Towards Universal Health Coverage: Exploring the Determinants of Household Enrolment into National Health Insurance in the Kassena Nankana District, Ghana

Alatinga, Kennedy A.; Williams, John

doi:10.4314/gjds.v12i1-2.6

Cited by 11 publications

(41 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The inability of these households to renew their subscription is attributed to varying factors at both health systems and individual levels. For instance, proximate factors such as unemployment [27], low level of income [28][29][30], limited education [27][28][29]31], and individual's role within their families [27] discourage households from enrolling into the scheme. This apparently suggests that the health systems and sociodemographic factors of some households limit them from enrolling into the NHIS subscription, thereby preventing UHC.…”

Section: Introductionmentioning

confidence: 99%

“…These factors are mostly related to the social, economic, demographic, and health status of households [27][28][29][30][31][32][33][34][35][36]. Across different regional and geographic boundaries, social factor such as gender influences NHIS policy enrolment [27,28,30,32,34]. Past studies, for instance, have showed that females have more propensities to enrol and renew their NHIS policy compared with males [30,31,33].…”

Section: Introductionmentioning

confidence: 99%

“…Across different settings, the increase in the education level of households increases the odds of enrolling and renewing NHIS policy [27][28][29]31]. It is previously reported that individuals educated at higher level, preferably tertiary, have higher odds of enrolling and renewing their NHIS policy.…”

mentioning

confidence: 98%

“…Furthermore, the age of household members has been extensively demonstrated as a predictor of NHIS policy ownership [28-30, 33, 35]. In several studies, the odds of enrolling and renewing NHIS policy increase with the age of household [27][28][29]31]. Among different age groups, previous evidence showed that the elderly people of 60-70 years and above stand at greater odds of enrolling and renewing their NHIS policy.…”

mentioning

confidence: 99%

“…It is previously reported that households with higher socioeconomic status have higher odds to enrol and renew their NHIS policy compared with those in poor socioeconomic standings [28][29][30]. The odds of enrolling and renewing NHIS policy among households in the highest socioeconomic status vary, ranging from about 1.6 to 4.1 times, higher than those in the lowest socioeconomic groups [27,30]. This difference further varies by gender and age groups.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Households Sociodemographic Profile as Predictors of Health Insurance Uptake and Service Utilization: A Cross-Sectional Study in a Municipality of Ghana

Badu

Agyei‐Baffour

Acheampong

et al. 2018

Advances in Public Health

View full text Add to dashboard Cite

Introduction. Attempts to use health insurance in Low and Middle Income Countries (LMICs) are recognized as a powerful tool in achieving Universal Health Coverage (UHC). However, continuous enrolment onto health insurance schemes and utilization of healthcare in these countries remain problematic due to varying factors. Empirical evidence on the influence of household sociodemographic factors on enrolment and subsequent utilization of healthcare is rare. This paper sought to examine how household profile influences the National Health Insurance Scheme (NHIS) status and use of healthcare in a municipality of Ghana. Methods. A cross-sectional design with quantitative methods was conducted among a total of 380 respondents, selected through a multistage cluster sampling. Data were collected using a semistructured questionnaire. Data were analysed using descriptive and multiple logistics regression at 95% CI using STATA 14. Results. Overall, 57.9% of respondents were males, and average age was 34 years. Households’ profiles such as age, gender, education, marital status, ethnicity, and religion were key predictors of NHIS active membership. Compared with other age groups, 38–47 years (AOR 0.06) and 58 years and above (AOR = 0.01), widow, divorced families, Muslims, and minority ethnic groups were less likely to have NHIS active membership. However, females (AOR = 3.92), married couples (AOR = 48.9), and people educated at tertiary level consistently had their NHIS active. Proximate factors such as education, marital status, place of residence, and NHIS status were predictors of healthcare utilization. Conclusion. The study concludes that households’ proximate factors influence the uptake of NHIS policy and subsequent utilization of healthcare. Vulnerable population such as elderly, minority ethnic, and religious groups were less likely to renew their NHIS policy. The NHIS policy should revise the exemption bracket to wholly cover vulnerable groups such as minority ethnic and religious groups and elderly people at retiring age of 60 years.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 98%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Households Sociodemographic Profile as Predictors of Health Insurance Uptake and Service Utilization: A Cross-Sectional Study in a Municipality of Ghana

Badu

Agyei‐Baffour

Acheampong

et al. 2018

Advances in Public Health

View full text Add to dashboard Cite

show abstract

Health Insurance and the Aging: Evidence From the Seguro Popular Program in Mexico

2018

View full text Add to dashboard Cite

Aimed at covering the large fraction of workers in the informal sector without access to a social security program, the Mexican public health insurance program Seguro Popular began in 2002 and now reaches more than 50 million individuals. We estimate impacts of Seguro Popular for the population aged 50 and older on a set of indicators related to health care including utilization, diagnostic/preventive tests, and treatment conditional on being ill. Using the longitudinal Mexican Health and Aging Study over the period 2001–2012, we conduct before and after difference-in-difference matching impact estimators. Our results suggest large and important effects of the Program on utilization and diagnostic tests. We find overall smaller effects on the probability of being in treatment for individuals with chronic diseases, but these effects are concentrated in rural areas with relatively more health services versus rural areas with lower levels of health services. These results suggest that, to the extent that health services become more available in rural areas lacking services, effects of health insurance may increase.

show abstract

A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana

Morgan

Adei

Agyemang-Duah

et al. 2023

Cogent Public Health

View full text Add to dashboard Cite

Towards Universal Health Coverage: Exploring the Determinants of Household Enrolment into National Health Insurance in the Kassena Nankana District, Ghana

Abstract: This study investigates the determinants of household participation in National HealthInsurance Scheme (NHIS) in the Kassena-Nankana District

Cited by 11 publications

References 27 publications

Households Sociodemographic Profile as Predictors of Health Insurance Uptake and Service Utilization: A Cross-Sectional Study in a Municipality of Ghana

Households Sociodemographic Profile as Predictors of Health Insurance Uptake and Service Utilization: A Cross-Sectional Study in a Municipality of Ghana

Health Insurance and the Aging: Evidence From the Seguro Popular Program in Mexico

A Systematic review of macro - and meso - determinants of national health insurance enrolment among older adults in Ghana

Contact Info

Product

Resources

About