Browsing by Author "Emmanuel D. Otieno"

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Determinants of Willingness to Pay for Community Health Insurance Among Commercial Motorcyclists in Kampala City, Uganda: A Contingency Valuation Study
(Journal of Research & Health, 2022-03-01) Robert K. Basaza; Judith H. Kiconco; Elizabeth P. Kyasiimire; Emmanuel D. Otieno
Background: To assess determinants of Willingness to Pay (WTP) for Community Health Insurance (CHI) among commercial motorcyclists (Boda boda riders) in Kampala City, Uganda. Methods: This is a descriptive study with a cross-sectional design. A total of 381 commercial motorcyclists were selected from Nakawa Division using purposive and simple random sampling methods. Structured interviews and contingency valuation method were used for data collection and measuring WTP for CHI. Data were collected in April, May and June 2019. Data were analyzed in SPSS software, v. 21 by multivariate regression analysis and considering at significance level of P<0.05. Results: Most of Boda boda riders had WTP for CHI (70%); 7 out of 10 commercial motorcyclists were willing to pay a premium of at least 70,000 UGX (20 USD).Those with at least five years of experience in the commercial motorcycle business were 9 times more willing to pay for CHI. Those with hired motorcycles and a history of involvement in a riding accident were less likely to pay for CHI. The other key determinants of WTP included: Being a commercial motorcyclist for 3 years or more, being aware of CHI, self-employment (riding own motorcycle), a history of payment for any form of insurance, and being single. Conclusion: The WTP for CHI is high among commercial motorcyclists in Kampala City. The WTP among these motorcyclists is determined more by individual factors and less by insurance scheme-related factors. The results recommend the coverage of informal sector by CHI schemes to increase universal health coverage in Uganda
Experiences of Seeking Antenatal Care and Delivery Among Teenagers in Kibuku District, Uganda
(Journal Research & Health, 2022-07-01) Rebecca Namusana; Josephine M. Namyalo; Emmanuel D. Otieno; Robert K. Basaza
Background: Uganda is ranked 14 out of 54 countries in Africa with the highest level of teenage pregnancy. The teenage pregnancy rate in Kibuku District in 2016 was 35.8%, high above the average rate in Uganda (25%) and also above rural areas in Uganda (27%). Unfortunately, there is limited information on the experiences of seeking antenatal care and delivery among teenagers. This paper explored teenagers’ experiences seeking services at health facilities in the Kibuku district, Eastern Uganda. Methods: This study used a phenomenological design. Data were collected using in-depth interviews with 27 teenagers aged 14-19 years seeking antenatal care (ANC) or those who had delivered. The teenagers were purposively selected to participate in the study. Data collected was thematically and inductively analyzed through coding. Results: The study showed that most teenage mothers knew the importance of seeking ANC and delivery from a health facility. Unfortunately, few sought services early due to some experiences, including financial constraints, support from their caregivers (husbands and parents), medication, and health education. The teenagers were motivated to attend ANC and were treated well by health workers. However, most teenagers did not have the decision-making power to seek care. Conclusion: Teenage mothers knew the importance of seeking ANC and delivery at health facilities. Their experiences with the health facilities also contributed to the health-seeking behavior of the teenagers, including the comfort received by the girls at the facility, the medication administered, how they were treated by the health workers and the availability of utilities. Health and social workers could consider sensitizing teenagers and their caregivers about the delicate nature of their health when pregnant to make personal decisions.