UPTAKE OF HEALTH INSURANCE AND ITS ASSOCIATED FACTORS AMONG INFORMAL SECTOR WORKERS IN DAR ES SALAAM, TANZANIA
Bertha Mwinuka, Elizabeth Echoka, Jackline Mosinya Nyaberi
This is an open access article distributed under the Creative Commons Attribution License CC BY 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Health insurance is a viable strategy to facilitate accessibility of health care but it favors the formal sector workers while leaving behind the informal sector workers who are the majority. This mixed methods study involved 889 informal sector workers from Dar es Salaam, Tanzania. Income, membership to economic groups, education, age, insurance regulations, fragmentation of insurance providers, cultural beliefs and low priority on health insurance were significantly associated with uptake of health insurance. Low uptake of health insurance increases inaccessibility of health care. Subsidizing the premium and using innovative strategies to increase understanding will improve health service accessibility.