,
Magdalene Philip Umoh,
Tenneh Millicent Conteh,
Hassan Milton Conteh,
Abdul Bangura,
Rebecca Esliker,
Peter Agyei-Baffour,
Lee Presley Gary Jr.
In this article, we examine the healthcare potential of the relationship between User/ Benefit Baskets (BB) and Provider/ Payment Options (PO) evolving in six (6) Regional Districts in Sierra Leone, an emerging country in West Africa, and detail how components of Benefit Baskets and Payment Options can impact the nature and scope of implementing a National Social Health Insurance Program in Sierra Leone. Identified and perceived relationships, as revealed by a cross-sectional study, are presented with contextual data from users and providers in the respective six districts. Quantitative data was collected (from August to December 2019) for this research study using a semi-structured questionnaire with a sample size of 1,503 respondents made up of 1,185 household heads and 318 healthcare providers. Data collection, which began during 2019, was analyzed into essential descriptive and inferential statistics. Statistical analysis was run at a significant 5% level using Stata vs 14.0 software. Our results reveal that factors such as marital status, religion, occupation, monthly income, and the district of residents in Sierra Leone were more likely to influence the magnitude of contributions for the content of a User/ Benefit Basket. In contrast, the selection of a Provider/ Payment Option by healthcare providers – such as Diagnostic-Related Grouping (DRG) and Fees-for-Service (FFS), were more likely to be influenced by the level of care provided by the healthcare providers and by the Regional District in which the service providers were situated and operated. Based on our findings, key contextual factors are most likely to influence the content of BBs and POs in Sierra Leone. Hence, we submit that it is appropriate for such contextual factors associated with BBs and POs to be adequately and rigorously considered upon the implementation of a National Social Health Insurance Program for the people of Sierra Leone.
| Published in | World Journal of Public Health (Volume 10, Issue 2) |
| DOI | 10.11648/j.wjph.20251002.17 |
| Page(s) | 140-154 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
National Social Health Insurance Program, Sierra Leone, Benefit Baskets, Payment Options, Capitation, Diagnostic Related-Grouping, Fees-for-Service, Healthcare Providers
| [1] | M. Yeboah-mensah, “The Socio-economic factors that effect utilization of health care services by the exempt groups under the National Health Insurance Scheme in Ghana (Doctoral Dissertation, University of Ghana).,” 2015. |
| [2] | J. Macha et al., “Factors influencing the burden of health care financing and the distribution of health care benefits in Ghana, Tanzania and South Africa,” Health Policy Plan, vol. 27, no. SUPPL.1, Mar. 2012, |
| [3] | E. Mossialos, A. Dixon, J. Figueras, and J. Kutzin, “Funding health care: options for Europe,” 2002. |
| [4] | R. B. Dixon and A. J. Hertelendy, “Interrelation of preventive care benefits and shared costs under the Affordable Care Act (ACA),” Int J Health Policy Manag, vol. 3, no. 3, pp. 145–148, 2014, |
| [5] | World Health Organization and World Health Organization, “Strategic Purchasing for Universal Health Coverage: Unlocking the Potential: Global Meeting Summary and Key Messages,” no. April 2017, 2017. |
| [6] | E. Etiaba, O. Onwujekwe, A. Honda, O. Ibe, B. Uzochukwu, and K. Hanson, “Strategic purchasing for universal health coverage: Examining the purchaser–provider relationship within a social health insurance scheme in Nigeria,” BMJ Glob Health, vol. 3, no. 5, Nov. 2018, |
| [7] | S. Mohammed, A. Souares, J. L. Bermejo, R. Sauerborn, and H. Dong, “Performance evaluation of a health insurance in Nigeria using optimal resource use: Health care providers perspectives,” BMC Health Serv Res, vol. 14, no. 1, 2014, |
| [8] | G. Carrin and C. James, “Social health insurance : Key factors affecting the transition towards universal coverage,” vol. 58, 2005. |
| [9] | P. J. Robyn et al., “Health worker preferences for community-based health insurance payment mechanisms: A discrete choice experiment,” BMC Health Serv Res, vol. 12, no. 1, 2012, |
| [10] | P. J. Robyn et al., “Provider payment methods and health worker motivation in community-based health insurance: A mixed-methods study,” Soc Sci Med, vol. 108, pp. 223–236, May 2014, |
| [11] | R. P. Ellis and M. M. Miller, “Provider Payment Methods and Incentives BT - Encyclopedia of Public Health,” Encyclopedia of Public Health, pp. 395–403, 2007, [Online]. Available: |
| [12] | R. P. Ellis, B. Martins, M. M. Miller, and M. Mckinnon Miller, “Provider Payment Methods and Incentives,” 2015. |
| [13] | K. Quinn, “The 8 basic payment methods in health care,” Ann Intern Med, vol. 163, no. 4, pp. 300–306, Aug. 2015, |
| [14] | J. S. Kazungu, J. Chuma, and M. Obadha, “What characteristics of provider payment mechanisms influence health care providers’ behaviour? A literature review,” no. June, pp. 892–905, 2018, |
| [15] | P. J. Robyn et al., “Health worker preferences for community-based health insurance payment mechanisms : a discrete choice experiment,” 2012. |
| [16] | O. Onwujekwe, E. Okereke, C. Onoka, B. Uzochukwu, J. Kirigia, and A. Petu, “Willingness to pay for community-based health insurance in Nigeria : do economic status and place of residence matter ?,” no. October 2009, pp. 155–161, 2010, |
| [17] | T. Bärnighausen, Y. Liu, X. Zhang, and R. Sauerborn, “Willingness to pay for social health insurance among informal sector workers in Wuhan, China: A contingent valuation study,” BMC Health Serv Res, vol. 7, pp. 1–16, 2007, |
| [18] | M. T. Gidey, G. B. Gebretekle, M. E. Hogan, and T. G. Fenta, “Willingness to pay for social health insurance and its determinants among public servants in Mekelle City, Northern Ethiopia: A mixed methods study,” Cost Effectiveness and Resource Allocation, vol. 17, no. 1, pp. 1–11, 2019, |
APA Style
Jimmy, A. I., Umoh, M. P., Conteh, T. M., Conteh, H. M., Bangura, A., et al. (2025). Contrasting User Benefit Baskets and Provider Payment Options Seeking National Social Health Insurance Choices in Selected Districts for Sierra Leone. World Journal of Public Health, 10(2), 140-154. https://doi.org/10.11648/j.wjph.20251002.17
ACS Style
Jimmy, A. I.; Umoh, M. P.; Conteh, T. M.; Conteh, H. M.; Bangura, A., et al. Contrasting User Benefit Baskets and Provider Payment Options Seeking National Social Health Insurance Choices in Selected Districts for Sierra Leone. World J. Public Health 2025, 10(2), 140-154. doi: 10.11648/j.wjph.20251002.17
AMA Style
Jimmy AI, Umoh MP, Conteh TM, Conteh HM, Bangura A, et al. Contrasting User Benefit Baskets and Provider Payment Options Seeking National Social Health Insurance Choices in Selected Districts for Sierra Leone. World J Public Health. 2025;10(2):140-154. doi: 10.11648/j.wjph.20251002.17
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.wjph.20251002.17,
author = {Abraham Isiaka Jimmy and Magdalene Philip Umoh and Tenneh Millicent Conteh and Hassan Milton Conteh and Abdul Bangura and Rebecca Esliker and Peter Agyei-Baffour and Lee Presley Gary Jr.},
title = {Contrasting User Benefit Baskets and Provider Payment Options Seeking National Social Health Insurance Choices in Selected Districts for Sierra Leone
},
journal = {World Journal of Public Health},
volume = {10},
number = {2},
pages = {140-154},
doi = {10.11648/j.wjph.20251002.17},
url = {https://doi.org/10.11648/j.wjph.20251002.17},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20251002.17},
abstract = {In this article, we examine the healthcare potential of the relationship between User/ Benefit Baskets (BB) and Provider/ Payment Options (PO) evolving in six (6) Regional Districts in Sierra Leone, an emerging country in West Africa, and detail how components of Benefit Baskets and Payment Options can impact the nature and scope of implementing a National Social Health Insurance Program in Sierra Leone. Identified and perceived relationships, as revealed by a cross-sectional study, are presented with contextual data from users and providers in the respective six districts. Quantitative data was collected (from August to December 2019) for this research study using a semi-structured questionnaire with a sample size of 1,503 respondents made up of 1,185 household heads and 318 healthcare providers. Data collection, which began during 2019, was analyzed into essential descriptive and inferential statistics. Statistical analysis was run at a significant 5% level using Stata vs 14.0 software. Our results reveal that factors such as marital status, religion, occupation, monthly income, and the district of residents in Sierra Leone were more likely to influence the magnitude of contributions for the content of a User/ Benefit Basket. In contrast, the selection of a Provider/ Payment Option by healthcare providers – such as Diagnostic-Related Grouping (DRG) and Fees-for-Service (FFS), were more likely to be influenced by the level of care provided by the healthcare providers and by the Regional District in which the service providers were situated and operated. Based on our findings, key contextual factors are most likely to influence the content of BBs and POs in Sierra Leone. Hence, we submit that it is appropriate for such contextual factors associated with BBs and POs to be adequately and rigorously considered upon the implementation of a National Social Health Insurance Program for the people of Sierra Leone.
},
year = {2025}
}
TY - JOUR T1 - Contrasting User Benefit Baskets and Provider Payment Options Seeking National Social Health Insurance Choices in Selected Districts for Sierra Leone AU - Abraham Isiaka Jimmy AU - Magdalene Philip Umoh AU - Tenneh Millicent Conteh AU - Hassan Milton Conteh AU - Abdul Bangura AU - Rebecca Esliker AU - Peter Agyei-Baffour AU - Lee Presley Gary Jr. Y1 - 2025/06/18 PY - 2025 N1 - https://doi.org/10.11648/j.wjph.20251002.17 DO - 10.11648/j.wjph.20251002.17 T2 - World Journal of Public Health JF - World Journal of Public Health JO - World Journal of Public Health SP - 140 EP - 154 PB - Science Publishing Group SN - 2637-6059 UR - https://doi.org/10.11648/j.wjph.20251002.17 AB - In this article, we examine the healthcare potential of the relationship between User/ Benefit Baskets (BB) and Provider/ Payment Options (PO) evolving in six (6) Regional Districts in Sierra Leone, an emerging country in West Africa, and detail how components of Benefit Baskets and Payment Options can impact the nature and scope of implementing a National Social Health Insurance Program in Sierra Leone. Identified and perceived relationships, as revealed by a cross-sectional study, are presented with contextual data from users and providers in the respective six districts. Quantitative data was collected (from August to December 2019) for this research study using a semi-structured questionnaire with a sample size of 1,503 respondents made up of 1,185 household heads and 318 healthcare providers. Data collection, which began during 2019, was analyzed into essential descriptive and inferential statistics. Statistical analysis was run at a significant 5% level using Stata vs 14.0 software. Our results reveal that factors such as marital status, religion, occupation, monthly income, and the district of residents in Sierra Leone were more likely to influence the magnitude of contributions for the content of a User/ Benefit Basket. In contrast, the selection of a Provider/ Payment Option by healthcare providers – such as Diagnostic-Related Grouping (DRG) and Fees-for-Service (FFS), were more likely to be influenced by the level of care provided by the healthcare providers and by the Regional District in which the service providers were situated and operated. Based on our findings, key contextual factors are most likely to influence the content of BBs and POs in Sierra Leone. Hence, we submit that it is appropriate for such contextual factors associated with BBs and POs to be adequately and rigorously considered upon the implementation of a National Social Health Insurance Program for the people of Sierra Leone. VL - 10 IS - 2 ER -
Department of Public Health, University of Makeni, Makeni, Sierra Leone; College of Heath Sciences, University of Moi, Eldoret, Kenya
Department of Public Health, University of Makeni, Makeni, Sierra Leone
Medicine San Frontières (MSF) Holland, Magburaka, Sierra Leone
Medicine San Frontières (MSF) Holland, Magburaka, Sierra Leone
Ministry of Health and Sanitation, Freetown, Sierra Leone
Department of Public Health, University of Makeni, Makeni, Sierra Leone
Department of Health Policy and Management, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
Department of Public Health, University of Makeni, Makeni, Sierra Leone; University of Makeni, Makeni, Sierra Leone; Strategic Management Services - USA, New Orleans, USA
Information