ASSESSMENT ON THE CHALLENGES OF SOCIAL HEALTH INSURANCE IMPLEMENTATION IN AKAKI KALITI SUBCITY ADMINISTRATION FROM PUBLIC SERVANTS PERSPECTIVE

Abstract

Lack of adequate healthcare financing and access to basic health services is still a problem in Ethiopia. To alleviate this, Ethiopia is currently introducing SHI. There is limited information the challenges of SHI implementation. Therefore, this study assess the Challenges of SHI Implementation in Akaki Kaliti Sub-City Administration from Public Servants Perspective. In this study the Akaki Kaliti sub city public servants, Ethiopian pharmaceutical supply agency, Addis Ababa social health insurance director, Addis Ababa health bureau and two Akaki Kaliti SubCity Administration woreda health centers were participated in the study. Purposive sampling technique and case study employed as a major study tools. The collected data were organized and analyzed through qualitative research approach. Qualitative approach was used that would involve content, in-depth interviews and case study discussion with purposively selected public servants. In the study area in addition, key informant interview was also conducted with stake holders, The study found that, most public servants can’t cover their health service expenditure this is result of the health service expensive cost and their low income. Private healthcare service payment is not affordable. Most of the respondents accept on the importance of SHI for them and healthcare financing system. Most of them didn’t have any knowledge and clear information about the system of the scheme. Majority of them were voluntary to pay an amount similar to that proposed by the government. SHI implementation is influenced by the poor quality of health service. All of the participants were not satisfied with the availability and quality of health services in public facilities. Some participant was strongly not accepting this to implement, they also have a compliant in the policy, According to the public servant perspective the policy need to revise or correction before implement. The study has a great implication for social work practice in the area of policy formulation, advocacy, community mobilization, assessment and research in the areas of research.