Knowledge of Community Based Health Insurance among Residence of Katsina State, Nigeria; A Comparative Cross-Sectional Study

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DOI: 10.21522/TIJAR.2014.SE.22.02.Art006

Authors : Yahaya Shamsuddeen Suleiman


Enrollment into any form of insurance is very low in Katsina State, with the majority of people paying out of pocket for health care. Knowledge of Community Health Insurance (CHI) has been found to influence enrolment into the scheme. To compare differences in Knowledge between community-based health insurance member households and non-member households and to identify factors associated with the knowledge. A comparative cross-sectional descriptive study was conducted among household heads in Katsina State, Nigeria. A sample size of 300 was determined, and respondents were selected using the multistage sampling technique, data was analyzed using SPSS. The mean age of respondents was 46.82±13 and 44±12.5 years for ensured and non-ensured groups, respectively. Heads of the households were predominantly males and currently married, with 97.3% and 93.3% for CBHI members compared to 82.7% and 99.3% in non-member households, respectively. A greater proportion of the sampled households had Quran education only. The majority of respondents in both groups have heard about CHI, and the source of information was from community leaders. There was no statistically significant difference in the level of knowledge of CBHI between insured (56. %7) and uninsured (47.3%) households (t Stat =4.642, p= 0.07). Knowledge of CHI is higher in an insured group than non-insured but there is still a knowledge gap in both groups. To ensure that health care is accessible to all, CHI should be promoted, and more people should be encouraged to join.


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