Population Council, General Accident Insurance House, Ralph Bunche Road, P,O, Box 17643-00500, Nairobi, Kenya.
Int J Equity Health. 2014 Mar 31;13:27. doi: 10.1186/1475-9276-13-27.
The Government of Kenya is making plans to implement a social health insurance program by transforming the National Hospital Insurance Fund (NHIF) into a universal health coverage program. The objective of this study was to examine the determinants associated with health insurance ownership among women in Kenya.
Data came from the 2008-09 Kenya Demographic and Health Survey, a nationally representative survey. The sample comprised 8,435 women aged 15-49 years. Descriptive statistics and multivariable logistic regression analysis were used to describe the characteristics of the sample and to identify factors associated with health insurance ownership.
Being employed in the formal sector, being married, exposure to the mass media, having secondary education or higher, residing in households in the middle or rich wealth index categories and residing in a female-headed household were associated with having health insurance. However, region of residence was associated with a lower likelihood of having insurance coverage. Women residing in Central (OR = 0.4; p < 0.01) and North Eastern (OR = 0.1; p < 0.5) provinces were less likely to be insured compared to their counterparts in Nairobi province.
As the Kenyan government transforms the NHIF into a universal health program, it is important to implement a program that will increase equity and access to health care services among the poor and vulnerable groups.
肯尼亚政府计划通过将国家医疗保险基金（NHIF）转变为全民健康覆盖计划来实施社会健康保险计划。本研究旨在考察肯尼亚女性拥有医疗保险的决定因素。
数据来自 2008-09 年肯尼亚人口与健康调查，这是一项具有全国代表性的调查。样本包括 8435 名年龄在 15-49 岁的女性。使用描述性统计和多变量逻辑回归分析来描述样本特征，并确定与医疗保险所有权相关的因素。
在正规部门就业、已婚、接触大众媒体、接受中等或高等教育、居住在中产阶级或富裕财富指数类别的家庭以及居住在女性户主家庭与拥有医疗保险有关。然而，居住地区与保险覆盖的可能性较低有关。与内罗毕省的女性相比，居住在中央（OR = 0.4；p < 0.01）和东北（OR = 0.1；p < 0.5）省的女性获得保险的可能性较小。
随着肯尼亚政府将 NHIF 转变为全民健康计划，实施一个旨在增加贫困和弱势群体获得医疗服务公平性和机会的计划非常重要。
