AEA Perceptions Evaluation IHP web
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![Page 1: AEA Perceptions Evaluation IHP web](https://reader034.fdocuments.in/reader034/viewer/2022051521/58ef525a1a28abfc1c8b45b5/html5/thumbnails/1.jpg)
Using Rapid Assessment in
Ugandan Communities to
Gauge Perceived Economic
Benefits of Community-Based
Health Insurance
Christina Blanchard-Horan, PhD,
Consultant, Global Health Liaisons
Under contract with Matre Group Inc.
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Value of Perception Evaluations
for
Community Based Organizations
Contributes to the design of more
robust program messages
Improves diffusion of innovations
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Community-based health
insurance (CBHI) in developing
countries
Protects members from economic downfall
in the event of a catastrophic health
incident
Helps members get healthcare when
needed
Assists with health planning
Disseminates disease prevention
messages reducing preventable diseases
Improves health systems by providing
solid payment systems
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CBHI Challenges in Ishaka
Enrolling large percentage (60%) into
group participation as risk mitigation
tactic - slow uptake
Retention of dynamic leadership
Misperception about CBHI because of
donor funding at start-up
Departure of donor funding = changes
at CBHI and need for diversification
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Purpose of Perceptions
Evaluation
Understand CBHI contribution to well-
being
Determine members' perceived
economic benefit and beliefs about CBHI
Improve messages for sensitization
Realize other apparent benefits of CBHI
participation
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Methods
◦Rapid assessment
Survey interviews – open and closed-ended questions
Pretested on Ugandans from community
Ugandan-tested amenities scale
◦n=30 heads of households
◦Examined patterns among
responses
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Limitations
Generalisability
Retrospective Questionnaire
dependent upon long-term memory of
CBHI members = one year
Point to determine perceptions not
actual occurrences
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16
10
3
0 5 10 15 20
6 h
ad
bee
n o
n th
epla
n s
ince incep
tio
n,
10
in
the
pa
st
5years
6 h
ad
bee
n w
ith t
he
pla
n s
ince incep
tio
n(1
99
9)
Ne
ve
r D
roppe
dD
rop
ped
and
retu
rne
dD
rop
ped
and
ne
ve
rre
turn
ed
Dropping the Plan
n=30
Number of
HH Size, Education & Vocation
HH
Siz
e (M
ean
&
Me
dia
n)
Edu
cati
on
No
Sch
oo
ling
Farm
ing
inco
me
624 = P3 to S3
(27% =P7)6
(20%)22
(73%)
Interviewee
Demographics Women, 8
Men, 12
Women Single HH, 9
Women
Men
Single WomenHH
Interviewee Gender and
Single Head Households
Single
Men HH
Single Men HH,
1
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Perceived Experiences with
CBHI Sustainability - land and livestock ownership
“I would have to go back to selling land.”
Work – Ability to work“IHP has improved my life. I added some years because of IHP and increased working. Because, if sickness comes, I cannot work.”
“I go sooner to the doctor when feeling sick, so I can go back to work sooner.”
Education– Ability to pay school costs = 43% (12)“The money we use to bring to the hospital can pay school fees”.
Psychological - reducing household financial stressors from cost of unplanned healthcare ◦ 20 mentioned financial difficulty would have had medical bills to pay
if not for IHP
Healthcare Access – quality care when needed ◦ 4 said they would die without CBHI
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Results in Practice
Social Marketing - 63% (19)
◦ better financial and health conditions
since joining the Health Plan
Identified new CBHI models
◦ Chronic illness models = 30% (10)
◦ Targeting Schools
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Potential CBHI Benefits
Requiring further investigation -
Contribution to the financial health of
the larger community as well
Reduction of infectious disease
transmission
Impact on the local economy of rural
communities
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Implementation of Resuts
The health plan responded by
Updating policies
Increasing rates to improve services
Implementing a recognition program
Integrated findings into media strategy
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More Information
Ishaka Health Plan www.ishakahealthplan.com
◦ Community-based Health Plan (CBHI)
Matré Group Inc. www.matregroup.org
◦ Health Services
◦ Solar Light
◦ OVC in schools
Tuchwemu Project www.tuchwemu.com
◦ Savings Cooperatives
◦ Economic Development Initiatives