Socioeconomic and demographic correlates of nonenrolment onto the national health insurance scheme among children in Ghana: Insight from the 2017/18 Multiple Indicator Cluster Survey

Agbadi, Pascal; Okyere, Joshua; Lomotey, Alberta Yemotsoo; Duah, Henry Ofori; Seidu, Abdul‐Aziz

doi:10.1016/j.pmedr.2021.101385

Cited by 9 publications

(18 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…UHC in this context denotes a situation where every individual and all communities have unparalleled access to quality health services without suffering any form of financial hardship [ 3 ]. This conceptualisation raises concerns about equity, quality, and financial risk protection [ 4 ]. Although the World Health Organisation (WHO) and the World Bank have been at the forefront of championing UHC due to the severe fiscal implications that are associated with UHC, its implementation has been largely driven by individual countries and states [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Health insurance coverage and timely antenatal care attendance in sub-Saharan Africa

Aboagye

Okyere

Seidu

et al. 2022

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

Introduction Out-of-pocket payments for healthcare remain a significant health financing challenge in sub-Saharan Africa (SSA), preventing women from using maternal health services. There is a paucity of empirical literature on the influence of health insurance coverage on the timeliness of antenatal care (ANC) attendance in low- and middle-income countries. In this study, we examined the association between health insurance coverage and timely ANC attendance among pregnant women in SSA. Methods Secondary data from Demographic and Health Surveys conducted between 2015 and 2020 in sixteen (16) sub-Saharan African countries with 113,918 women aged 15-49 years were included in the analysis. The outcome variable was the timing of antenatal care (ANC). A multilevel binary logistic regression analysis was carried out to determine the association between health insurance coverage and timely ANC. Results The overall coverage of health insurance and timely antenatal attendance among pregnant women in SSA were 4.4% and 39.0% respectively. At the country level, the highest coverage of health insurance was found in Burundi (24.3%) and the lowest was in Benin (0.9%). For timely ANC attendance, the highest prevalence was in Liberia (72.4%) and the lowest was in Nigeria (24.2%). The results in the model showed that women who were covered by health insurance were more likely to have timely ANC attendance compared to those who were not covered by health insurance (aOR = 1.21, 95% CI = 1.11-1.31). Conclusion Our findings show that that being covered under health insurance is associated with higher likelihood of seeking timely ANC attendance. To accelerate progress towards achievement of the Sustainable Development Goal targets by the year 2030, we recommend that governments and health insurance authorities across the sub-Saharan African countries actively implement health insurance policies as well as roll out health educational programmes that facilitate and ensure increased coverage of health insurance.

show abstract

Section: Introductionmentioning

confidence: 99%

“…Prioritisation of health financing systems through health insurance schemes appears to be universal [ 4 ]. For example, countries such as China which has a population of over 1.3 billion people ensures health insurance coverage for its populace [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Health insurance coverage and timely antenatal care attendance in sub-Saharan Africa

Aboagye

Okyere

Seidu

et al. 2022

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…As part of efforts to increase coverage, a premium exemption policy for vulnerable populations, such as children under 18, was implemented. Thus, persons below 18 years are exempted from paying annual premiums [ 20 ] but must pay administrative charges, including the NHIS card processing fee [ 21 ]. Furthermore, in 2010, the National Health Insurance Authority decoupled children under five years from their parents’ membership.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with health insurance enrolment among Ghanaian children under the five years: analysis of secondary data from a national survey

Anaba

Tandoh

Sesay

et al. 2022

BMC Health Serv Res

View full text Add to dashboard Cite

Background Health insurance enrolment provides financial access to health care and reduces the risk of catastrophic healthcare expenditure. Therefore, the objective of this study was to assess the prevalence and correlates of health insurance enrolment among Ghanaian children under five years. Methods We analysed secondary data from the 2017/18 Ghana Multiple Indicator Cluster Survey. The survey was a nationally representative weighted sample comprising 8,874 children under five years and employed Computer Assisted Personal Interviewing to collect data from the participants. In addition, Chi-square and Logistic Regression analyses were conducted to determine factors associated with health insurance enrolment. Results The results showed that a majority (58.4%) of the participants were insured. Health insurance enrollment was associated with child age, maternal educational status, wealth index, place of residence and geographical region (p < 0.05). Children born to mothers with higher educational status (AOR = 2.14; 95% CI: 1.39–3.30) and mothers in the richest wealth quintile (AOR = 2.82; 95% CI: 2.00–3.98) had a higher likelihood of being insured compared with their counterparts. Also, children residing in rural areas (AOR = 0.75; 95% CI: 0.61–0.91) were less likely to be insured than children in urban areas. Conclusion This study revealed that more than half of the participants were insured. Health insurance enrolment was influenced by the child's age, mother's educational status, wealth index, residence, ethnicity and geographical region. Therefore, interventions aimed at increasing health insurance coverage among children should focus on children from low socio-economic backgrounds. Stakeholders can leverage these findings to help improve health insurance coverage among Ghanaian children under five years.

show abstract

“… 21 Several studies have shown that countries with low economic capacity will affect individuals to pay for health services. 22 , 23 Moreover, coupled with the increasingly expensive cost of health services, the community cannot access health services.…”

Section: Discussionmentioning

confidence: 99%

“… 40 , 41 In addition to that, several studies state that health insurance will increase the coverage of health services and improve the community’s health status. 23 , 38 , 42 , 43 …”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Wulandari

Laksono

Prasetyo

et al. 2022

J Prim Care Community Health

View full text Add to dashboard Cite

Background: The study aims to analyze the relationship between socioeconomic and hospital utilization among female workers in Indonesia. Methods: The study analyzed secondary data from the 2018 Indonesian Basic Health Survey. The study gathered 161 186 female workers through stratification and multistage random sampling. As control factors, the study looked at age, marital status, education, occupation, and health insurance, in addition to the categories of socioeconomic and hospital utilization. The study used binary logistic regression to evaluate the data in the final step. Results: The result shows female workers with poorer wealth status are 1.142 times more likely than the most impoverished female workers to utilize the hospital (AOR 1.142; 95% CI 1.135-1.148). Female workers with median wealth status are 1.509 times more likely than the poorest female workers to take advantage of the hospital (AOR 1.509; 95% CI 1.501-1.517). Female workers with wealthier wealth status are 1.808 times more likely than the poorest female workers to use the hospital (AOR 1.808; 95% CI 1.799-1.817). The wealthiest female workers are 2.399 times more likely than the poorest female workers to utilize the hospital (2.399; 95% CI 2.387-2.411). Conclusion: The study concluded a relationship between socioeconomic status and hospital utilization among female workers in Indonesia. The better the socioeconomic, the better the hospital utilization.

show abstract

Socioeconomic and demographic correlates of nonenrolment onto the national health insurance scheme among children in Ghana: Insight from the 2017/18 Multiple Indicator Cluster Survey

Cited by 9 publications

References 18 publications

Health insurance coverage and timely antenatal care attendance in sub-Saharan Africa

Health insurance coverage and timely antenatal care attendance in sub-Saharan Africa

Factors associated with health insurance enrolment among Ghanaian children under the five years: analysis of secondary data from a national survey

Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study

Contact Info

Product

Resources

About