المؤلفون: Amare N, Gintamo B, Tukeni KN, Gebremichael EH, Abera EG

المصدر: Risk Management and Healthcare Policy, Vol Volume 16, Pp 1203-1214 (2023)

مصطلحات موضوعية: cancer, malignancy, palliative care, spict-lis, ethiopia, Public aspects of medicine, RA1-1270

الوصف: Nigist Amare,1,* Biniyam Gintamo,2 Kedir Negesso Tukeni,3 Ermias Habte Gebremichael,3 Eyob Girma Abera4,5,* 1Department of Gynecology and Obstetrics, St. Paul Hospital, Addis Ababa, Ethiopia; 2Department of Public Health, Addis Ababa Medical and Business College, Addis Ababa, Ethiopia; 3Department of Internal Medicine, Jimma University, Jimma, Oromia, Ethiopia; 4Department of Public Health, Jimma University, Jimma, Oromia, Ethiopia; 5Clinical Trial Unit, Jimma University, Jimma, Oromia, Ethiopia*These authors contributed equally to this workCorrespondence: Eyob Girma Abera, Department of Public Health, Jimma University, P.O.Box 378, Jimma, Oromia, Ethiopia, Tel +251 910093601, Email eyob.girma@ju.edu.et; eyobgirma840@gmail.comBackground: Cancer has been the leading cause of death worldwide with its various enormous socio-economic impacts. Hence, early palliative care implementation is a potent addition to oncology for the treatment of physical, mental, and psychological pain in cancer patients. Therefore, this article aims to assess the prevalence of patients requiring palliative care and its associated factors among admitted cancer patients.Methods: A cross-sectional study was conducted among cancer patients who were admitted to oncology wards during the data collection period at St. Paul Hospital, Ethiopia. The Palliative Care Indicators Tool in Low-Income Settings (SPICT-LIS) was used to determine the need for palliative care. The collected data was entered into EpiData version 3.1 and exported to Statistical Package for the Social Sciences (SPSS) version 26 for analysis. A multivariable logistic regression was used to analyze the predictors of palliative care need.Results: A total of 301 cancer patients were included in this study, with a mean age of 42 years (SD=1.38). The prevalence of palliative care needs among the patients in this study was 10.6% (n=32). The study revealed that the need for palliative care increases as the age of the patient increases and suggested that cancer patients who were above 61 years old were two times (AOR=2.39 95% CI=0.34– 16.55) more likely to need palliative care than others. Male patients had a significantly higher requirement for palliative care compared to female patients (AOR=5.31, 95% CI=1.68– 11.79).Conclusion: The manuscript describes the palliative care needs of patients with cancer admitted to St. Paul Hospital in Ethiopia. The study revealed that the health status of a significant number of cancer patients in the hospital was deteriorating. Hence, the hospital administrators and the oncology ward staff are recommended to pay attention to the identified factors.Keywords: cancer, malignancy, palliative care, SPICT-LIS, Ethiopia

وصف الملف: electronic resource

Relation: https://www.dovepress.com/the-prevalence-of-cancer-patients-requiring-palliative-care-and-its-as-peer-reviewed-fulltext-article-RMHP; https://doaj.org/toc/1179-1594

URL الوصول: https://doaj.org/article/dab54a0ac4f54c15bf76f8124489986b

المؤلفون: Atim MG, Kajogoo VD, Amare D, Said B, Geleta M, Muchie Y, Tesfahunei HA, Assefa DG, Manyazewal T

المصدر: Risk Management and Healthcare Policy, Vol Volume 14, Pp 4353-4360 (2021)

مصطلحات موضوعية: reproductive, maternal, uganda, newborn and child health, covid-19, health sector development plan, africa, Public aspects of medicine, RA1-1270

الوصف: Mary Gorret Atim,1,2 Violet Dismas Kajogoo,1,3 Demeke Amare,1,4 Bibie Said,1,5 Melka Geleta,1,6 Yilkal Muchie,1,7 Hanna Amanuel Tesfahunei,1,8 Dawit Getachew Assefa,1,9 Tsegahun Manyazewal1 1Center for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; 2Department of Public Health, Busitema University Faculty of Health Sciences, Mbale, Uganda; 3Mafie District Hospital, Mafia Island, Pwani Region, Tanzania; 4Ethiopian Food and Drug Administration Authority (EFDA), Addis Ababa, Ethiopia; 5Kibong’oto National Tuberculosis Hospital, Kilimanjaro, Tanzania; 6Federal Ministry of Health, Addis Ababa, Ethiopia; 7All Africa Leprosy and Rehabilitation Training (ALERT) Centre, Addis Ababa, Ethiopia; 8Hager Biomedical Research Institute, Asmara, Eritrea; 9Department of Nursing, College of Medical and Health Sciences, Dilla University, Dilla, EthiopiaCorrespondence: Mary Gorret AtimCenter for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), College of Health Sciences, Addis Ababa University, P.O. Box 9086, Addis Ababa, EthiopiaEmail atimgoretti@gmail.comIntroduction: Health Sector Development Plans (HSDPs) aim to accelerate movement towards achieving sustainable development goals for health, reducing inequalities, and ending poverty. Reproductive, maternal, newborn and child health (RMNCH) services are vulnerable to economic imbalances, including health insecurity, unmet need for healthcare, and low health expenditure. The same vulnerability influences the potential of a country to combat global outbreaks such as the COVID-19. We aimed to provide some important insights into the impacts of COVID-19 on RMNCH indicators and outcomes of the HSDP in Uganda.Methods: We conducted a descriptive study of secondary data obtained from the Ugandan government-led portals, supplemented by analyses of relevant articles published up to 06 May 2021 and deposited in PubMed.Results: Through synthesizing actionable and relevant evidence, we realized that RMNCH in Uganda is highly affected by the COVID-19 pandemic and the lockdown measures. The impact was across immunization, antenatal, sexual and reproductive health, emergency and obstetric, and postnatal care services. There was a decline sharply by 9.6% for under-five vitamin A coverage, 9% for DPT3HibHeb3 coverage, 6.8% for measles vaccination coverage, 6% for isoniazid preventive therapy coverage, and 3% for facility-based deliveries. Maternal and under-five deaths increased by 7.6% and 4%, respectively. Outreaches were rarely conducted in the lockdown period.Conclusion: The COVID-19 pandemic has created a multitude of questions regarding the optimal policies to mitigate the disease while minimizing the unintended detrimental consequences of RMNCH. The lockdown restrictions threatened to reverse the progress made on the national HSDP for RMNCH. In Uganda, where young women are vulnerable to early marriage, unintended pregnancies, and unsafe abortion, access to RMNCH services should continue regardless of the COVID-19 status in the country. We urge that Uganda and other African countries should build resilient and sustainable health systems that can withstand emerging diseases like the COVID-19.Keywords: COVID-19, reproductive, maternal, newborn and child health, Health Sector Development Plan, Africa, Uganda

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doajarticles::683c336a471ea03ca05e1a46a44ccf06
https://www.dovepress.com/covid-19-and-health-sector-development-plans-in-africa-the-impact-on-m-peer-reviewed-fulltext-article-RMHP

المؤلفون: Getasew Amare, Tsegaw Amare, Mezgebu Yitayal

المصدر: Risk Management and Healthcare Policy

مصطلحات موضوعية: media_common.quotation_subject, Population, Northwest Ethiopia, tobit model, Fiscal year, Scarcity, 03 medical and health sciences, 0302 clinical medicine, Health facility, Data envelopment analysis, Tobit model, 030212 general & internal medicine, Salary, public hospitals, education, Socioeconomics, media_common, Original Research, Risk Management and Healthcare Policy, education.field_of_study, Data collection, 030503 health policy & services, Health Policy, Public Health, Environmental and Occupational Health, technical efficiency, maternal health service, Business, data envelopment analysis, 0305 other medical science

الوصف: Tsegaw Amare, Mezgebu Yitayal, Getasew Amare Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Getasew AmareDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, PO Box – 196, Gondar, EthiopiaTel +251910151944Email getasewa23@gmail.comIntroduction: Ethiopian health expenditure as a share of total government expenditure increased from 7.6% in 2013/14 to 8.1% in 2016/17. But it remained low even for the low-income country average expected share of 8.7%. It signifies the efficient use of scarce resources in the health sector is still critical to achieving sustainable development goals. But little evidence is available about public hospitals’ technical efficiency in providing maternal health services. Therefore, the aim of this study was to assess the technical efficiency of maternal health services provision of public hospitals in Northwest Ethiopia.Methods: Facility-based cross-sectional study was conducted among twelve randomly selected public hospitals. Input data (salary expenditure, non-salary expenditure, and the number of beds) and maternal health services output data (antenatal care, skilled delivery, and postnatal care) for a 2011 Ethiopian fiscal year (July 2018 to June 2019) were collected and entered into Epi-Data 3.1. We used both primary and secondary data collection procedures to determine independent variables and the dependent variable, respectively. We also used a two-stage input-oriented data envelopment analysis with variable returns to scale assumption.Results: The study showed that hospitals included in this study wasted US$ 6833.50 for salary and US$ 3886.8 for non-salary expenditures. The study also revealed that the mean pure technical efficiency of public hospitals for maternal health service provision was 0.92± 0.142, and their scale efficiency was 0.795± 0.24. The hospital manager’s experience year, the educational level of the manager, and the hospital service year associated positively with the technical efficiency. However, the catchment population and distance of another health facility associated negatively with technical efficiency.Conclusion: The public hospitals’ pure technical efficiency in the provision of maternal health services in Northwest Ethiopia was high. More than half of the public hospitals were technically efficient. The wasted amount of expenditures could be used for satisfying the unmet health services need of the population. Therefore, it is better to monitor the health facilities for the wise use of the existing resources for their best performance.Keywords: technical efficiency, maternal health service, public hospitals, data envelopment analysis, tobit model, Northwest Ethiopia

وصف الملف: text/html

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9030d850371bc125cf55c9f795e1cc56
http://europepmc.org/articles/PMC7769139

المؤلفون: Amare T, Yitayal M, Amare G

المصدر: Risk Management and Healthcare Policy, Vol Volume 13, Pp 3135-3146 (2020)

مصطلحات موضوعية: maternal health service, lcsh:Public aspects of medicine, northwest ethiopia, lcsh:RA1-1270, technical efficiency, public hospitals, data envelopment analysis, tobit model

الوصف: Tsegaw Amare, Mezgebu Yitayal, Getasew Amare Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Getasew AmareDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, PO Box – 196, Gondar, EthiopiaTel +251910151944Email getasewa23@gmail.comIntroduction: Ethiopian health expenditure as a share of total government expenditure increased from 7.6% in 2013/14 to 8.1% in 2016/17. But it remained low even for the low-income country average expected share of 8.7%. It signifies the efficient use of scarce resources in the health sector is still critical to achieving sustainable development goals. But little evidence is available about public hospitals’ technical efficiency in providing maternal health services. Therefore, the aim of this study was to assess the technical efficiency of maternal health services provision of public hospitals in Northwest Ethiopia.Methods: Facility-based cross-sectional study was conducted among twelve randomly selected public hospitals. Input data (salary expenditure, non-salary expenditure, and the number of beds) and maternal health services output data (antenatal care, skilled delivery, and postnatal care) for a 2011 Ethiopian fiscal year (July 2018 to June 2019) were collected and entered into Epi-Data 3.1. We used both primary and secondary data collection procedures to determine independent variables and the dependent variable, respectively. We also used a two-stage input-oriented data envelopment analysis with variable returns to scale assumption.Results: The study showed that hospitals included in this study wasted US$ 6833.50 for salary and US$ 3886.8 for non-salary expenditures. The study also revealed that the mean pure technical efficiency of public hospitals for maternal health service provision was 0.92± 0.142, and their scale efficiency was 0.795± 0.24. The hospital manager’s experience year, the educational level of the manager, and the hospital service year associated positively with the technical efficiency. However, the catchment population and distance of another health facility associated negatively with technical efficiency.Conclusion: The public hospitals’ pure technical efficiency in the provision of maternal health services in Northwest Ethiopia was high. More than half of the public hospitals were technically efficient. The wasted amount of expenditures could be used for satisfying the unmet health services need of the population. Therefore, it is better to monitor the health facilities for the wise use of the existing resources for their best performance.Keywords: technical efficiency, maternal health service, public hospitals, data envelopment analysis, tobit model, Northwest Ethiopia

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doajarticles::65be6a9cbf790b7e72f9022938d36814
https://www.dovepress.com/technical-efficiency-of-maternal-health-services-provision-in-public-h-peer-reviewed-article-RMHP

المؤلفون: Piniel Melkamu, Mezgebu Yitayal, Yaregal Animut, Asmamaw Atnafu, Amare Minyihun

المصدر: Risk Management and Healthcare Policy

مصطلحات موضوعية: medicine.medical_specialty, Referral, Total cost, cost of illness, Pharmacy, Northwest Ethiopia, Logistic regression, University of Gondar Referral Hospital, 03 medical and health sciences, Epilepsy, 0302 clinical medicine, Health care, medicine, Outpatient clinic, 030212 general & internal medicine, Original Research, Risk Management and Healthcare Policy, business.industry, 030503 health policy & services, Health Policy, Public Health, Environmental and Occupational Health, Per capita income, medicine.disease, Emergency medicine, epilepsy, 0305 other medical science, business

الوصف: Piniel Melkamu,1 Yaregal Animut,2 Amare Minyihun,3 Asmamaw Atnafu,3 Mezgebu Yitayal3 1University of Gondar Specialized Referral Hospital, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Mezgebu YitayalDepartment of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, P.O. Box 196, Gondar, EthiopiaTel +251 947 057683Email mezgebuy@gmail.comBackground: Epilepsy has significant economic implications on health care needs, premature death, and lost work productivity. Therefore, this study aimed to assess the cost of illness of epilepsy and its associated factors in the Outpatient Department of University of Gondar Referral Hospital, Northwest Ethiopia.Methods: We conducted an institution-based cross-sectional study from March 2018 to April 2018. A total of 442 adult epileptic patients were selected from the chronic follow-up clinic using a systematic sampling technique. We fitted binary logistic regression to identify the associated factors, and significant variables in the multivariable logistic regression analysis were determined using P-value < 0.05 and 95% CI.Results: The study revealed that the mean total cost illness of epilepsy per patient per year was US$ 166± 61.6, and 30.3% of patients incurred high cost. Age (AOR = 1.06; 95% CI: 1.03, 1.09), sex (AOR = 3.66; 95% CI: 1.94, 6.89), educational (AOR = 0.15; 95% CI: 0.005, 0.047), polytherapy (AOR = 4.66; 95% CI: 2.29, 9.46), seizure frequency (AOR = 4.48; 95% CI: 1.56, 12.8), place where AEDs were bought (AOR = 6.23; 95% CI: 2.7, 14.03) and disease duration (AOR = 0.11; 95% CI: 0.05, 0.25) were predictors of the cost of illness of epilepsy.Conclusion: The total annual cost of illness of epilepsy was high, taking into account the per capita income of the individuals. The age, sex, and educational status of the patients, and the number of AED, seizure frequency, places where patients buy drugs, and disease duration were factors significantly associated with the cost of illness of epilepsy. Hence, creating an alternative source of income, socio-economic support, and affordable health care service for patients, especially for female and elderly patients, and strengthening and equipping nearby clinics, increasing drug availability in governmental pharmacies.Keywords: cost of illness, epilepsy, University of Gondar Referral Hospital, Northwest Ethiopia

وصف الملف: text/html

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ed692de6f2cf5cc6253a9efb35ef37fd
http://europepmc.org/articles/PMC8187097

المؤلفون: Amare TG, Tesfaye TT, Girmay B, Gebreagziabher TT

المصدر: Risk Management and Healthcare Policy, Vol Volume 14, Pp 2211-2220 (2021)

مصطلحات موضوعية: nursing, education, and midwifery students, Public aspects of medicine, RA1-1270, occupational hazard, clinical practice

الوصف: Teka Gezehy Amare,1 Tizita Tariku Tesfaye,2 Berhe Girmay,3 Teklehaimanot Tesfay Gebreagziabher1 1Department of Nursing, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia; 2Department of Nursing, College of Medicine and Health Science, Mettu University, Metu, Ethiopia; 3School of Nursing, College of Health Science, Mekelle University, Mekelle, EthiopiaCorrespondence: Teka Gezehy Amare Tel +251 962618557Email tgzeaxum@gmail.comBackground: Health professionals are challenged with physical, chemical, and psychological hazards. The major areas in which nurses perform hazardous tasks were are injection, cleaning, patient care, bed making, cleaning and dressing of wounds, medication administration, and performing operations. During performing these activities, healthcare providers are exposed to many types of occupational hazards. So, there is a dearth of information on the prevalence of occupational hazards among nursing and midwifery students in this study area.Objective: This study aims to assess exposure to occupational health hazards among nursing and midwifery students during clinical practice at Mekelle University.Methods: Institutional-based cross-sectional study design was conducted from February to June 2017. The study participants were selected nursing and midwifery students of Mekelle University who had ever been attached for clinical practice. A sample of 151 students was recruited by a simple random sampling technique proportionate to their size. The data were collected using a self-administered questionnaire. The collected data were coded, entered, and cleaned by SPSS version 22 for analysis. Finally, the result was presented in the form of text, table, and figures.Results: A total of 151 students had participated with a response rate of 100%. The prevalence of psychosocial hazards, mechanical hazards, biological hazards, and physical hazards was 140 (92.7%), 128 (84.8%), 100 (66.2%), and 100 (66.2%), respectively. About 46 (29.8%) had good knowledge, and 57 (37.7%) of them had poor knowledge of the occupational hazard.Conclusion and Recommendation: Psychosocial hazard was the most common occupational hazard among nursing and midwifery students. The majority of the students have poor knowledge concerning occupational hazards. To build a skilled nurse and midwife, it is mandatory to train all students before clinical practice about safe work practices and proper use of personal protective equipment.Keywords: occupational hazard, nursing students, midwifery students, clinical practice

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doajarticles::d83ec627aeab173ed7dc856b75ab5fa8
https://www.dovepress.com/exposure-to-occupational-health-hazards-among-nursing-and-midwifery-st-peer-reviewed-fulltext-article-RMHP

المؤلفون: Teklehaimanot Tesfay Gebreagziabher, Berhe Girmay, Teka Gezehy Amare, Tizita Tariku Tesfaye

المصدر: Risk Management and Healthcare Policy

مصطلحات موضوعية: medicine.medical_specialty, Physical hazard, education, midwifery students, Occupational safety and health, 03 medical and health sciences, 0302 clinical medicine, Nursing, Medicine, 030212 general & internal medicine, Personal protective equipment, Original Research, nursing students, Risk Management and Healthcare Policy, Response rate (survey), business.industry, Obstetrics, 030503 health policy & services, Health Policy, Public Health, Environmental and Occupational Health, Simple random sample, Biological hazard, occupational hazard, clinical practice, Psychosocial hazard, 0305 other medical science, business, Psychosocial

الوصف: Teka Gezehy Amare,1 Tizita Tariku Tesfaye,2 Berhe Girmay,3 Teklehaimanot Tesfay Gebreagziabher1 1Department of Nursing, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia; 2Department of Nursing, College of Medicine and Health Science, Mettu University, Metu, Ethiopia; 3School of Nursing, College of Health Science, Mekelle University, Mekelle, EthiopiaCorrespondence: Teka Gezehy Amare Tel +251 962618557Email tgzeaxum@gmail.comBackground: Health professionals are challenged with physical, chemical, and psychological hazards. The major areas in which nurses perform hazardous tasks were are injection, cleaning, patient care, bed making, cleaning and dressing of wounds, medication administration, and performing operations. During performing these activities, healthcare providers are exposed to many types of occupational hazards. So, there is a dearth of information on the prevalence of occupational hazards among nursing and midwifery students in this study area.Objective: This study aims to assess exposure to occupational health hazards among nursing and midwifery students during clinical practice at Mekelle University.Methods: Institutional-based cross-sectional study design was conducted from February to June 2017. The study participants were selected nursing and midwifery students of Mekelle University who had ever been attached for clinical practice. A sample of 151 students was recruited by a simple random sampling technique proportionate to their size. The data were collected using a self-administered questionnaire. The collected data were coded, entered, and cleaned by SPSS version 22 for analysis. Finally, the result was presented in the form of text, table, and figures.Results: A total of 151 students had participated with a response rate of 100%. The prevalence of psychosocial hazards, mechanical hazards, biological hazards, and physical hazards was 140 (92.7%), 128 (84.8%), 100 (66.2%), and 100 (66.2%), respectively. About 46 (29.8%) had good knowledge, and 57 (37.7%) of them had poor knowledge of the occupational hazard.Conclusion and Recommendation: Psychosocial hazard was the most common occupational hazard among nursing and midwifery students. The majority of the students have poor knowledge concerning occupational hazards. To build a skilled nurse and midwife, it is mandatory to train all students before clinical practice about safe work practices and proper use of personal protective equipment.Keywords: occupational hazard, nursing students, midwifery students, clinical practice

وصف الملف: text/html

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::acbf328506d6dfe983495ae0e95fb2a8
http://europepmc.org/articles/PMC8169087

المؤلفون: Ayal Debie, Gashaw Andargie, Getasew Amare, Atalele Setegn

المصدر: Risk Management and Healthcare Policy

مصطلحات موضوعية: 03 medical and health sciences, 0302 clinical medicine, Willingness to pay, Health care, social health insurance, 030212 general & internal medicine, Salary, Social determinants of health, Sampling frame, Original Research, Risk Management and Healthcare Policy, teachers, business.industry, 030503 health policy & services, Health Policy, Public Health, Environmental and Occupational Health, Simple random sample, Gondar town, Confidence interval, Payroll, Ethiopia, 0305 other medical science, business, Psychology, willingness to pay, Demography

الوصف: Atalele Setegn,1 Gashaw Andargie,2 Getasew Amare,2 Ayal Debie2 1University of Gondar Comprehensive and Specialized Referral Hospital, University of Gondar, Gondar, Ethiopia; 2Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Ayal DebieUniversity of Gondar, P.O. Box: 196, Gondar, EthiopiaEmail debieayal@gmail.comBackground: Globally, about 1.3 billion people lack access to effective and affordable healthcare and 150 million people in 44 million households face financial catastrophe. Health insurance schemes are an effective financing mechanism to help people who are unable to use healthcare services. However, the government employee’s Willingness to Pay (WTP) for the proposed premium for health insurance were not well investigated.Methods: A facility-based cross-sectional study was conducted from April to May, 2018 among teachers at governmental schools of Gondar town. The participants were selected using a simple random sampling technique using their payroll list as a sampling frame. Data were cleaned, coded, and entered into EPI-INFO version 7 software and exported to SPSS version 20 for analysis. A P-value less than 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were used to identify variables significantly associated with the outcome variable.Results: Overall, 62.0% of teachers were willing to pay 3% or more of their monthly salary for SHI. In this study, teachers whose monthly salary was more than US$215.6 (AOR=2.12; 95% CI=1.07– 4.17), first degree (AOR=4.44; 95% CI=2.89– 6.83), masters (AOR=4.91; 95% CI=1.14– 11.09), history of illness in the past 6 months (AOR=2.13; 95% CI=1.37– 3.31), not facing difficulty covering medical bills (AOR=0.49; 95% CI=0.35– 0.84), heard about SHI (AOR=1.73, 95% CI=1.09– 2.73), and favorable attitude towards SHI (AOR=1.82; 95% CI=1.22– 2.72) were significantly associated with WTP for the proposed price of the scheme.Conclusion: The majority of teachers were WTP the proposed amount of premium for the scheme. Factors such as level of education, monthly salary, attitudes, difficulty of covering medical bills, information, and history of illness were significantly associated with WTP for SHI. Therefore, awareness creation (sensitization activities) about SHI and increasing the educational status of the participant could improve WTP.Keywords: willingness to pay, social health insurance, teachers, Gondar town, Ethiopia

وصف الملف: text/html

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::63e208f3b5a64f234a09f40c9355abe8
https://doi.org/10.2147/rmhp.s298256

المؤلفون: Setegn A, Andargie G, Amare G, Debie A

المصدر: Risk Management and Healthcare Policy, Vol Volume 14, Pp 861-868 (2021)

مصطلحات موضوعية: teachers, lcsh:Public aspects of medicine, gondar town, lcsh:RA1-1270, social health insurance, ethiopia, willingness to pay

الوصف: Atalele Setegn,1 Gashaw Andargie,2 Getasew Amare,2 Ayal Debie2 1University of Gondar Comprehensive and Specialized Referral Hospital, University of Gondar, Gondar, Ethiopia; 2Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Ayal DebieUniversity of Gondar, P.O. Box: 196, Gondar, EthiopiaEmail debieayal@gmail.comBackground: Globally, about 1.3 billion people lack access to effective and affordable healthcare and 150 million people in 44 million households face financial catastrophe. Health insurance schemes are an effective financing mechanism to help people who are unable to use healthcare services. However, the government employee’s Willingness to Pay (WTP) for the proposed premium for health insurance were not well investigated.Methods: A facility-based cross-sectional study was conducted from April to May, 2018 among teachers at governmental schools of Gondar town. The participants were selected using a simple random sampling technique using their payroll list as a sampling frame. Data were cleaned, coded, and entered into EPI-INFO version 7 software and exported to SPSS version 20 for analysis. A P-value less than 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were used to identify variables significantly associated with the outcome variable.Results: Overall, 62.0% of teachers were willing to pay 3% or more of their monthly salary for SHI. In this study, teachers whose monthly salary was more than US$215.6 (AOR=2.12; 95% CI=1.07– 4.17), first degree (AOR=4.44; 95% CI=2.89– 6.83), masters (AOR=4.91; 95% CI=1.14– 11.09), history of illness in the past 6 months (AOR=2.13; 95% CI=1.37– 3.31), not facing difficulty covering medical bills (AOR=0.49; 95% CI=0.35– 0.84), heard about SHI (AOR=1.73, 95% CI=1.09– 2.73), and favorable attitude towards SHI (AOR=1.82; 95% CI=1.22– 2.72) were significantly associated with WTP for the proposed price of the scheme.Conclusion: The majority of teachers were WTP the proposed amount of premium for the scheme. Factors such as level of education, monthly salary, attitudes, difficulty of covering medical bills, information, and history of illness were significantly associated with WTP for SHI. Therefore, awareness creation (sensitization activities) about SHI and increasing the educational status of the participant could improve WTP.Keywords: willingness to pay, social health insurance, teachers, Gondar town, Ethiopia

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doajarticles::fee78a68290b756f4dce4c497ef61bdb
https://www.dovepress.com/willingness-to-pay-for-social-health-insurance-among-teachers-at-gover-peer-reviewed-article-RMHP

المؤلفون: Gessesse A, Yitayal M, Kebede M, Amare G

المصدر: Risk Management and Healthcare Policy, Vol Volume 14, Pp 695-703 (2021)

مصطلحات موضوعية: fee-waiver, out-of-pocket payment, lcsh:Public aspects of medicine, northern ethiopia, lcsh:RA1-1270, health service utilization

الوصف: Ataklti Gessesse,1 Mezgebu Yitayal,2 Mihiretu Kebede,3,4 Getasew Amare2 1Tigray Public Health Institute, Mekelle, Ethiopia; 2Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3Department of Health Informatics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 4Leibniz Institute for Prevention Research and Epidemiology, Bremen, GermanyCorrespondence: Getasew Amare P.O. Box – 196, Gondar, EthiopiaTel +251910151944Email getasewa23@gmail.comBackground: Health service utilization among out-of-pocket payers and fee-wavier users and factors associated with it in Saesie Tsaeda-Emba District, Tigray Region, Northern Ethiopia.Methods: A comparative community-based cross-sectional study was conducted in Northern Ethiopia. Households with at least one person who experienced illness during the last six months were included in the study. Data were collected using a structured and interviewer-administered questionnaire. Bivariable and multivariable logistic regression analyses were used to identify factors associated with the HSU.Results: In this study, 652 individuals (489 OOP payers and 163 fee waiver users) participated with overall response rate of 98%. The overall HSU among the participants was 44.3% (41.9 for OOP users and 51.5% for fee waiver users). The study revealed that educational status (AOR = 0.35; 95% CI: 0.21, 0.59), family size (AOR = 0.60; 95% CI: 0.37, 0.97) and income level (AOR = 2.09; 95% CI: 1.12, 3.90, and AOR = 4.12; 95% CI: 2.41, 7.53) were factors significantly associated with the HSU among OOP payers. The study also revealed that educational status (AOR = 0.65; 95% CI: 0.21, 0.59), family size (AOR = 0.4; 95% CI: 0.37, 0.97), income level (AOR = 1.12; 95% CI: 1.21, 4.87), and payment mechanism (AOR = 2.21; 95% CI = 1.34, 4.67 were significantly associated with the HSU among all study participants.Conclusion: This study shows that the level of the HSU is low. Educational status, family size, economic status, and payment mechanism were significantly associated with the HSU. Therefore, improving the community’s educational level, promoting family planning, devising income-generating strategies, and strengthening the fee waiver mechanism may enhance the HSU.Keywords: out-of-pocket payment, fee-waiver, health service utilization, Northern Ethiopia

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doajarticles::bffc882dac27cc7a36354cc7e895badd
https://www.dovepress.com/health-service-utilization-among-out-of-pocket-payers-and-fee-wavier-u-peer-reviewed-article-RMHP