Abstract:
Ushirika Afya scheme plays a vital role in improving and
safeguarding the health of cooperative members in the agricultural sector. This study
was conducted to assess the perceptions of cooperative members towards the
Ushirika Afya scheme and to identify the key factors influencing their engagement in
the scheme (UAS). The study was guided by the theory of planned behaviour (TPB)
as the primary framework and the social capital theory. A cross-sectional research
design was used. The target population and unit of analysis included all Agricultural
and Marketing Co-operative (AMCOS) members participating in UAS within the
study area, with a sample size of 300 respondents. Findings indicated that sociodemographic
factors such as age, marital status, household income and size,
education level, and economic activity significantly affect members' participation in
Ushirika Afya. Thematic analysis showed that members’ perceptions centered on
health concerns, health protection, and support for elderly cooperative members. The
scheme was also viewed as a government-established program for AMCOS members,
specifically for the sick. Additionally, the study concludes that engagement among
youth and women is limited. Many respondents perceive Ushirika Afya as mainly for
the elderly, sick, and poor, supported by higher enrollment rates among elders
compared to youth. To improve participation, there is a need for increased
investment in awareness campaigns and capacity-building programs to promote the
scheme, which could lead to higher membership levels
