Social and Economic Profile of Beneficiaries of Community Health Mutual Insurance in Senegal in 2019

<i>Introduction: </i>Lack of access to healthcare is a major public health problem in developing countries such as Senegal. To compensate for this, the State of Senegal launched universal health coverage in 2013 based on the extension of community mutual health insurance companies. The objective of this study was to study the epidemiological profile of beneficiaries of community mutual health insurance companies in Senegal in 2019. <i>Methods: </i>This was a population-based, cross-sectional, descriptive and analytical study conducted between April and December 2019. Data were extracted from the 2019 Continuing Demographic and Health Survey (DHS-Continuous 2019) database. The analysis was carried out by the Epi-info7 software. <i>Results: </i>The study involved 41016 individuals, mostly female (53.84%). The 19-59 age group was predominant (38.25%). Most were uneducated (59.60%) and belonged to the poorest quintile (26.68%). The membership rate for community mutual health insurance was 5.49%. The factors associated with the benefit of community mutual health insurance services in Senegal were: school education (OR=1.38; p=0.000), belonging to the poorest quintile (OR=1.29; p=0.000), living in the central zone (OR=3.57; p=0.000), marriage (OR=2.63; p=0.000), and use of health care in the past 12 months (OR=1.25; p=0.000). <i>Conclusion: </i>Raising awareness of the need to join community mutual health insurance companies will increase the number of beneficiaries and reduce the financial risk associated with health expenses. Strategies for targeting the uneducated population and those living in the northern and southern zones will have to be addressed by the Agency for Universal Health Coverage (ACMU).

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Journal
Central African Journal of Public Health
Published
2025-08-28
DOI
https://doi.org/10.11648/j.cajph.20251104.18
Primary Topic
Healthcare Systems and Reforms
Type
article
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article

Social and Economic Profile of Beneficiaries of Community Health Mutual Insurance in Senegal in 2019

Ibrahima Ndiaye, Fatoumata Binetou Diongue, Maty Diagne-Camara, Ndèye Marème Sougou et al.
Central African Journal of Public Health
Healthcare Systems and Reforms
article

Social and Economic Profile of Beneficiaries of Community Health Mutual Insurance in Senegal in 2019

Ibrahima Ndiaye, Fatoumata Binetou Diongue, Maty Diagne-Camara, Ndèye Marème Sougou, Jean Augustin Diégane Tine, Ibrahima Seck, Adama Sow, Oumar Bassoum, Mamadou Makhtar Mbacké Lèye, Amadou Diallo, A. Ba, Lamine Gaye
article en

Abstract

<i>Introduction: </i>Lack of access to healthcare is a major public health problem in developing countries such as Senegal. To compensate for this, the State of Senegal launched universal health coverage in 2013 based on the extension of community mutual health insurance companies. The objective of this study was to study the epidemiological profile of beneficiaries of community mutual health insurance companies in Senegal in 2019. <i>Methods: </i>This was a population-based, cross-sectional, descriptive and analytical study conducted between April and December 2019. Data were extracted from the 2019 Continuing Demographic and Health Survey (DHS-Continuous 2019) database. The analysis was carried out by the Epi-info7 software. <i>Results: </i>The study involved 41016 individuals, mostly female (53.84%). The 19-59 age group was predominant (38.25%). Most were uneducated (59.60%) and belonged to the poorest quintile (26.68%). The membership rate for community mutual health insurance was 5.49%. The factors associated with the benefit of community mutual health insurance services in Senegal were: school education (OR=1.38; p=0.000), belonging to the poorest quintile (OR=1.29; p=0.000), living in the central zone (OR=3.57; p=0.000), marriage (OR=2.63; p=0.000), and use of health care in the past 12 months (OR=1.25; p=0.000). <i>Conclusion: </i>Raising awareness of the need to join community mutual health insurance companies will increase the number of beneficiaries and reduce the financial risk associated with health expenses. Strategies for targeting the uneducated population and those living in the northern and southern zones will have to be addressed by the Agency for Universal Health Coverage (ACMU).

Central African Journal of Public HealthVol. 11(4)
Cheikh Anta Diop University (SN)
Openalex Percentile: Top 70%
Healthcare Systems and Reforms
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