Browsing by Author "Kirigia, Joses"

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    Demand for ante-natal care in Nairobi's slum areas
    (1998) Wamukuo, Joseph Thairu; Kirigia, Joses; McIntyre, Di
    This paper studies the factors influencing the demand for ante-natal care in two of Nairobi's slum areas, namely, Kibera and Mathare. Antenatal care is important as its absence I underprovision means higher incidences of both maternal and infant mortalities. On the other hand proper ante-natal care means improved well-being of both mother and child. These two groups constitute over 70% of Kenya's population. For any economic and social development programmes to succeed, there is need to give mother and child special attention. The factors influencing the demand for ante-natal care could be grouped into three major categories; socio-economic (age, marital status, income etc.), facility (quality of care) as well as policy (user-fee) variables. The data for the analysis was obtained by means of a household survey conducted in Kibera and Mathare. A two stage sampling procedure was used for the data collection. This involved first, listing of all clusters from which a random selection of clusters to be studied was done and secondly, the households were drawn by a random sample within each of the selected clusters.
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    Willingness to pay for social health insurance : a case study of Kampala (Uganda)
    (1998) Muheki, Charlotte W; Kirigia, Joses
    In the face of rising health care costs and reductions imposed by budgetary cuts, many governments in developing countries are considering alternatives, other than general tax revenue, to finance their health services. The most popular options, so far adopted, include user fees, community pre-payment schemes, and health insurance. Social Health Insurance has been identified, by policy-makers in Uganda, as a potential source of extra funding for the health sector. As the establishment of the feasibility and viability is a formidable task, this study was restricted to the evaluation of one of the aspects that needs to be investigated before the introduction of social health insurance. The main aim of this study was to explore employees' willingness to pay for Social Health Insurance (SHI), and to identify the factors that influence their willingness to contribute to a SHI scheme. Through the study I was also interested in establishing the extent to which employees' socio-economic characteristics and the SHI attributes affect their willingness to pay.