Low Enrollment in Ugandan Community Health Insurance Schemes
Author Information
Author(s): Basaza Robert, Criel Bart, Van der Stuyft Patrick
Primary Institution: Ministry of Health Uganda
Hypothesis
What are the underlying causes of low enrollment in Community Health Insurance (CHI) schemes in Uganda?
Conclusion
The study highlights the need for government support and a coherent policy framework to improve enrollment in CHI schemes.
Supporting Evidence
- Only about 30,000 people are enrolled in CHI schemes, which is approximately 2% of the catchment population.
- Many community members lack basic information about CHI schemes.
- Previous negative experiences with local financial organizations have led to distrust.
Takeaway
Many people in Uganda don't join health insurance plans because they don't understand them, can't afford the fees, or don't trust the organizations running them.
Methodology
A case study evaluation involving record reviews, key informant interviews, and exit polls with insured and non-insured patients.
Potential Biases
Potential bias from self-reported data in interviews.
Limitations
The study may not capture all factors influencing enrollment due to its focus on only two schemes.
Participant Demographics
Participants included scheme members and non-members from various communities in Uganda.
Digital Object Identifier (DOI)
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