Determinants of enrollment in the NHIS for women in Ghana

Kusi, A., Fenny, A. P., Arhinful, D. K., Asante, F. A. & Parmar, D. (2017). Determinants of enrollment in the NHIS for women in Ghana. International Journal of Social Economics, doi: 10.1108/IJSE-10-2016-0291

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Abstract

Background
The National Health Insurance Scheme (NHIS) was introduced in 2005 to provide equitable access to healthcare. Furthermore, concessions were made for pregnant women, yet inequities in access continue to exist. This study explores whether dimensions of social exclusion explain why some groups of women are not benefitting from the scheme.

Methods
Data was collected from 4050 representative households in five districts. Logistic regression is used to examine the factors that determine enrolment of women under the NHIS.

Results
The study sample consists of a sub-sample of 3,173 women out of whom 58% were insured. The majority (64.9%) of the women were in the reproductive age (15-45 years). The results show that wealth status, age, health status, locality, perception about the quality of care at health facilities and perception of the NHIS, are the key factors that determine enrolment into the scheme.

Conclusion
With women dominating the informal sector of Ghana’s economy which is often characterised by relatively low incomes, these inequities in access need to be addressed.

Item Type: Article
Uncontrolled Keywords: health insurance, enrolment, women, household survey, social health protection
Divisions: School of Health Sciences > Healthcare Research Unit
URI: http://openaccess.city.ac.uk/id/eprint/18689

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