Authors :
Mamadou Guedji DIOUF; Mamadou Makhtar Mbacké LEYE; Martial Coly BOP; Cheikh Tacko DIOP; Abdoul Aziz NDIAYE; Ousseynou KA
Volume/Issue :
Volume 9 - 2024, Issue 3 - March
Google Scholar :
https://tinyurl.com/3u62bs88
Scribd :
https://tinyurl.com/yxe3mk3e
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24MAR222
Abstract :
Introduction :
Mutual health insurance constitutes a micro-
insurance system which facilitates access to care by
avoiding direct payment. They represent one of the
pillars of our Universal Health Coverage. After years of
existence and despite political commitment, community
support for mutual health insurance remains low until
now. The objective of our work was to study the factors
linked to the membership of mutual health insurance
companies in the Thiès region and to propose solutions.
Methodology :
The study was cross-sectional, descriptive and
analytical. It was carried out among a sample of 1,300
people, residing in the Thiès region for at least 6 months,
chosen following a three-stage cluster survey. A
questionnaire was used to collect data related to
predisposing, facilitating and health system factors.
These data were entered and analyzed using SPSS
version 21 software. The significance value was P < 0.05.
The Odds ratio was used to measure the strength of the
link.
Results :
The average age is 42 years and among the people
surveyed 75.3% lived in an urban area, 84.5% claimed
to know mutual insurance companies. The number of
dependent children among the people surveyed was 9
and 90% had an income-generating activity, married
people were 82.9% and 78.2% were educated. The
mutual penetration rate was 69.3%.
The analysis showed that membership in mutual
health insurance was significantly influenced by the area
of residence with P < 0.001 [OR: 2.0; CI:1.4-2.8], by age
group with P < 0.001[OR:1.4; CI:1.1-2.0], by income-
generating activity with P < 0.001 [OR:2.1; CI:1.1-4.1],
by knowledge of a mutual with P < 0.001 [OR:81.6; CI:
42.2-157] and education with P < 0.001 [OR: 1.9; CI: 1.3-
2.6]. Membership was also associated with marital status
and the number of children in care with P < 0.001 and P
< 0.002 respectively.
Conclusion :
This study made it possible to evaluate the
penetration rate of mutual health insurance in the Thiès
region in 2023, but also to identify the factors associated
with membership in a mutual health insurance.
Strengthening communication and targeted awareness
and improving the level of knowledge of the populations
will help to boost the level of support of the populations
of the Thiès region.
Keywords :
Determinants, Risk Factors, Members, Beneficiaries, Mutual Health Insurance, Senegal.
Introduction :
Mutual health insurance constitutes a micro-
insurance system which facilitates access to care by
avoiding direct payment. They represent one of the
pillars of our Universal Health Coverage. After years of
existence and despite political commitment, community
support for mutual health insurance remains low until
now. The objective of our work was to study the factors
linked to the membership of mutual health insurance
companies in the Thiès region and to propose solutions.
Methodology :
The study was cross-sectional, descriptive and
analytical. It was carried out among a sample of 1,300
people, residing in the Thiès region for at least 6 months,
chosen following a three-stage cluster survey. A
questionnaire was used to collect data related to
predisposing, facilitating and health system factors.
These data were entered and analyzed using SPSS
version 21 software. The significance value was P < 0.05.
The Odds ratio was used to measure the strength of the
link.
Results :
The average age is 42 years and among the people
surveyed 75.3% lived in an urban area, 84.5% claimed
to know mutual insurance companies. The number of
dependent children among the people surveyed was 9
and 90% had an income-generating activity, married
people were 82.9% and 78.2% were educated. The
mutual penetration rate was 69.3%.
The analysis showed that membership in mutual
health insurance was significantly influenced by the area
of residence with P < 0.001 [OR: 2.0; CI:1.4-2.8], by age
group with P < 0.001[OR:1.4; CI:1.1-2.0], by income-
generating activity with P < 0.001 [OR:2.1; CI:1.1-4.1],
by knowledge of a mutual with P < 0.001 [OR:81.6; CI:
42.2-157] and education with P < 0.001 [OR: 1.9; CI: 1.3-
2.6]. Membership was also associated with marital status
and the number of children in care with P < 0.001 and P
< 0.002 respectively.
Conclusion :
This study made it possible to evaluate the
penetration rate of mutual health insurance in the Thiès
region in 2023, but also to identify the factors associated
with membership in a mutual health insurance.
Strengthening communication and targeted awareness
and improving the level of knowledge of the populations
will help to boost the level of support of the populations
of the Thiès region.
Keywords :
Determinants, Risk Factors, Members, Beneficiaries, Mutual Health Insurance, Senegal.
