Impressions and attitudes of adult residents of Karachi towards a possible public health insurance scheme

Vishal Farid Raza, Mustafa Iftikhar, Asma Gulab, Javeria Anwar, Maryam Tetlay, Sara Atif, Zoya Butt, Muhammad Hamza Khan, Asad Moiz, Marium Nadeem, Sarah Saleem

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Objective: To gauge the general population's knowledge and attitude towards a possible public health insurance scheme. Methods: This descriptive, cross-sectional study was conducted at the Aga Khan University Hospital, Karachi, from April to May 2015, and comprised permanent residents of the city. Convenience sampling was used. Data was collected via questionnaires. SPSS 22 was used for data analysis. Results: There were 340 participants in the study with an overall mean age of 32.9±12.4 years. Besides, 159(46.8%) participants were aware of the concept of medical insurance while the correct definition was identified by 160(50.5%) respondents. Overall, 256(75.3%) participants were willing to join a theoretical public health insurance scheme. Of all the respondents, 107(31.5%) had faced a catastrophic event in the past and consequently were more willing to join. Of those unsure or not willing to join, 33(37.9%) respondents identified lack of trust in government programmes as the main reason for their choice. Conclusion: A large majority of adults had a favourable attitude towards the implementation of a possible public health insurance scheme.

Original languageEnglish
Pages (from-to)1460-1465
Number of pages6
JournalJournal of the Pakistan Medical Association
Issue number9
Publication statusPublished - Sept 2017


  • Health-seeking behaviour
  • Karachi
  • Out-of-pocket expenditure
  • Pakistan
  • Public health insurance
  • Universal coverage


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