Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015

Diop Cheikh Tacko; Mai Idriss Mahamat; Lo Ahmadou; Ka Ousseynou; Gueye Boubacar; Bop Martial Coly; Faye Adama

doi:doi:10.11648/j.wjph.20200501.14

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Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015

Diop Cheikh Tacko, Mai Idriss Mahamat, Lo Ahmadou, Ka Ousseynou, Gueye Boubacar, Bop Martial Coly, Faye Adama

Published in World Journal of Public Health (Volume 5, Issue 1)

Received: 13 January 2020 Accepted: 2 March 2020 Published: 17 March 2020

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Abstract

Financing health care continues to be a major challenge in low-income countries where universal health coverage is still far from being achieved. The objective of our study is to assess the level of adherence of populations to mutual health insurance and to study the determining factors. We conducted a cross-sectional, descriptive and analytical study among a sample of household heads selected through a two-stage cluster survey from 21 to 31 December 2015 in the district of Guédiawaye. A questionnaire validated after a pre-test was administered during an individual interview. Socio-economic and household characteristics, factors related to the provision of care and those related to mutual health insurance were collected. These data were entered and analyzed on Epi Info 2000 version 3.5.3. The significance value was p<0.05. The Odds ratio was used to measure the strength of the link. The study covered 300 heads of household, 90% of whom live in rural areas. The average age was 49.7 years with 93% of male. The overall membership rate was 16.7%. The analysis showed that UDAM membership was influenced by gender with p=0.033 and OR=2.74 (95% CI: 1.04-7.19). There was also a significant relationship between education level and membership of mutual health insurance with p=0.001 and OR=3.71 (95% CI: 1.97-6.99). In the service offer, the quality of the medical prescription encouraged some people to join mutual health insurance with p=0.020 and OR=2.12 (95% CI: 1.12-4). Among the factors related to mutual health insurance, access to information about the existence of mutual health insurance influenced membership with p=0.001 and OR=22.22 (95% CI: 3.01-163.84). This study not only revealed the low level of adherence to mutual health insurance in the Guediawaye health district, but also it helped identify the factors that positively or negatively influence adherence to mutual health insurance. With the involvement of all the actors concerned, such an information should make it possible to improve universal health coverage in the Guediawaye health district.

Published in	World Journal of Public Health (Volume 5, Issue 1)
DOI	10.11648/j.wjph.20200501.14
Page(s)	24-29
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), 2024. Published by Science Publishing Group

Keywords

Mutual Health Insurance, Determinants, Membership, Guediawaye District

References

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[3]	Criel B. District-based health insurance in sub-Saharan Africa, Part II: Case-studies. Studies in Health Services Organisation and Policy. Anvers, Belgique. 1998. 9 p.
[4]	Criel B, Barry A, Von Roenne F. Le projet PRIMA en Guinée Conakry. Une expérience d’organisation de mutuelles de santé en Afrique rurale. Bruxelles, Belgique: Medicus Mundi. 2002.
[5]	De Allegri M, Sanon M, Sauerborn R. To enrol or not enrol. A qualitative investigation of demand for health insurance in rural West Africa. Social Science Medicine. London: Brunel University; 2006a. 62: 1520-1527 p.
[6]	De Allegri M, Kouyaté B, Becker H, Gbangou A. Understanding enrolment in community health insurance in sub-Saharan Africa: a population-based case-control study in rural Burkina Faso. Bulletin World Health Organisation. 2006b. 84: 852-858 p.
[7]	Diop F, Ba A. Mutual Health Insurance, Scaling-Up and the Expansion of Health Insurance in Africa. Bethesda, Maryland: Health Systems 20/20, 2010.
[8]	Dong H, kouyate B, Snow R, Mugisha F, Sauerborn R. Gender’s effect on willingness-to-pay for community-based insurance in Burkina Faso. Health Policy. 2003. 64: 153-162 p.
[9]	Drechsler D, Jütting J. Private Health Insurance for the Poor in Developing Countries? OECD Development Centre. 2005. 11: 7 p.
[10]	Dubois F. Les déterminants de la participation aux mutuelles de santé: Etude appliquée à la mutuelle LeeréLaafiBolem de Zabré: Mémoire de fin d’étude. Belgique: Université de Liège, DES en Gestion du développement. 2002.
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[12]	Gilson L, Doherty J, Loewenson R, Francis V. Challenging inequity through health systems. Final report of Knowledge Network on Health Systems. Geneva: WHO. Commission on the Social Determinants of Health. 2007.
[13]	Mariko M. Quality of Care and the Demand for Health Services in Bamako, Mali: The Specific Roles of Structural, Process and Outcome Components. Social Science & Medicine. 2003. 1183-1196 p.
[14]	Ministère de la santé et de l’action sociale. Plan stratégique de développement des mutuelles de santé au Sénégal. MSAS. 2004. 82 p.
[15]	Ministère de la santé et de l’action sociale. Plan stratégique de développement de la couverture maladie universelle au Sénégal 2013-2017. MSAS. 125 p.
[16]	Musango L, Martiny P, Porignon D, Dujardin B. Le profil des membres et des non membres des mutuelles de santé du Rwanda: le cas du district sanitaire de Kabutare. Cahier de santé. 2004. 14: 93-99 p.
[17]	Schneider P. Trust in micro-health insurance: an exploratory study in Rwanda. Social Science & Medicine. 2005. 61: 1430-1438 p.
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[19]	Waelkens M-P, Criel B. Les mutuelles de santé en Afrique subsaharienne. État des lieux et réflexions sur un agenda de recherche. Health Nutrition and Population (HNP). Banque mondiale: Washington DC. 2004. 124 p.

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APA Style

Diop Cheikh Tacko, Mai Idriss Mahamat, Lo Ahmadou, Ka Ousseynou, Gueye Boubacar, et al. (2020). Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015. World Journal of Public Health, 5(1), 24-29. https://doi.org/10.11648/j.wjph.20200501.14

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Diop Cheikh Tacko; Mai Idriss Mahamat; Lo Ahmadou; Ka Ousseynou; Gueye Boubacar, et al. Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015. World J. Public Health 2020, 5(1), 24-29. doi: 10.11648/j.wjph.20200501.14

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AMA Style

Diop Cheikh Tacko, Mai Idriss Mahamat, Lo Ahmadou, Ka Ousseynou, Gueye Boubacar, et al. Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015. World J Public Health. 2020;5(1):24-29. doi: 10.11648/j.wjph.20200501.14

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@article{10.11648/j.wjph.20200501.14,
  author = {Diop Cheikh Tacko and Mai Idriss Mahamat and Lo Ahmadou and Ka Ousseynou and Gueye Boubacar and Bop Martial Coly and Faye Adama},
  title = {Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015},
  journal = {World Journal of Public Health},
  volume = {5},
  number = {1},
  pages = {24-29},
  doi = {10.11648/j.wjph.20200501.14},
  url = {https://doi.org/10.11648/j.wjph.20200501.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20200501.14},
  abstract = {Financing health care continues to be a major challenge in low-income countries where universal health coverage is still far from being achieved. The objective of our study is to assess the level of adherence of populations to mutual health insurance and to study the determining factors. We conducted a cross-sectional, descriptive and analytical study among a sample of household heads selected through a two-stage cluster survey from 21 to 31 December 2015 in the district of Guédiawaye. A questionnaire validated after a pre-test was administered during an individual interview. Socio-economic and household characteristics, factors related to the provision of care and those related to mutual health insurance were collected. These data were entered and analyzed on Epi Info 2000 version 3.5.3. The significance value was p<0.05. The Odds ratio was used to measure the strength of the link. The study covered 300 heads of household, 90% of whom live in rural areas. The average age was 49.7 years with 93% of male. The overall membership rate was 16.7%. The analysis showed that UDAM membership was influenced by gender with p=0.033 and OR=2.74 (95% CI: 1.04-7.19). There was also a significant relationship between education level and membership of mutual health insurance with p=0.001 and OR=3.71 (95% CI: 1.97-6.99). In the service offer, the quality of the medical prescription encouraged some people to join mutual health insurance with p=0.020 and OR=2.12 (95% CI: 1.12-4). Among the factors related to mutual health insurance, access to information about the existence of mutual health insurance influenced membership with p=0.001 and OR=22.22 (95% CI: 3.01-163.84). This study not only revealed the low level of adherence to mutual health insurance in the Guediawaye health district, but also it helped identify the factors that positively or negatively influence adherence to mutual health insurance. With the involvement of all the actors concerned, such an information should make it possible to improve universal health coverage in the Guediawaye health district.},
 year = {2020}
}

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TY - JOUR
T1 - Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015
AU - Diop Cheikh Tacko
AU - Mai Idriss Mahamat
AU - Lo Ahmadou
AU - Ka Ousseynou
AU - Gueye Boubacar
AU - Bop Martial Coly
AU - Faye Adama
Y1 - 2020/03/17
PY - 2020
N1 - https://doi.org/10.11648/j.wjph.20200501.14
DO - 10.11648/j.wjph.20200501.14
T2 - World Journal of Public Health
JF - World Journal of Public Health
JO - World Journal of Public Health
SP - 24
EP - 29
PB - Science Publishing Group
SN - 2637-6059
UR - https://doi.org/10.11648/j.wjph.20200501.14
AB - Financing health care continues to be a major challenge in low-income countries where universal health coverage is still far from being achieved. The objective of our study is to assess the level of adherence of populations to mutual health insurance and to study the determining factors. We conducted a cross-sectional, descriptive and analytical study among a sample of household heads selected through a two-stage cluster survey from 21 to 31 December 2015 in the district of Guédiawaye. A questionnaire validated after a pre-test was administered during an individual interview. Socio-economic and household characteristics, factors related to the provision of care and those related to mutual health insurance were collected. These data were entered and analyzed on Epi Info 2000 version 3.5.3. The significance value was p<0.05. The Odds ratio was used to measure the strength of the link. The study covered 300 heads of household, 90% of whom live in rural areas. The average age was 49.7 years with 93% of male. The overall membership rate was 16.7%. The analysis showed that UDAM membership was influenced by gender with p=0.033 and OR=2.74 (95% CI: 1.04-7.19). There was also a significant relationship between education level and membership of mutual health insurance with p=0.001 and OR=3.71 (95% CI: 1.97-6.99). In the service offer, the quality of the medical prescription encouraged some people to join mutual health insurance with p=0.020 and OR=2.12 (95% CI: 1.12-4). Among the factors related to mutual health insurance, access to information about the existence of mutual health insurance influenced membership with p=0.001 and OR=22.22 (95% CI: 3.01-163.84). This study not only revealed the low level of adherence to mutual health insurance in the Guediawaye health district, but also it helped identify the factors that positively or negatively influence adherence to mutual health insurance. With the involvement of all the actors concerned, such an information should make it possible to improve universal health coverage in the Guediawaye health district.
VL - 5
IS - 1
ER -

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Author Information

Diop Cheikh Tacko

Faculty of Community Health, Alioune DIOP University, Bambey, Senegal
Mai Idriss Mahamat

Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta DIOP University, Dakar, Senegal
Lo Ahmadou

Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta DIOP University, Dakar, Senegal
Ka Ousseynou

Faculty of Community Health, Alioune DIOP University, Bambey, Senegal
Gueye Boubacar

Faculty of Community Health, Alioune DIOP University, Bambey, Senegal
Bop Martial Coly

Faculty of Community Health, Alioune DIOP University, Bambey, Senegal
Faye Adama

Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta DIOP University, Dakar, Senegal

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APA Style

Diop Cheikh Tacko, Mai Idriss Mahamat, Lo Ahmadou, Ka Ousseynou, Gueye Boubacar, et al. (2020). Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015. World Journal of Public Health, 5(1), 24-29. https://doi.org/10.11648/j.wjph.20200501.14

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ACS Style

Diop Cheikh Tacko; Mai Idriss Mahamat; Lo Ahmadou; Ka Ousseynou; Gueye Boubacar, et al. Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015. World J. Public Health 2020, 5(1), 24-29. doi: 10.11648/j.wjph.20200501.14

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AMA Style

Diop Cheikh Tacko, Mai Idriss Mahamat, Lo Ahmadou, Ka Ousseynou, Gueye Boubacar, et al. Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015. World J Public Health. 2020;5(1):24-29. doi: 10.11648/j.wjph.20200501.14

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@article{10.11648/j.wjph.20200501.14,
  author = {Diop Cheikh Tacko and Mai Idriss Mahamat and Lo Ahmadou and Ka Ousseynou and Gueye Boubacar and Bop Martial Coly and Faye Adama},
  title = {Study of the Determinants of the Population's Membership of Mutual Health Insurance in the Health District of Guédiawaye (Senegal) in 2015},
  journal = {World Journal of Public Health},
  volume = {5},
  number = {1},
  pages = {24-29},
  doi = {10.11648/j.wjph.20200501.14},
  url = {https://doi.org/10.11648/j.wjph.20200501.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20200501.14},
  abstract = {Financing health care continues to be a major challenge in low-income countries where universal health coverage is still far from being achieved. The objective of our study is to assess the level of adherence of populations to mutual health insurance and to study the determining factors. We conducted a cross-sectional, descriptive and analytical study among a sample of household heads selected through a two-stage cluster survey from 21 to 31 December 2015 in the district of Guédiawaye. A questionnaire validated after a pre-test was administered during an individual interview. Socio-economic and household characteristics, factors related to the provision of care and those related to mutual health insurance were collected. These data were entered and analyzed on Epi Info 2000 version 3.5.3. The significance value was p<0.05. The Odds ratio was used to measure the strength of the link. The study covered 300 heads of household, 90% of whom live in rural areas. The average age was 49.7 years with 93% of male. The overall membership rate was 16.7%. The analysis showed that UDAM membership was influenced by gender with p=0.033 and OR=2.74 (95% CI: 1.04-7.19). There was also a significant relationship between education level and membership of mutual health insurance with p=0.001 and OR=3.71 (95% CI: 1.97-6.99). In the service offer, the quality of the medical prescription encouraged some people to join mutual health insurance with p=0.020 and OR=2.12 (95% CI: 1.12-4). Among the factors related to mutual health insurance, access to information about the existence of mutual health insurance influenced membership with p=0.001 and OR=22.22 (95% CI: 3.01-163.84). This study not only revealed the low level of adherence to mutual health insurance in the Guediawaye health district, but also it helped identify the factors that positively or negatively influence adherence to mutual health insurance. With the involvement of all the actors concerned, such an information should make it possible to improve universal health coverage in the Guediawaye health district.},
 year = {2020}
}

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