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Demographic characteristics of Sierra Leone and their impact on the welfare basket of the national social health insurance plan: a forward-looking perspective

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Document pages: 10 pages

Abstract: Background the government of Sierra Leone has launched a social health insurance scheme to provide universal health insurance for the people. The purpose of this study was to assess demographic characteristics and their impact on the welfare basket of the proposed national health insurance plan. method. A cross-sectional study design was used in six selected areas of Sierra Leone. This study collected quantitative data by using a semi-structured questionnaire, with a sample of 1185 respondents. Descriptive and inferential statistics were used for data analysis. Statistical analysis at 5 significance level was performed using Stata 14.0 software. The consequence study found that most (83.54 ) of the respondents affirmed that children under the age of 18 should be excludedpremium payments and as high as 71.65 also stated that pregnant women should be excluded as well. The majority, 63.69 , of the respondents want lactating mothers to be excluded from premium payments. Also, 79.87 of respondents wanted mentally challenged persons not to pay premium, while a significant proportion (84.26 ) of respondents further affirmed that the aged (above 70 yrs) should also be excluded from premium payment. Most household heads (89.71 ) preferred the accreditation of public health facilities. Regarding the level at which healthcare services should be covered by the scheme, 61.45 preferred the primary care services, 89 mentioned secondary care services, and 98.93 affirmed the provision of tertiary care under the scheme. As for the type of care that should be covered by the scheme, 98.66 and 99.73 affirmed outpatient and inpatient care, respectively. Conclusion. From the findings on population characteristics and their implications on the benefit basket for the proposed nation social health in Sierra Leone, most of the household heads want exemptions from paying premium for a section of the population. This provides a clear insight for policy makers into the formulation of the benefit basket.

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