Evidence map›Paper›PMID 39676569›Full record

ArticleInternational health2025

Health insurance in rural Tanzania promotes self-care for among patients with non-communicable diseases via their disease management behaviours.

Ayano Miyashita, Keiko Nakamura, Stephen M Kibusi, Eugene Benjamin Meshi, Anderson Bendera, Hideko Sato, Saber Al-Sobaihi, Yuri Tashiro, Kaushik L Ramaiya, Bruno F Sunguya and 1 more

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In one paragraph

Article in International health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Ayano MiyashitaDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.
Keiko NakamuraDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.ORCID 0000-0002-9119-4730
Stephen M KibusiDepartment of Public Health, School of Nursing and Public Health, The University of Dodoma, Dodoma, United Republic of Tanzania.
Eugene Benjamin MeshiDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.
Anderson BenderaDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.
Hideko SatoDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.
Saber Al-SobaihiDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.
Yuri TashiroDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.
Kaushik L RamaiyaDepartment of Internal Medicine, Shree Hindu Mandal Hospital, Dar es Salaam, United Republic of Tanzania.
Bruno F SunguyaSchool of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, United Republic of Tanzania.
Kaoruko SeinoDepartment of Global Health Entrepreneurship, Division of Public Health, Institute of Science Tokyo (formerly, Tokyo Medical and Dental University), Tokyo, Japan.

Funding

Japan Agency for Medical Research and Development
6 · The paper itself

Abstract

backgroundThe rise of hypertension (HTN) and diabetes mellitus (DM) in Tanzania underscores the importance of self-care practices (SCP) for disease management. Despite the proven effectiveness of SCP, financial barriers in resource-limited rural areas hinder continuous care. Health insurance (HI) emerges as a critical solution to alleviate financial constraints and support SCP.

methodsThis study examined an association between HI and SCP by generalised linear and ordinal logistic regressions, adjusted for sociodemographic factors. Mediation analysis highlighted the role of disease management behaviours (hospital visits and medication adherence) in the association. Data were collected through individual interviews with 909 patients.

resultsBetter SCP for HTN and DM were associated with the National Health Insurance Fund (HTN: coefficient=0.571; DM: coefficient=0.567, p<0.001) and the improved Community Health Fund (iCHF) or CHF (HTN: coefficient=0.330; DM: coefficient=0.472, p<0.05), after adjustment for sociodemographic variables. Mediation analysis showed that disease management behaviours partially or fully mediated the relationship between HI and SCP.

conclusionsEnrolment in HI by patients in rural Tanzania exhibited better disease management behaviours and SCP. Efforts should focus on leveraging the HI schemes to expand their coverage in rural areas, which could benefit patients with non-communicable diseases.

Indexed as

Diabetes MellitusDisease ManagementHypertensionInsurance, HealthNoncommunicable DiseasesRural PopulationSelf CareAdultAgedFemaleHumansMaleMiddle AgedTanzaniadiabetesdisease management behaviourshealth insurancehypertensionnon-communicable diseaseself-care practices

Identifiers

PMID39676569
PMCPMC12045082

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.