ArticleInternational journal for equity in health2018
Examining equity in health insurance coverage: an analysis of Ghana's National Health Insurance Scheme.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 53 citations in OpenAlex.
- The economic burden of respiratory syncytial virus and other acute respiratory infections among children <2 years old seeking care at a tertiary facility in Accra, Ghana.Journal of global health · 2026Article
- Inequalities in Enrollment in Nepal's National Health Insurance Program: An Intersectional Analysis of Nepal Demographic and Health Survey 2022.International journal of environmental research and public health · 2026Article
- Who remains uncovered? Assessing inequalities and determinants of national health insurance enrolment among informal sector workers in Kenya.Global health research and policy · 2025Article
- Effect of medical insurance policy on child health indicators: an empirical test of difference-in-differences model.Frontiers in public health · 2025Article
- Stroke in Ghana: A Situational Analysis.Stroke research and treatment · 2025Review
- Expanding surgical access in Africa through improved health insurance schemes: A review.Medicine · 2024Review
- Anaemia at 36 weeks of pregnancy: Prevalence and determinants among antenatal women attending peri-urban facilities in a developing country, Ghana.PLOS global public health · 2024Article
- A critical review and analysis of the context, current burden, and application of policy to improve cancer equity in Ghana.International journal for equity in health · 2023Review
- Health insurance coverage and access to child and maternal health services in West Africa: a systematic scoping review.International health · 2023Article
- Invisible illness: The consequences of limited health insurance in Africa.Health science reports · 2023Article
- Equity in the public social healthcare protection in Tanzania: does it matter on household healthcare financing?International journal for equity in health · 2023Article
- Healthcare workers´ experiences and perceptions of the provision of health insurance benefits to the elderly in rural Tanzania: an explorative qualitative study.BMC public health · 2023Article
- Factors associated with anaemia in pregnancy: A retrospective cross-sectional study in the Bolgatanga Municipality, northern Ghana.PloS one · 2023Article
- What influences cancer treatment service access in Ghana? A critical interpretive synthesis.BMJ open · 2022Review
- The political economy of health financing reforms in Zimbabwe: a scoping review.International journal for equity in health · 2022Article
- Barriers to providing healthcare to children living with cerebral palsy in Ghana: A qualitative study of healthcare provider perspectives.PLOS global public health · 2022Article
- Article
- Is the National Health Insurance Scheme helping pregnant women in accessing health services? Analysis of the 2014 Ghana demographic and Health survey.BMC pregnancy and childbirth · 2021Article
- Decomposing the rural-urban gap in factors associated with childhood immunisation in sub-Saharan Africa: evidence from surveys in 23 countries.BMJ global health · 2021Article
- Sexual and reproductive health services in universal health coverage: a review of recent evidence from low- and middle-income countries.Sexual and reproductive health matters · 2020Review
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFollowing years of out-of-pocket payment for healthcare, some countries in Africa including Ghana, Kenya and Rwanda have instituted social health protection programs through health insurance to provide access to quality and affordable healthcare especially for the poor. This paper examines equity in coverage under Ghana's National Health Insurance Scheme (NHIS).
methodsSecondary data from the 2008 Ghana Demographic and Health Survey based on an analytical sample of 4821 females (15-49 years) and 4568 males (15-59 years) were analysed using descriptive, bivariate and multivariate methods. Concentration curves and indices were used to examine equity in coverage on the NHIS.
resultsAs at 2008, more than 60% of Ghanaians aged 15-59 years were not covered under the NHIS with slightly more females (38.9%) than males (29.7%) covered. Coverage was highest among the highly educated, professionals, those from households in the richest wealth quintile and urban residents. Lack of coverage was most concentrated among the poor.
conclusionsUniversal coverage under the NHIS is far from being achieved with marked exclusion of the poor. There is the need for deliberate action to enrol the poor under the NHIS.
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