Volume 2 Issue 2

Volume 2 Issue 2

_________________________________________________________________________________________________

Research Article

Underutilization of Social Health Insurance by Kenya’s Informal Sector Populations: Staid Voices

Omar Egesah*

Globally, health insurance is increasingly being preferred to finance health care costs. Countries like Kenya with existing National health insurance schemes for formal sector workers have recently extended social health insurance (SHI) programmes to people outside the formal sector in an effort to increase access to healthcare. However, developing effective approaches for access to health care through SHI for people in the informal sector still faces challenges of enrolment.

Full textDownload PDF

____________________________________________________________________________________________

Research Article

Implementation Cost of A Community-Based Colorectal Cancer Screening Enhancement Program: Against Colorectal Cancer in our Neighborhoods (ACCION)

Junghyun Kim*, David R. Lairson*, Theresa Byrd, Rebekah Salaiz, Navkiran K Shokar

ACCION is a community based program for educating the under/uninsured Hispanic population to increase colorectal cancer screening in El Paso County, Texas. This paper determines the total, average and component program implementation costs for three alternative intervention strategies and group vs. individual delivery among 5,826 participants.High risk participants were directed to a  colonoscopy intervention and others were directed to a fecal immunochemical test (FIT) intervention. Participants were randomized to Video, Promotora, or Video + Promotora screening- promotion delivery modes. Implementation costs were prospectively measured by group and individual educational sessions. Costs were then simulated for alternative size target populations.

Full textDownload PDF