Zavaruj jih in izboljšaj njihovo zdravstveno varstvo: učinek zdravstvenega zavarovanja Hygeia na dobrobit gospodinjstev v državi Kwara, Nigeria

Raphael BABATUNDE, Adeyemi OMONIWA, Oluwafemi OYEDEJI

Povzetek


Zdravstveni plan skupnosti Hygeia je bil zasnovan tako, da imajo pretežno kmetijska gospodinjstva dostop do ugodnih zdravstvenih storitev. Njegov namen je bil tudi zaščita pred finančnimi tveganji, ki nastajajo ob naraščajočih stroških zdravstvenega zavarovanja, ki bi zavarovance lahko pahnili v revščino. Prispevek je nastal na osnovi dobro zasnovanega vprašalnika za preučitev odgovorov, ki so jih dali izprašanci na učinke zdravstvenega plana skupnosti Hygeia na dobrobit kmečkih gospodinstev v državi Kwara, Nigeria. Uporabljena je bila dvostopenjska vzorčevalna tehnika, v kateri je sodelovalo 175 kmečkih gospodinjstev, 115 upravičencev in 60 neupravičencev zdravstvenega sklada iz okrožij Shonga, Bacita in Lafiagi, Edu lokalne vladne enote v državi Kwara, Nigeria. Za obdelavo podatkov sta bila v tej raziskavi uporabljena linearni regresijski model (OLS-ordinary least squaeres) in logistični model. Rezultati so pokazali, da je Hygeia komunalni zdrastveni plan statistično značilno pozitivno vplival na prihodek na prebivalca in vnos kalorij, kar je izboljšalo prehransko varnost kmečkih gospodinjstev na območju. Zaradi tega priporočamo vladi, da oblikuje ustrezno vspodbudno okolje ali se poveže z zasebnimi zavarovalnicami. To bi pomagalo izdelati plan dostopnega zdravstvenega servisa za kmečka gospodinjstva na podeželju tudi v drugih predelih dežele. Pripomoglo bi tudi doseči univerzalen dostop do zdravstvenih storitev v državi Kwara in širše v Nigeriji.

Ključne besede


Hygeia; zdravstveni plan; skupnost; dobrobit in kmetovanje; država Kwara, Nigerija

Celotno besedilo:

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DOI: http://dx.doi.org/10.14720/aas.2019.113.1.01

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