ArticleHealth policy OPEN2024
Does health insurance status influence healthcare-seeking behavior in rural communities? evidence from rural Ghana.
Article in Health policy OPEN, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Determining factors of birthplace choice among women in Ghana: evidence from the 2022 nationally representative data.BMC pregnancy and childbirth · 2026Article
- Morbidity burden and predictors of hospitalization among unaccompanied migrants and persons prone to statelessness in Ghana.PLOS global public health · 2026Article
- Healthcare providers perspectives on opportunities and challenges for adopting comprehensive primary healthcare-seeking behaviour in selected districts in Tanzania.Journal of public health in Africa · 2026Article
- Water (In)Accessibility, Healthcare Delivery, and Patients' Health Outcomes in Ghana: Perspectives from the Yendi Hospital.Nursing reports (Pavia, Italy) · 2025Article
- Socioeconomic and geographical disparities in disability distribution among Tanzanian population: insights from the 2022 demographic and health survey and malaria indicator survey.BMC public health · 2025Article
- The role of health insurance on healthcare utilisation among women in Tanzania: insights from Tanzania demographic and health survey 2022.Archives of public health = Archives belges de sante publique · 2025Article
- Proportion and factors influencing healthcare-seeking behavior among older people in Motta town, East Gojjam: a community-based cross-sectional study, Ethiopia, 2023.BMC public health · 2024Article
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Authors and funding
6 authors.
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Abstract
Introduction: National health insurance programs are considered important mechanisms for ensuring equity in access to and utilization of healthcare services by removing financial barriers associated with seeking treatment in healthcare facilities. Although studies on health insurance schemes in many low-and-middle-income countries (LMICs) have demonstrated a significant relationship between health insurance status and healthcare-seeking behavior, data on the influence of this health financing policy on the decision to seek formal healthcare among rural inhabitants remains limited. Underpinned by the Andersen-Newman behavioral model of healthcare use, this study examined the influence of health insurance status on healthcare-seeking behavior among rural dwellers in Ghana. Methods: A community-based cross-sectional study was conducted among 460 rural residents in Ghana from 8th September to 5th December 2022 Results: The mean age of the respondents was 29.6 ± 6.8 years. A little above half (53.1 %) disclosed having insurance, whereas 46.1 % stated they were without coverage. Regarding healthcare-seeking behavior, the most commonly chosen treatment source was traditional healers (37.2 %), followed by the public healthcare system (28.3 %) and self-treatment (18.2 %). The private healthcare system was the least preferred, with only 16.3 % opting for it. While the bivariate analysis demonstrated a significant relationship between health insurance status and healthcare-seeking behavior (p-0.001), the logistic regression model results showed that health insurance status was not an independent predictor of healthcare-seeking behavior (p = 0.069). Conclusion: It could, therefore, not be concluded that the respondents with health insurance coverage were more likely than the uninsured to use formal healthcare providers as their most frequent source of treatment during illness. This study provides vital information for policymakers aiming at increasing access to and utilization of facility-based formal care in rural and remote settings.
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