Samia Habbani

Clinical Community Medicine and Public Health Consultant, Sudan

Title: Towards Universal Health Coverage: Designing a Community Based Intervention to Scale up Coverage with Health Insurance, in A-Duiem Administrative Unit, White Nile State, Sudan 2018-2019”

Abstract

Background: Community engagement has proved effective in increasing access to health care including health insurance, in developed and developing countries. Aim: The study aims at designing and testing the effectiveness of engaging the community in awareness-raising and increment of health insurance coverage. Methods: The study was a social interventional community-based study, conducted in A-Duiem Administrative Unit, A-Duiem Locality, Sudan 2018-2019. Baseline data on enrollment in health insurance was collected from 800 heads of households, whereas data on knowledge and attitudes about health insurance was collected from 420 heads of non-insured households using a standardized questionnaire. Strategies to scale up health insurance through community engagement was collected from community leaders, local authorities, and health insurance policymakers through in-depth interviews and focus group discussions. The community promotion package of health insurance was implemented for one year and post-intervention data were collected from 420 heads of households. Quantitative data were analyzed using SPSS version 20. Statistical significance was set at p < 0.05 when the confidence interval was 95%. Qualitative data was analyzed manually using the thematic approach. Results: The study showed significant improvement in the knowledge of the heads of the non-insured households about health insurance after the intervention; knowledge about the enrollment process and service’s package has increased from 34.4% to 61.8% and from 55.8% to 84.7% respectively (P-value 0.0001 in both). The health insurance coverage increased by 17.3% with a significant difference and P-value at 0.0001. Conclusions: The study concluded that community members have a considerable role in awareness-raising and scaling up of health insurance coverage if they are properly organized, trained, monitored, and supervised. The insufficient commitment of local officials in the unit was a challenge to address during further testing and expansion of the experience.

Biography

Samia Habbani is currently working as a public health consultant specially trained for Clinical Community Medicine at Sudan

4th International Conference on Nursing and Women's Healthcare

Samia Habbani

Title: Towards Universal Health Coverage: Designing a Community Based Intervention to Scale up Coverage with Health Insurance, in A-Duiem Administrative Unit, White Nile State, Sudan 2018-2019”

Abstract

Biography

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