Enrollment and Retention in Community Health Insurance: Experiences from ICOCARE scheme in South Western Uganda

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dc.contributor.authorTuryamureba, Bosco
dc.contributor.authorSsengooba, Freddie
dc.contributor.authorSsennyonjo, Aloysius
dc.contributor.authorAsiimwe, Stephen
dc.contributor.authorBaguma, Bildard
dc.contributor.authorKisakye, Angela
dc.contributor.authorKirunga, Christine
dc.date.accessioned2021-12-17T13:19:17Z
dc.date.available2021-12-17T13:19:17Z
dc.date.issued2019
dc.description.abstractGlobally, 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.en_US
dc.identifier.citationTuryamureba, 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/v1en_US
dc.identifier.urihttps://doi.org/10.21203/rs.2.13370/v1
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/746
dc.language.isoenen_US
dc.publisherResearch Schareen_US
dc.subjectEnrollmenten_US
dc.subjectretentionen_US
dc.subjectPrepaymenten_US
dc.subjectICOCARE schemeen_US
dc.subjectRisk sharingen_US
dc.subjectCommunity health insuranceen_US
dc.subjectpremiumsen_US
dc.subjectUgandaen_US
dc.titleEnrollment and Retention in Community Health Insurance: Experiences from ICOCARE scheme in South Western Ugandaen_US
dc.typeArticleen_US
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