2022 AUGUST 22 (NewsRx) — By One News Reporter – Staff News Editor at NewsRx COVID-19 Daily — According to news reports based on a preprint summary, our reporters obtained the following quote from medrxiv.org:
“Background With the advent of the novel coronavirus disease (COVID-19) and the severe second wave which has caused high profile deaths, hospitalizations and high treatment costs in Ugandathe population was concerned about the promulgation of the bill on national health insurance coverage.
” Of the March 31, 2021when Uganda was beginning to experience the second wave of COVID-19, the Parliament of Uganda passed a National Health Insurance Bill which outlined the general structure of the first national health insurance scheme. The bill provided for pre-defined benefit packages that included a wide range of essential health services such as family planning, vaccinations and counselling. The plan was proposed to be funded by a combination of employer and government contributions and aimed to cover all Ugandans when fully implemented. The details of the policy and implementation would evolve when the president enacts it. This study aimed to determine the prevalence of health insurance coverage and factors associated with COVID-19 vaccine acceptance among northern participants Uganda and use the results to show its implications for Uganda’s achievement of universal health coverage and Sustainable Development Goals. Methods We conducted a cross-sectional study with seven hundred and twenty-three adult participants from northern Uganda. Participants were selected randomly and consecutively. We used a questionnaire with an internal validity of Cronbach9s a=0.772 to collect quantitative data from the participants.
“A local IRB approved the study and we used SPSS version 25.0 for data analysis.
“A p-value of less than or equal to 0.05 was considered significant. Results The prevalence of health insurance coverage among the study population was low, 57/723 (7.9%), with most insured 42/57 (73.7%), accepting the COVID-19 vaccine with a mean age of 33.81 years SD + 8.863 at 95% CI: 31.46-36.16 and a median age of 35 years. Participants without insurance coverage but who accepted the COVID-19 vaccine were 538/723 (74.4%) with a mean age of 31.15 SD+10.149 at 95% CI: 30.38 -31.92 and a median of 29 years. Insured and uninsured ages are 18-52 and 18-75 respectively. Acceptance of the COVID-19 vaccine was higher among insured 42/57 (73.7%), and the odds ratio for insured participants accepting than rejecting the COVID-19 vaccine was 9.813; df=4; p=0.044. Widows, divorcees and separated married people, participants from remote districts (Nwoya and Lamwo) and those without formal education had no health insurance coverage. However, in a multivariate logistic regression analysis, health insurance coverage was not an independent predictor of COVID-19 vaccine acceptance AoR=1.501, 95% CI: 0.807-2.791; p=0.199. Conclusion As the world grapples with controlling COVID-19, vaccine acceptance and health insurance coverage have become critical issues for every country to manage. Health insurance coverage among northern participants Uganda was low at 57/723 (7.9%). Most participants with health insurance coverage accepted COVID-19 vaccines compared to those who did not. The lack of health insurance coverage among most study participants is problematic as the world seeks to achieve UHC and the SDGs. We have proposed that Uganda’s national social health insurance scheme, which is not statutory, should be reviewed and signed as a matter of urgency to enable the people of Uganda to access needed health services.
This preprint has not been peer reviewed.
For more information on this research, see: http://medrxiv.org/content/10.1101/2022.08.09.22278595v1
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