ArticleHealth policy and planning2019
Determinants of health insurance enrolment in Ghana: evidence from three national household surveys.
Article in Health policy and planning, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Equity in health insurance schemes enrollment in low and middle-income countries: A systematic review and meta-analysis.International journal for equity in health · 2022Pooled it
- Article
- 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
- The asset-vulnerability trap: climate shocks and health-seeking behavior for chronic diseases in Somalia.Frontiers in public health · 2026Article
- Article
- Analysing the determinants of healthcare insurance uptake in Nigeria.BMC health services research · 2025Article
- Factors influencing the demand for individual voluntary private health insurance in Iran.Cost effectiveness and resource allocation : C/E · 2025Article
- Ghana's National Health Insurance enrollment: Does the intersection of educational and residential status matter?PloS one · 2025Article
- National health insurance enrolment among elderly ghanaians: the role of food security status.BMC primary care · 2024Article
- The role of gender in health insurance enrollment among geriatric caregivers: results from the 2022 informal caregiving, health, and healthcare survey in Ghana.BMC public health · 2024Article
- Prevalence, perceptions and associated factors of health insurance enrollment among older persons in selected cash grant communities in Ghana: a cross-sectional mixed method.BMC geriatrics · 2024Article
- Effect of social capital on enrolment of informal sector occupational groups in the national health insurance scheme in Ghana: a cross-sectional survey.BMC health services research · 2024Article
- Role of Socioeconomic Status in National Health Insurance Ownership in Indonesia's Rural Areas.Journal of research in health sciences · 2024Article
- Determinants of health insurance coverage among women in Mauritania: a multilevel analysis.BMC public health · 2024Article
- Determinants of healthcare insurance coverage among women of reproductive age in Tanzania: A multilevel mixed effect analysis.PloS one · 2024Article
- Health insurance coverage among women of reproductive age in rural Ghana: policy and equity implications.Health research policy and systems · 2023Article
- Roles of Social Protection to Promote Health Service Coverage among Vulnerable People toward Achieving Universal Health Coverage: A Literature Review of International Organizations.International journal of environmental research and public health · 2023Review
- Enrollment of reproductive age women in community-based health insurance: An evidence from 2019 Mini Ethiopian Demographic and Health Survey.Frontiers in public health · 2023Article
- Health insurance status of cross-border migrant children and the associated factors: a study in a Thai-Myanmar border area.BMC health services research · 2022Article
- Toward mandatory health insurance in low-income countries? An analysis of claims data in Tanzania.Health economics · 2022Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In 2003, Ghana implemented a National Health Insurance Scheme (NHIS) to move towards Universal Health Coverage. NHIS enrolment is mandatory for all Ghanaians, but the most recent estimates show that coverage stands under 40%. The evidence on the relationship between socio-economic characteristics and NHIS enrolment is mixed, and comes mainly from studies conducted in a few areas. Therefore, in this study we investigate the socio-economic determinants of NHIS enrolment using three recent national household surveys. We used data from the Ghanaian Demographic and Health Survey conducted in 2014, the Multiple Indicator Cluster Survey conducted in 2011 and the sixth wave of the Ghana Living Standard Survey conducted in 2012-13. Given the multilevel nature of the three databases, we use multilevel logistic regression models to estimate the probability of enrolment for women and men separately. We used three levels of analysis: geographical clusters, household and individual units. We found that education, wealth, marital status-and to some extent-age were positively associated with enrolment. Furthermore, we found that enrolment was correlated with the type of occupation. The analyses of three national household surveys highlight the challenges of understanding the complex dynamics of factors contributing to low NHIS enrolment rates. The results indicate that current policies aimed at identifying and subsidizing underprivileged population groups might insufficiently encourage health insurance enrolment.
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