Readiness of Health Centers and Primary Hospitals for the Implementation of Proposed Health Insurance Schemes in Southwest Ethiopia

Abstract

BACKGROUND: In response to the 2005 World Health Assembly, many low income countriesdeveloped different healthcare financing mechanisms with risk pooling stategy to ensureuniversal coverage of health services. Accordingly, service availability and readiness of thehealth system to bear the responsibility of providing service have critical importance. Theobjective of this study was to assess service availability and readiness of health centers andprimary hospitals to bear the responsibility of providing service for the members of healthinsurance schemes.METHODS AND MATERIALS: A facility based cross sectional study design with quantitativedata collection methods was employed. Of the total 18 districts in Jimma Zone, 6(33.3%)districts were selected randomly. In the selected districts, there were 21 functional public healthfacilities (health centers and primary hospitals) which were included in the study. Data werecollected by interviewer administered questionnaire. Descriptive statistics were calculated byusing SPSS version 20.0. Prior to data collection, ethical clearance was obtained.RESULTS: Among the total 21 public health facilities surveyed, only 38.1% had all thecategories of health professionals as compared to the national standards. The majority, 85.2%,of the facilities fulfilled the criteria for basic equipment, but 47.7% of the facilities did not fulfillthe criteria for infection prevention supplies. Moreover, only two facilities fulfilled the criteriafor laboratory services, and 95.2% of the facilities had no units/departmenst to coordinate thehealth insurance schemes.CONCLUSIONS: More than nine out of ten facilities did not fulfill the criteria for providinghealthcare services for insurance beneficiaries and are not ready to provide general servicesaccording to the standard. Hence, policy makers and implementers should devise strategies tofill the identified gaps for successful and sustainable implementation of the proposed insurancescheme.