Households’ socio-demographic, health-related characteristics and progress towards attainment of universal health coverage in Kilimanjaro, Tanzania
Loading...
Date
2022-10-25
Journal Title
Journal ISSN
Volume Title
Publisher
Tanzania Journal of Community Development
Abstract
Households’ characteristics should not hinder the progress toward
attaining Universal Health Coverage (UHC). UHC attainment progress in
Kilimanjaro Region involved assessing perceived differences between
households’ characteristics and UHC factors (accessibility, affordability,
and service delivery quality). The study employed a cross-sectional design
involving 384 households and 30 health facilities selected through multi-
stage and purposive sampling approaches, respectively. Data were
collected through survey questionnaires. Through IBM-SPSS household-
based data were analysed using Kruskal Wallis H and Mann Whitney U
tests. Health facilities-based data were analysed through Geometric mean
computation using MS-Excel to obtain UHC service coverage index.
Results indicated: Occupation (p=0.012), general household health
condition (GHHC) (p=0.039), health insurance membership (HIM)
(p=0.039), and presence of non-communicable disease (p=0.032); GHHC
(p=0.041); income (p=0.000), occupation (p= 0.000), education (p=0.004),
health check-up frequency (p=0.001), and HIM (p=0.000) were significantly
different in health services delivery quality, accessibility, and affordability,
respectively. UHC service coverage index was 69.9%, which is fairly good
about the WHO recommendation of 80%. Therefore, households’
characteristics can impair health services access and, consequently,
impair progress towards UHC attainment. To improve UHC attainment
progress, service providers, LGAs and MoH should work towards
improving the service domains, which scored below threshold and
promotion of universal health insurance.
Description
Journal article
Keywords
Universal health coverage, Household characteristics, Health services delivery quality, Accessibility, Affordability