人来说，无力支付是一个关键因素，但人们原则上对健康保险感兴趣，因此愿意支付。总之，参加NHIF的需求方决定因素的组合并不像预期的那样复杂。这是一个好消息，因为这些需求方面的决定因素可以通过精心设计的战略来解决，重点是提高认识和信息，改进保险设计特点，并制定有区别的和负担得起的缴款率。版权所有（C）2007约翰威利父子有限公司
This paper contributes to analysing and understanding the demand for (social) health insurance of informal sector workers in Kenya by assessing their perceptions and knowledge of and concerns regarding health insurance and the Kenyan National Hospital Insurance Fund (NHIF). It serves to explore how informal sector workers could be integrated into the NHIF.To collect data, focus group discussions were held with organized groups of informal sector workers of different types across the country, backed up by a self-administered questionnaire completed by heads of NHIF area branch offices.It was found that the most critical barrier to NHIF enrolment is the lack of knowledge of informal sector workers about the NHIF, its enrolment option and procedures for informal sector workers. Inability to pay is a critical factor for some, but people were, in principle, interested in health insurance, and thus willing to pay for it.In sum, the mix of demand-side determinants for enrolling in the NHIF is not as complex as expected. This is good news, as these demand-side determinants can be addressed with a well-designed strategy, focusing on awareness raising and information, improvement of insurance design features and setting differentiated and affordable contribution rates. Copyright (C) 2007 John Wiley & Sons, Ltd.