Knowledge and Uptake of Community-Based Healthcare Financing in Management of Non-Communicable Diseases among Community Members in Anambra State, Nigeria

Ojilere E. J., Ilo C. I.
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Abstract

Background: Catastrophic health expenditure is one of the challenges people living with non-communicable disease face, especially in Nigeria. This has led to the emergence of community-based health insurance as a means to achieve universal health coverage and reduce out-of-pocket payments. However, lack of knowledge about the insurance scheme and how it helps to manage non-communicable diseases seems to affect utilization. Aim: The study assessed the knowledge and uptake of community based healthcare financing in the management of non-communicable diseases among community members in Anambra State. Materials and Methods: A descriptive cross-sectional survey design was adopted for the study, sample size was 444 and a multistage sampling technique was used. The instrument for data collection was a self structured questionnaire and data obtained were analyzed using Microsoft excel, descriptive statistics, inferential statistics for hypothesis testing and IBM statistical package for social Sciences (SPSS) version 29. Results: 64.1% had a good knowledge of community based healthcare financing; 51.4% managed their health condition through hospital visits under CBHI. There was a significant relationship between the level of education of respondents and their level of knowledge of community based health insurance (p-value 0.001 < 0.05). Conclusion: Majority had a good knowledge; those suffering pregnancy related non-communicable diseases used the insurance more although half of the respondents still pay through their pocket. The following recommendations were made: increase access to community-based healthcare financing information, encourage those in the informal sector to enroll and plan benefit packages to have wide illness coverage.
尼日利亚阿南布拉州社区成员对基于社区的医疗融资在非传染性疾病管理方面的知识和接受程度
背景:灾难性医疗支出是非传染性疾病患者面临的挑战之一,尤其是在尼日利亚。因此,社区医疗保险应运而生,成为实现全民医保和减少自付费用的一种手段。然而,对保险计划及其如何帮助管理非传染性疾病缺乏了解似乎影响了保险的使用。目的:本研究评估了阿南布拉州社区成员对社区医疗保健融资管理非传染性疾病的了解和吸收情况。材料与方法:研究采用了描述性横断面调查设计,样本量为 444 个,并使用了多阶段抽样技术。数据收集工具是一份自我结构化问卷,获得的数据使用 Microsoft excel、描述性统计、用于假设检验的推理统计和 IBM 社会科学统计软件包 (SPSS) 29 版进行分析。结果64.1%的人对基于社区的医疗保健筹资有较好的了解;51.4%的人在基于社区的医疗保健筹资计划下通过医院就诊管理自己的健康状况。受访者的受教育程度与他们对社区医疗保险的了解程度之间存在明显关系(P 值 0.001 < 0.05)。结论大多数受访者对社区医疗保险有较好的了解;尽管半数受访者仍需自掏腰包,但患有与妊娠相关的非传染性疾病的受访者更多地使用了社区医疗保险。提出了以下建议:增加获取社区医疗融资信息的渠道,鼓励非正规部门的人参保,规划福利套餐以覆盖广泛的疾病。
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