Papers

ASSESSING REASONS FOR WILLINGNESS-TO-JOIN TO COMMUNITY-BASED HEALTH INSURANCE SCHEME AMONG RURAL HOUSEHOLDS OF GAIBANDHA DISTRICT (Pages : 17 - 24)

M.S. SULTANA

In Bangladesh, to ensure health security and to get relief from the heavy burden of out-of-pocket (OOP) payments, especially for the rural poor and vulnerable segments, the community-based health insurance scheme (CBHI) was recommended by many policymakers. The objective of this study was to explore the reasons for WTJ’s to the scheme. A cross-sectional household survey was conducted to explore the reasons for WTJ of the households for the CBHI scheme and identify which socio-demographic factors would influence the reasons for WTJ in the research area. A total of 465 (90.1%) households were willing to join and 51 (9.9%) households were not willing to join the scheme from a total of 516 sampled households. Among the identified four reasons, the highest percentage of agreed reasons for the WTJ was “By reducing the burden of out-of-pocket spending this scheme will alleviate poverty in my community”. The highest percentage of disagreed reasons for WTJ to the scheme was “I think this scheme will protect my family against any social disasters such as chronic diseases which may lead to death”. However, the age category, marital status, and education level significantly influenced the reasons for WTJ. Exploration of the reasons for the WTJ to the CBHI scheme would help the policymakers to realize which factors are needed to be considered and given special attention to this context. Delivering updated information with communication procedures was suggested for increasing enrolment in the CBHI scheme. Download


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