Enrollment and Retention in Community Health Insurance: Experiences from ICOCARE scheme in South Western Uganda
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Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Research Schare
Abstract
Globally, developing countries have inadequate capacity to raise tax to finance wellfunctioning
health systems. In sub Saharan Africa, over 40% of the total health expenditure comes from
households and mostly out of pocket payments. Over 20% of the population spend more than 10% of
their total household consumption expenditure on health care. Prepayment schemes are crucial for
promoting resource pooling and risk sharing to prevent catastrophic health expenditure, yet in Uganda
only 1% of women and less than 2% of men are covered by health insurance schemes. Private insurance
companies cover approximately 12% of Ugandans who are formally employed. We analyzed factors
associated with enrollment and retention in ICOCARE health insurance scheme and examined ways to
increase enrollment and reduce dropouts. Methods: This was a cross sectional study which employed
both quantitative and qualitative methods of data collection. We interviewed 194 respondents who
included both active and non-scheme members of the ICOCARE community health insurance scheme. We conducted three focus group discussions and two key informant interviews with key stakeholders.
Quantitative data was analyzed using Statistical Package for Social Scientists software version 20 and
STATA 13 while qualitative data was analyzed using the six steps of thematic analysis developed by
Braun and Clarke.
Description
Keywords
Enrollment, retention, Prepayment, ICOCARE scheme, Risk sharing, Community health insurance, premiums, Uganda
Citation
Turyamureba, B., Ssengooba, F., Ssennyonjo, A., Asiimwe, S., Baguma, B., Kisakye, A., & Kirunga, C. (2019). Enrollment and Retention in Community Health Insurance: Experiences from ICOCARE scheme in South Western Uganda.https://doi.org/10.21203/rs.2.13370/v1