ArticleHeliyon2021
Willingness to join and pay for community-based health insurance and associated determinants among urban households of Cameroon: case of Douala and Yaounde.
Article in Heliyon, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Effect of financial health risk protection education on health insurance knowledge and enrollment willingness among rural households in Tanzania: a cluster randomized controlled trial.BMC public health · 2025Trial
- Drivers of community-based health insurance enrolment in post-war Tigray, Ethiopia.BMJ global health · 2026Article
- Exploring patient and provider perspectives on health insurance effectiveness in cameroon: a qualitative study.Health economics review · 2025Article
- Willingness to join community-based health insurance and associated factors among households in Ethiopian: a systematic review and meta-analysis.Cost effectiveness and resource allocation : C/E · 2025Review
- Socioeconomic impacts of community-based health insurance: evidence from Gondar Zuria District, Amhara Regional State, Ethiopia.Health research policy and systems · 2025Article
- Study on the willingness to enroll in the urban and rural residents basic medical insurance: from the perspectives of policy awareness and institutional trust.Frontiers in public health · 2025Article
- Determinants of households' willingness to pay for health insurance in Burkina Faso.Health economics review · 2024Article
- Factors associated with household willingness to pay for Universal Health Coverage in Cameroon: a nationwide cross-sectional analysis.BMC health services research · 2024Article
- Multidimensional determinants of willingness to pay for community-based health insurance in Ethiopia and its implication towards universal health coverage: A narrative synthesis.Preventive medicine reports · 2023Review
- Community-Based Health Insurance Utilization and Its Determinants among Informal Workers: Cross-Sectional Study.Ethiopian journal of health sciences · 2023Article
- Failure to receive prescribed imaging is associated with increased early mortality after injury in Cameroon.PLOS global public health · 2023Article
- Community-Based Health Insurance Membership Renewal Rate and Associated Factors among Households in Gedeo Zone, Southern Ethiopia.Journal of environmental and public health · 2022Article
- Is Ethiopian community-based health insurance affordable? Willingness to pay analysis among households in South Central, Ethiopia.PloS one · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe risks associated with direct health spending are high in Cameroon, where almost all household income is spent on health care. Moreover, there is no real social security in Cameroon because of the lack of a universal social protection system.
objectivesThis study aimed to assess the willingness of Cameroonian urban dwellers to subscribe and the amount to pay for voluntary (VCHI) or compulsory community-based health insurance (CCHI).
methodsA cross-sectional study based on a three-stage stratified cluster random sampling design using a bidding game style based on the contingent valuation approach was performed to in the two largest urban areas of Cameroon (Douala and Yaoundé) evaluate the willingness to pay for the VCHI and CCHI.
resultsThe results shown that 46% of respondent were willing to join the CCHI and 41% for VCHI. Furthermore, household income, working sector, chronic disease, health priority, and family size were factors mostly associated (p < 0.001) with the willingness to join CCHI or VCHI. Increase in household income has a positive effect on household's desire for both CCHI and VCHI. While for VCHI, increase of children number resulted in an increment of the premium, contrary to the occurrence of chronic ailment which led in the decrease of the bid.
conclusionsFrom the results, it is clear that city dwellers in Cameroon are ready to join and pay for community health insurance. This willingness was related to their financial power which resulted in an average insurance premium of 9.03 USD and 8.17 USD, respectively for CCHI and VCHI. That bid was found to be enough for an implementation of these types of health insurance in Cameroon.
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