Abstract: Background: More than 4 billion people worldwide still lack social protection. However, the policy provides a framework for collaboration and coordination within the social protection system, aiming to deliver various services through an organized structure at all levels. Therefore, the aim of this study was to assess willingness to pay for social health insurance and its associated factors among public servants in Lideta Sub-city; Addis Ababa, Ethiopia. Methods: An institutional-based cross-sectional study was conducted from September 15 to November15/2023 using systematic random sampling among 381 permanent public servants in Lideta sub-city of Addis Ababa Ethiopia. Participants were interviewed using a structured pretested closed questionnaire to obtain detail data from respondents for different variables. The data was entered into the Kobo toolbox and exported to SPSS version 26.00 for analysis. Descriptive analysis and cross tabulation was done to see the picture of the data. Bivariate and multivariate logistic regression analysis was done at 95% of confidence interval. Those variables with P-value less than 0.05 along with their Adjusted Odds Ratio (AOR) were declared as a predictor of the outcome variables in the study. Results: A total of 381 government employees completed the questionnaire with a response rate of 100 %. Overall, 64.3% of respondents were willing to pay the proposed premium (3% of their monthly salary). Public servant who knew social health insurance scheme [AOR= 2.24, (95% CI: 1.31, 3.82)], those have good knowledge [AOR= 4.23, (95% CI: 2.15, 8.32)], those had a history of chronic disease [AOR= 2.46, (95% CI: 1.16, 5.21)] were associated with willingness to pay for social health insurance. Conclusions: The willingness to pay 3% of the monthly gross salary for social health insurance was 64.3 %. Public servant who knew social health insurance, having good knowledge and history of previous chronic diseases are identified as predictors of willingness to pay for social health insurance. Thus, the government of Ethiopia and Addis Ababa city administration recommended starting social health insurance. In addition qualitative study will be further recommended to get the detail investigation.
Abstract: Background: More than 4 billion people worldwide still lack social protection. However, the policy provides a framework for collaboration and coordination within the social protection system, aiming to deliver various services through an organized structure at all levels. Therefore, the aim of this study was to assess willingness to pay for social ...Show More
