Browsing by Author "Prossy K Namyalo"

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Barriers to Access and Utilization of Health Services Among Marginalized Communities in Sub-Saharan African Countries: Scoping Review
    (International Journal of Health, Medicine and Nursing Practice, 2024-05-14) Theoneste Nteziryayo; Robert K Basaza; Humphrey C Karamagi; Prossy K Namyalo
    Purpose: This scoping review aimed to investigate the barriers encountered by marginalized communities in sub-Saharan African countries when accessing and utilizing healthcare services. Methodology: The scoping review was evaluated through online databases like the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and SCOPUS review according to the barriers to accessing and utilizing health services among marginalized communities in sub- Saharan African countries. The scoping review identifies the articles from the topic through the online databases using the including and excluding criteria. Findings: The findings identified the barriers to healthcare access, lack of communication and language, and not sharing the proper health details with the healthcare professional. The findings also demonstrated the implications and consequences such as health disparities, economic burden, social and human rights implications, loss of productivity and development, public health implications, and reinforcing social exclusion. Unique contribution to theory, practice and policy: This scoping review illuminates the intricate nexus of socio-economic factors, cultural dynamics, and human rights awareness as barriers to healthcare access in sub-Saharan Africa. The findings offer actionable insights for healthcare practitioners to customize services for marginalized communities, addressing communication gaps and information-sharing reluctance. Moreover, policymakers can utilize these insights to advocate evidence-based policies aimed at promoting equitable healthcare access and enhancing health literacy. Thus, this research serves as a vital conduit between theoretical understanding, practical application, and policy formulation, facilitating the advancement of inclusive and equitable healthcare delivery in the region.
  • Thumbnail Image
    Item
    Willingness to Pay for Community Health Insurance Among Taxi Drivers in Kampala City, Uganda: A Contingent Evaluation
    (Risk Management and Healthcare Policy, 2019) Robert Basaza; Elizabeth P Kyasiimire; Prossy K Namyalo; Angela Kawooya; Proscovia Nnamulondo; Kon Paul Alier
    Background: Community Health Insurance (CHI) schemes have improved the utilization of health services by reducing out-of-pocket payments (OOP). This study assessed income quintiles for taxi drivers and the minimum amount of premium a driver would be willing to pay for a CHI scheme in Kampala City, Uganda. Methods: A cross-sectional study design using contingent evaluation was employed to gather primary data on willingness to pay (WTP). The respondents were 312 randomly and 9 purposively selected key informants. Qualitative data were analyzed using conceptual content analysis while quantitative data were analyzed using MS Excel 2016 to generate the relationship of socio-demographic variables and WTP. Results: Close to a half (47.9%) of the respondents earn above UGX 500,000 per month (fifth quintile), followed by 24.5% earning a monthly average of UGX 300,001–500,000 and the rest (27.5%) earn less. Households in the fourth and fifth quintiles (38.4% and 20%, respectively) are more willing to join and pay for CHI. A majority of the respondents (29.9%) are willing to pay UGX, 6,001–10,000 while 22.3% are willing to pay between UGX 11,001 and UGX 20,000 and 23.2% reported willing to pay between UGX 20,001 and UGX 50,000 per person per month. Only 18.8% of the respondents recorded WTP at least UGX 5,000 and 5.8% reported being able to pay above UGX 50,000 per month (1 USD=UGX 3,500). Reasons expressed for WTP included perceived benefits such as development of health care infrastructure, risk protection, and reduced household expenditures. Reasons for not willing to pay included corruption, mistrust, inadequate information about the scheme, and low involvement of the members. Conclusion: There is a possibility of embracing the scheme by the taxi drivers and the rest of the informal sector of Uganda if the health sector creates adequate awareness.