Evidence map›Paper›PMID 41116149›Full record

ArticleBMC health services research2025

Universal health coverage and factors associated with enrolment in the town of Souza-Cameroon.

Mohamed Mounchili, Alice Ketchaji, Kelly Cynthia Fodom Tchogang, Protais Cédric Mouenbori Sawi, Verance Carline Kegha Ngodem, Joseph Raphael Moyo Tachoum, Wilfriede La Grâce Djopwouo Fosto, Divine Guimazeu Tsoplefack, Godfroy Rostant Pokam Djoko

Abstract read
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Assessment of Knowledge, Attitudes and Practices Regarding Sickle Cell Disease in Souza, Cameroon.Inquiry : a journal of medical care organization, provision and financing
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mohamed MounchiliHigher Institute of Applied Health Science, Estuary Academic and Strategic Institute, Douala, Cameroon.
Alice KetchajiDepartment of Disease Control, Epidemics and Pandemics, Ministry of Public Health, Yaoundé, Cameroon.
Kelly Cynthia Fodom TchogangResearch Unit of Animal Physiology and Pharmacology, Department of Animal Biology, Faculty of Science, University of Dschang, Dschang, Cameroon.
Protais Cédric Mouenbori SawiResearch Unit in Biochemistry of Medicinal Plants, Food Science and Nutrition, Department of Biochemistry, Faculty of Science, University of Dschang, Dschang, Cameroon.
Verance Carline Kegha NgodemDepartment of Public Health, Faculty of Health Sciences, University des Montagnes, Bangangté, Cameroon.
Joseph Raphael Moyo TachoumResearch Unit in Biochemistry of Medicinal Plants, Food Science and Nutrition, Department of Biochemistry, Faculty of Science, University of Dschang, Dschang, Cameroon.
Wilfriede La Grâce Djopwouo FostoResearch Unit of Applied Biology and Ecology, Department of Animal Biology, Faculty of Science, University of Dschang, Dschang, Cameroon.
Divine Guimazeu TsoplefackResearch Unit of Animal Physiology and Pharmacology, Department of Animal Biology, Faculty of Science, University of Dschang, Dschang, Cameroon.
Godfroy Rostant Pokam DjokoResearch Unit of Applied Biology and Ecology, Department of Animal Biology, Faculty of Science, University of Dschang, Dschang, Cameroon. godfroydjoko@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUniversal Health Coverage (UHC) aims to guarantee access to health services without financial risk for the entire population. Despite the efforts made in Cameroon, particularly in Souza, the enrolment rate remains low. This study aims to identify the socio-demographic factors, knowledge, and perceptions that influence the enrolment of residents in the UHC, in order to adapt health policies and strengthen equitable access to care. METHODOLOGY: The study was carried out in the city of Souza over a six-month period, from March to August 2024, with data collected between May and July. A sample of 400 participants was selected, including residents aged 21 and over. A structured questionnaire, pre-tested for clarity, was administered during face-to-face interviews. The data were analysed using R Studio, conducting descriptive, bivariate, and multivariate analyses to identify factors associated with enrolment in the UHC.

resultsThe results show that out of 400 inhabitants, only 7% (28 inhabitants) were enrolled at the UHC. The most common gender was male (51.25%), 34.5% were aged between 21 and 30, and 55.25% had a secondary education. The results of the multivariate analyses showed that having a university education [AOR = 2.01; 95% CI: 1.12-4.91; p = 0.04], having heard of universal health coverage [AOR = 18.99; 95% CI: 4.25-84.88; p = 0.04], and perceiving the cost of enrolment as low [AOR = 2.12; 95% CI: 1.45-6.19; p = 0.03] significantly increased the probability of enrolment in universal health coverage.

conclusionsThis study highlights significant barriers to UHC enrolment, including a lack of awareness and negative perceptions of costs. The results suggest that targeted communication efforts and awareness-raising initiatives are essential to improve enrolment. Strengthening education and information about the UHC could contribute to better access to healthcare and increased participation by residents. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Universal Health InsuranceAdultAgedCameroonFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansMaleMiddle AgedSocioeconomic FactorsSurveys and QuestionnairesYoung AdultAssociated factorsEnrolmentSouza-CameroonUniversal health coverage

Identifiers

PMID41116149
PMCPMC12536530

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.