Does health insurance status influence healthcare-seeking behavior in rural communities? evidence from rural Ghana

Kumah, Emmanuel; Asana, Yussif; Agyei, Samuel Kofi; Kokuro, Collins; Ankomah, Samuel E.; Fusheini, Adam

doi:10.1016/j.hpopen.2024.100119

Health Policy OPEN

2024

DOI: 10.1016/j.hpopen.2024.100119

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Does health insurance status influence healthcare-seeking behavior in rural communities? evidence from rural Ghana

Emmanuel Kumah,

Yussif Asana,

Samuel Kofi Agyei

et al.

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2024

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Proportion and factors influencing healthcare-seeking behavior among older people in Motta town, East Gojjam: a community-based cross-sectional study, Ethiopia, 2023

Hamid,

Beko,

Mekonnen

et al. 2024

BMC Public Health

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Background In resource-limited countries, older people who are at risk and face numerous health problems, often receive insufficient attention regarding their healthcare-seeking behavior. Assessing the proportion of healthcareseeking behavior and associated factors among older people in Motta town, was the aim of the study.Method A community-based cross-sectional study was carried out from April 22 to May 22, 2023. The study subjects were chosen using a systematic random sampling technique. To identify candidate variables for multivariable analysis, a bivariable logistic regression analysis was performed. Variables having a P-value of < 0.05 were considered statistically significant. ResultsFrom the total, 161 (39.3%) of respondents had good healthcare-seeking behavior with 95% CI [35%, 44%]. Secondary school [AOR = 2.69, 95% CI = 1.27, 5.68], Education college and above [AOR = 4.6, 95% CI = 2.27, 9.33], Family support during their illness [AOR = 1.39, 95% CI = 1.05, 3.09], Members of CBHI [AOR = 2.02, 95% CI = 1.21, 3.36], and presence of chronic illness [AOR = 2.55, 95%, CI = 1.64, 3.97] were significantly associated with good healthcareseeking behavior. Conclusion and recommendationThis study found that good healthcare-seeking behavior among older people is significantly associated with higher education, strong family support, Community-Based Health Insurance (CBHI) membership, and chronic illnesses. Improving health literacy through education, strengthening family support systems, expanding CBHI participation for better healthcare access, and developing targeted chronic disease management programs to enhance this behavior is recommended. These strategies can collectively improve healthcare utilization and outcomes for older people.

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Proportion and factors influencing healthcare-seeking behavior among older people in Motta town, East Gojjam: a community-based cross-sectional study, Ethiopia, 2023

Hamid,

Beko,

Mekonnen

et al. 2024

BMC Public Health

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Does health insurance status influence healthcare-seeking behavior in rural communities? evidence from rural Ghana

Cited by 1 publication

References 24 publications

Proportion and factors influencing healthcare-seeking behavior among older people in Motta town, East Gojjam: a community-based cross-sectional study, Ethiopia, 2023

Proportion and factors influencing healthcare-seeking behavior among older people in Motta town, East Gojjam: a community-based cross-sectional study, Ethiopia, 2023

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