Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest Ethiopia
Atalele Setegn,1 Gashaw Andargie,2 Getasew Amare,2 Ayal Debie2 1University of Gondar Comprehensive and Specialized Referral Hospital, University of Gondar, Gondar, Ethiopia; 2Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of G...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-03-01
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| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/willingness-to-pay-for-social-health-insurance-among-teachers-at-gover-peer-reviewed-article-RMHP |
| _version_ | 1818870992482598912 |
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| author | Setegn A Andargie G Amare G Debie A |
| author_facet | Setegn A Andargie G Amare G Debie A |
| author_sort | Setegn A |
| collection | DOAJ |
| description | Atalele Setegn,1 Gashaw Andargie,2 Getasew Amare,2 Ayal Debie2 1University of Gondar Comprehensive and Specialized Referral Hospital, University of Gondar, Gondar, Ethiopia; 2Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Ayal DebieUniversity of Gondar, P.O. Box: 196, Gondar, EthiopiaEmail debieayal@gmail.comBackground: Globally, about 1.3 billion people lack access to effective and affordable healthcare and 150 million people in 44 million households face financial catastrophe. Health insurance schemes are an effective financing mechanism to help people who are unable to use healthcare services. However, the government employee’s Willingness to Pay (WTP) for the proposed premium for health insurance were not well investigated.Methods: A facility-based cross-sectional study was conducted from April to May, 2018 among teachers at governmental schools of Gondar town. The participants were selected using a simple random sampling technique using their payroll list as a sampling frame. Data were cleaned, coded, and entered into EPI-INFO version 7 software and exported to SPSS version 20 for analysis. A P-value less than 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were used to identify variables significantly associated with the outcome variable.Results: Overall, 62.0% of teachers were willing to pay 3% or more of their monthly salary for SHI. In this study, teachers whose monthly salary was more than US$215.6 (AOR=2.12; 95% CI=1.07– 4.17), first degree (AOR=4.44; 95% CI=2.89– 6.83), masters (AOR=4.91; 95% CI=1.14– 11.09), history of illness in the past 6 months (AOR=2.13; 95% CI=1.37– 3.31), not facing difficulty covering medical bills (AOR=0.49; 95% CI=0.35– 0.84), heard about SHI (AOR=1.73, 95% CI=1.09– 2.73), and favorable attitude towards SHI (AOR=1.82; 95% CI=1.22– 2.72) were significantly associated with WTP for the proposed price of the scheme.Conclusion: The majority of teachers were WTP the proposed amount of premium for the scheme. Factors such as level of education, monthly salary, attitudes, difficulty of covering medical bills, information, and history of illness were significantly associated with WTP for SHI. Therefore, awareness creation (sensitization activities) about SHI and increasing the educational status of the participant could improve WTP.Keywords: willingness to pay, social health insurance, teachers, Gondar town, Ethiopia |
| first_indexed | 2024-12-19T12:15:50Z |
| format | Article |
| id | doaj.art-91486c0cc9184640946be94fd935c62f |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-12-19T12:15:50Z |
| publishDate | 2021-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-91486c0cc9184640946be94fd935c62f2022-12-21T20:21:58ZengDove Medical PressRisk Management and Healthcare Policy1179-15942021-03-01Volume 1486186862656Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest EthiopiaSetegn AAndargie GAmare GDebie AAtalele Setegn,1 Gashaw Andargie,2 Getasew Amare,2 Ayal Debie2 1University of Gondar Comprehensive and Specialized Referral Hospital, University of Gondar, Gondar, Ethiopia; 2Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Ayal DebieUniversity of Gondar, P.O. Box: 196, Gondar, EthiopiaEmail debieayal@gmail.comBackground: Globally, about 1.3 billion people lack access to effective and affordable healthcare and 150 million people in 44 million households face financial catastrophe. Health insurance schemes are an effective financing mechanism to help people who are unable to use healthcare services. However, the government employee’s Willingness to Pay (WTP) for the proposed premium for health insurance were not well investigated.Methods: A facility-based cross-sectional study was conducted from April to May, 2018 among teachers at governmental schools of Gondar town. The participants were selected using a simple random sampling technique using their payroll list as a sampling frame. Data were cleaned, coded, and entered into EPI-INFO version 7 software and exported to SPSS version 20 for analysis. A P-value less than 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were used to identify variables significantly associated with the outcome variable.Results: Overall, 62.0% of teachers were willing to pay 3% or more of their monthly salary for SHI. In this study, teachers whose monthly salary was more than US$215.6 (AOR=2.12; 95% CI=1.07– 4.17), first degree (AOR=4.44; 95% CI=2.89– 6.83), masters (AOR=4.91; 95% CI=1.14– 11.09), history of illness in the past 6 months (AOR=2.13; 95% CI=1.37– 3.31), not facing difficulty covering medical bills (AOR=0.49; 95% CI=0.35– 0.84), heard about SHI (AOR=1.73, 95% CI=1.09– 2.73), and favorable attitude towards SHI (AOR=1.82; 95% CI=1.22– 2.72) were significantly associated with WTP for the proposed price of the scheme.Conclusion: The majority of teachers were WTP the proposed amount of premium for the scheme. Factors such as level of education, monthly salary, attitudes, difficulty of covering medical bills, information, and history of illness were significantly associated with WTP for SHI. Therefore, awareness creation (sensitization activities) about SHI and increasing the educational status of the participant could improve WTP.Keywords: willingness to pay, social health insurance, teachers, Gondar town, Ethiopiahttps://www.dovepress.com/willingness-to-pay-for-social-health-insurance-among-teachers-at-gover-peer-reviewed-article-RMHPwillingness to paysocial health insuranceteachersgondar townethiopia |
| spellingShingle | Setegn A Andargie G Amare G Debie A Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest Ethiopia Risk Management and Healthcare Policy willingness to pay social health insurance teachers gondar town ethiopia |
| title | Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest Ethiopia |
| title_full | Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest Ethiopia |
| title_fullStr | Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest Ethiopia |
| title_full_unstemmed | Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest Ethiopia |
| title_short | Willingness to Pay for Social Health Insurance Among Teachers at Governmental Schools in Gondar Town, Northwest Ethiopia |
| title_sort | willingness to pay for social health insurance among teachers at governmental schools in gondar town northwest ethiopia |
| topic | willingness to pay social health insurance teachers gondar town ethiopia |
| url | https://www.dovepress.com/willingness-to-pay-for-social-health-insurance-among-teachers-at-gover-peer-reviewed-article-RMHP |
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