Browsing by Author "Turyamureba, Medard"

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    Determinants of Demand for Private Health Insurance in Uganda
    (African Journal of Economic Review, 2022) Turyamureba, Medard; Yawe, Bruno L.; Oryema, John Bosco
    Health insurance coverage in Uganda is still very low, with only five percent of the individuals covered by any form of health insurance. This study examines the factors that influence demand for private health insurance in Uganda using the 2016 Uganda Demographic Health Survey data. A logistic regression model was employed to identify the determinants of demand for voluntary health insurance in Uganda. The results showed that wealth index, level of education, age of the individual, marital status, residence, and access to information were significant factors affecting uptake of health insurance in Uganda. Individuals from well off households were more likely to have a health insurance cover compared to individuals from the poor ones. Also, individuals who had access to information through listening to radio, reading newspapers, and watching television were more likely to demand health insurance compared to those without access. The findings, therefore, highlight the need for poverty reduction strategies to enhance the incomes of the poor and provide educational interventions regarding the benefits of health insurance in all regions.
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    Determinants of Demand for Private Health Insurance in Uganda
    (African Journals Online (AJOL), 2022) Turyamureba, Medard; Yawe, Bruno L.; Oryema, John Bosco
    Health insurance coverage in Uganda is still very low, with only five percent of the individuals covered by any form of health insurance. This study examines the factors that influence demand for private health insurance in Uganda using the 2016 Uganda Demographic Health Survey data. A logistic regression model was employed to identify the determinants of demand for voluntary health insurance in Uganda. The results showed that wealth index, level of education, age of the individual, marital status, residence, and access to information were significant factors affecting uptake of health insurance in Uganda. Individuals from well off households were more likely to have a health insurance cover compared to individuals from the poor ones. Also, individuals who had access to information through listening to radio, reading newspapers, and watching television were more likely to demand health insurance compared to those without access. The findings, therefore, highlight the need for poverty reduction strategies to enhance the incomes of the poor and provide educational interventions regarding the benefits of health insurance in all regions.
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    Factors Determining the Choice of Healthcare Providers in Uganda
    (University of Dar es Salaam, 2023-01-27) Turyamureba, Medard; Yawe, Bruno; Oryema, John
    Since early 1990s, the government of Uganda has implemented a number of reforms in the health sector, such as decentralization of health service delivery and removal of user fees in public health facilities aimed at achieving equitable access to quality healthcare. Despite these reforms, low levels of healthcare utilisation has remained a serious challenge in Uganda; and out-of-pocket health expenditure remains very high: at 41% of total health expenditure. This study seeks to examine factors that influence patients’ choice of healthcare providers in Uganda. A multinomial logistic model was estimated using data from the 2019/20 Uganda National Household Survey. The results showed that cost of healthcare, household welfare, level of education insurance, and region were significant in determining the choice of a healthcare provider. Duration of illness, distance to a health facility and type of illness were also significant determinants. The findings highlight the need for the government to introduce a national health insurance scheme to reduce out-of-pocket payments for healthcare, which will enable vulnerable individuals visit health facilities. It should also increase investments in the health sector by constructing and equipping more health facilities. JEL Classification: C25, I11, I12, I18
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    Factors influencing public and private healthcare utilisation in Uganda.
    (African Health Sciences, 2023-09) Turyamureba, Medard; Yawe, Bruno L.; Oryema, John Bosco
    Background: In Uganda, health care utilisation remains very low despite a number of government reforms that have been implemented in the health sector since the 1990’s such as decentralization and removal of user fees in public health facilities among others. Objective: To examine the factors influencing public and private health care utilisation in Uganda. Methods: The study used cross sectional data from the Uganda National Household Survey collected between July 2016 and June 2017. Anderson’s conceptual framework was used to identify explanatory variables associated with choice of health care providers and a multinomial logistic regression model was estimated. Results: Out of the 17,912 individuals who sought care, 36% used a government facility, 60% used private facility while 4% had self- care/treatment. The results show that out of pocket health expenditure, age, level of education, marital status, residence, and type of illness significantly influenced choice of public healthcare providers. Similarly, utilisation of private healthcare providers was associated with household welfare, level of education, residence, marital status, illness days, and type of illness. Conclusion: The findings highlight the need for a national health insurance scheme to reduce out of pocket payments for health care and enable the poor and vulnerable patients visit the modern health facilities.