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The government of Sierra Leone has been exploring the introduction of a social health insurance scheme as a measure to remove financial barriers that put households at a risk of impoverishment in accessing health care. This study was conducted to find out the predictors of willingness among the people to pay a premium for health insurance. To do this, a cross-sectional study design was employed in six selected districts in Sierra Leone. The results showed that majority of the respondent are willing to join and pay a monthly premium of Le 10000 (US$1.03) with an estimated mean contribution of about Le 14089 (US$1.44) and the top five predictors of willingness to pay (WTP) were household monthly income, age, district of resident, gender, and educational qualification. The findings on predictors of WTP premium of a National Social Health Insurance in Sierra Leone, suggests that the socio-demographic characteristics of the population are important in premium design and payment.
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