Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Yared Lasebew; Yeshwondm Mamuye; Semira Abdelmenan

doi:doi:10.11648/j.hep.20170204.13

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Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia

Yared Lasebew, Yeshwondm Mamuye, Semira Abdelmenan

Published in International Journal of Health Economics and Policy (Volume 2, Issue 4)

Received: 1 August 2017 Accepted: 14 August 2017 Published: 8 December 2017

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Abstract

Social health insurance (SHI) is a financial mechanism that allows cross subsidization of the poor by the rich, and the sick by the healthy. Ethiopia is currently introducing SHI to achieve universal health care coverage, but there is no evidence concerning willingness to pay and factors associated with willingness to pay among health workers. The objective of this research was to determine willingness to pay for SHI among health workers and to determine factors associated with willingness to pay. An Institution-based, cross-sectional study was conducted from April- December, 2016, on 420 health workers who work at St. Paul’s Hospital Millennium Medical College. Data was collected using a semi-structured self-administered questionnaire, entered using EPI INFO version 7, and analyzed by SPSS version 20. Variables having p < 0.2 at bivariate analysis were fitted to multivariate analysis. Crude and adjusted odds ratios, P-values and 95% CI were computed to show the association of variables. The level of willingness to pay for SHI was 17% (95% CI 13.4-20.3%). Significant associations were found between willingness to pay and perceived quality of health care services under SHI (odds ratio [OR] = 2.74 (1.45-5.20)), perception that SHI will create workload for health workers (OR = 0.47 (0.26-0.87)) and history of large amount of out of pocket money for treatment (OR =1.84 (1.02-3.31)). The overall willingness to pay was 17%. Policy makers should devise a plan that promotes the level of willingness to pay and identify factors that affect willingness to pay. More studies are required to assess these factors.

Published in	International Journal of Health Economics and Policy (Volume 2, Issue 4)
DOI	10.11648/j.hep.20170204.13
Page(s)	159-166
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Willingness, Social Health Insurance, Health Workers, St. Paul’s Hospital Millennium Medical College

References

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APA Style

Yared Lasebew, Yeshwondm Mamuye, Semira Abdelmenan. (2017). Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. International Journal of Health Economics and Policy, 2(4), 159-166. https://doi.org/10.11648/j.hep.20170204.13

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ACS Style

Yared Lasebew; Yeshwondm Mamuye; Semira Abdelmenan. Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Int. J. Health Econ. Policy 2017, 2(4), 159-166. doi: 10.11648/j.hep.20170204.13

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AMA Style

Yared Lasebew, Yeshwondm Mamuye, Semira Abdelmenan. Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Int J Health Econ Policy. 2017;2(4):159-166. doi: 10.11648/j.hep.20170204.13

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@article{10.11648/j.hep.20170204.13,
  author = {Yared Lasebew and Yeshwondm Mamuye and Semira Abdelmenan},
  title = {Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia},
  journal = {International Journal of Health Economics and Policy},
  volume = {2},
  number = {4},
  pages = {159-166},
  doi = {10.11648/j.hep.20170204.13},
  url = {https://doi.org/10.11648/j.hep.20170204.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20170204.13},
  abstract = {Social health insurance (SHI) is a financial mechanism that allows cross subsidization of the poor by the rich, and the sick by the healthy. Ethiopia is currently introducing SHI to achieve universal health care coverage, but there is no evidence concerning willingness to pay and factors associated with willingness to pay among health workers. The objective of this research was to determine willingness to pay for SHI among health workers and to determine factors associated with willingness to pay. An Institution-based, cross-sectional study was conducted from April- December, 2016, on 420 health workers who work at St. Paul’s Hospital Millennium Medical College. Data was collected using a semi-structured self-administered questionnaire, entered using EPI INFO version 7, and analyzed by SPSS version 20. Variables having p < 0.2 at bivariate analysis were fitted to multivariate analysis. Crude and adjusted odds ratios, P-values and 95% CI were computed to show the association of variables. The level of willingness to pay for SHI was 17% (95% CI 13.4-20.3%). Significant associations were found between willingness to pay and perceived quality of health care services under SHI (odds ratio [OR] = 2.74 (1.45-5.20)), perception that SHI will create workload for health workers (OR = 0.47 (0.26-0.87)) and history of large amount of out of pocket money for treatment (OR =1.84 (1.02-3.31)). The overall willingness to pay was 17%. Policy makers should devise a plan that promotes the level of willingness to pay and identify factors that affect willingness to pay. More studies are required to assess these factors.},
 year = {2017}
}

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TY - JOUR
T1 - Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
AU - Yared Lasebew
AU - Yeshwondm Mamuye
AU - Semira Abdelmenan
Y1 - 2017/12/08
PY - 2017
N1 - https://doi.org/10.11648/j.hep.20170204.13
DO - 10.11648/j.hep.20170204.13
T2 - International Journal of Health Economics and Policy
JF - International Journal of Health Economics and Policy
JO - International Journal of Health Economics and Policy
SP - 159
EP - 166
PB - Science Publishing Group
SN - 2578-9309
UR - https://doi.org/10.11648/j.hep.20170204.13
AB - Social health insurance (SHI) is a financial mechanism that allows cross subsidization of the poor by the rich, and the sick by the healthy. Ethiopia is currently introducing SHI to achieve universal health care coverage, but there is no evidence concerning willingness to pay and factors associated with willingness to pay among health workers. The objective of this research was to determine willingness to pay for SHI among health workers and to determine factors associated with willingness to pay. An Institution-based, cross-sectional study was conducted from April- December, 2016, on 420 health workers who work at St. Paul’s Hospital Millennium Medical College. Data was collected using a semi-structured self-administered questionnaire, entered using EPI INFO version 7, and analyzed by SPSS version 20. Variables having p < 0.2 at bivariate analysis were fitted to multivariate analysis. Crude and adjusted odds ratios, P-values and 95% CI were computed to show the association of variables. The level of willingness to pay for SHI was 17% (95% CI 13.4-20.3%). Significant associations were found between willingness to pay and perceived quality of health care services under SHI (odds ratio [OR] = 2.74 (1.45-5.20)), perception that SHI will create workload for health workers (OR = 0.47 (0.26-0.87)) and history of large amount of out of pocket money for treatment (OR =1.84 (1.02-3.31)). The overall willingness to pay was 17%. Policy makers should devise a plan that promotes the level of willingness to pay and identify factors that affect willingness to pay. More studies are required to assess these factors.
VL - 2
IS - 4
ER -

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Author Information

Yared Lasebew

Department of Health Economics, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
Yeshwondm Mamuye

Department of Microbiology, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
Semira Abdelmenan

Department of Public Health, Addis Continental Institute of Public Health, Addis Ababa, Ethiopia

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APA Style

Yared Lasebew, Yeshwondm Mamuye, Semira Abdelmenan. (2017). Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. International Journal of Health Economics and Policy, 2(4), 159-166. https://doi.org/10.11648/j.hep.20170204.13

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ACS Style

Yared Lasebew; Yeshwondm Mamuye; Semira Abdelmenan. Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Int. J. Health Econ. Policy 2017, 2(4), 159-166. doi: 10.11648/j.hep.20170204.13

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AMA Style

Yared Lasebew, Yeshwondm Mamuye, Semira Abdelmenan. Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Int J Health Econ Policy. 2017;2(4):159-166. doi: 10.11648/j.hep.20170204.13

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@article{10.11648/j.hep.20170204.13,
  author = {Yared Lasebew and Yeshwondm Mamuye and Semira Abdelmenan},
  title = {Willingness to Pay for the Newly Proposed Social Health Insurance among Health Workers at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia},
  journal = {International Journal of Health Economics and Policy},
  volume = {2},
  number = {4},
  pages = {159-166},
  doi = {10.11648/j.hep.20170204.13},
  url = {https://doi.org/10.11648/j.hep.20170204.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20170204.13},
  abstract = {Social health insurance (SHI) is a financial mechanism that allows cross subsidization of the poor by the rich, and the sick by the healthy. Ethiopia is currently introducing SHI to achieve universal health care coverage, but there is no evidence concerning willingness to pay and factors associated with willingness to pay among health workers. The objective of this research was to determine willingness to pay for SHI among health workers and to determine factors associated with willingness to pay. An Institution-based, cross-sectional study was conducted from April- December, 2016, on 420 health workers who work at St. Paul’s Hospital Millennium Medical College. Data was collected using a semi-structured self-administered questionnaire, entered using EPI INFO version 7, and analyzed by SPSS version 20. Variables having p < 0.2 at bivariate analysis were fitted to multivariate analysis. Crude and adjusted odds ratios, P-values and 95% CI were computed to show the association of variables. The level of willingness to pay for SHI was 17% (95% CI 13.4-20.3%). Significant associations were found between willingness to pay and perceived quality of health care services under SHI (odds ratio [OR] = 2.74 (1.45-5.20)), perception that SHI will create workload for health workers (OR = 0.47 (0.26-0.87)) and history of large amount of out of pocket money for treatment (OR =1.84 (1.02-3.31)). The overall willingness to pay was 17%. Policy makers should devise a plan that promotes the level of willingness to pay and identify factors that affect willingness to pay. More studies are required to assess these factors.},
 year = {2017}
}

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