Determinants of willingness to participate in health insurance amongst people living with HIV in a tertiary hospital in South-East Nigeria

The Nigerian Postgraduate Medical Journal
Chihurumnanya Nwachi AloIfeyinwa Chizoba Akamike

Abstract

Waning donor funding and poor country ownership of HIV care programmes are challenges for the sustainability of care for people living with HIV (PLHIV) in Nigeria. Health insurance presents a viable alternative for funding of HIV care services. This study assessed the determinants of willingness to participate in health insurance amongst PLHIV in a tertiary hospital in South-East Nigeria. Across-sectional survey was conducted amongst 371 PLHIV on treatment at Federal Teaching Hospital, Abakaliki, Nigeria, using a semi-structured, interviewer-administered questionnaire. Chi-square test and logistic regression were conducted with SPSS version 20 at 5% level of significance. Respondents were mostly males (51.8%) with a mean age and monthly income of 45.4 ± 10.3 years and $74.1 ± 42, respectively. Majority were willing to participate (82.5%) and to finance health insurance (65.2%). The major reasons cited by those unwilling to participate were poor understanding of how the system works and lack of regular source of income. The predictors of willingness to participate were female gender (adjusted odds ratio [AOR] = 2.9; 95% confidence interval [CI]: 1.6-5.7), being currently unmarried (AOR = 4.3; 95% CI: 2.3-7.8), being self-employe...Continue Reading

References

May 15, 2015·Nigerian Journal of Clinical Practice·Bsc UzochukwuO E Onwujekwe

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Citations

Aug 13, 2021·BMC Public Health·Agung Dwi LaksonoRatu Matahari

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