Determinants of health insurance ownership among women in Kenya: evidence from the 2008–09 Kenya demographic and health survey

International Journal for Equity in Health

Ben Bellows³  Charlotte Warren¹  Remare Ettarh²  James K Kimani³ 

[1] Population Council, 4301 Connecticut Avenue NW, Suite 280, Washington, DC 20008, USA;Faculty of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, British Columbia V5Z 1 M9, Canada;Population Council, General Accident Insurance House, Ralph Bunche Road, P.O. Box 17643–00500, Nairobi, Kenya

关键词: Kenya;    Women;    National Hospital Insurance Fund;    Social health insurance;   

Others  :  803809
DOI  :  10.1186/1475-9276-13-27

 received in 2013-09-10, accepted in 2014-03-25,  发布年份 2014

【 摘 要 】

Background

The Government of Kenya is making plans to implement a social health insurance program by transforming the National Hospital Insurance Fund (NHIF) into a universal health coverage program. The objective of this study was to examine the determinants associated with health insurance ownership among women in Kenya.

Methods

Data came from the 2008–09 Kenya Demographic and Health Survey, a nationally representative survey. The sample comprised 8,435 women aged 15–49 years. Descriptive statistics and multivariable logistic regression analysis were used to describe the characteristics of the sample and to identify factors associated with health insurance ownership.

Results

Being employed in the formal sector, being married, exposure to the mass media, having secondary education or higher, residing in households in the middle or rich wealth index categories and residing in a female-headed household were associated with having health insurance. However, region of residence was associated with a lower likelihood of having insurance coverage. Women residing in Central (OR = 0.4; p < 0.01) and North Eastern (OR = 0.1; p < 0.5) provinces were less likely to be insured compared to their counterparts in Nairobi province.

Conclusions

As the Kenyan government transforms the NHIF into a universal health program, it is important to implement a program that will increase equity and access to health care services among the poor and vulnerable groups.

【 授权许可】

   
2014 Kimani et al.; licensee BioMed Central Ltd.

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