Households’ socio-demographic, health-related characteristics and progress towards attainment of universal health coverage in Kilimanjaro, Tanzania

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dc.contributor.authorKimario, Kanti Ambrose
dc.contributor.authorMuhanga, Mikidadi Idd
dc.contributor.authorKayunze, Kim Abel
dc.date.accessioned2023-06-05T13:25:43Z
dc.date.available2023-06-05T13:25:43Z
dc.date.issued2022-10-25
dc.descriptionJournal articleen_US
dc.description.abstractHouseholds’ 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.en_US
dc.identifier.issn2773-675X
dc.identifier.urihttp://www.suaire.sua.ac.tz/handle/123456789/5297
dc.language.isoenen_US
dc.publisherTanzania Journal of Community Developmenten_US
dc.relation.ispartofseriesTanzania Journal of Community Development Vol 2:1;
dc.subjectUniversal health coverageen_US
dc.subjectHousehold characteristicsen_US
dc.subjectHealth services delivery qualityen_US
dc.subjectAccessibilityen_US
dc.subjectAffordabilityen_US
dc.titleHouseholds’ socio-demographic, health-related characteristics and progress towards attainment of universal health coverage in Kilimanjaro, Tanzaniaen_US
dc.typeArticleen_US

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