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

Ghana Journal of Development Studies

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Title Towards Universal Health Coverage: Exploring the Determinants of Household Enrolment into National Health Insurance in the Kassena Nankana District, Ghana
 
Creator Alatinga, Kennedy A
Williams, John J
 
Subject Universal Health Coverage, Determinants, Househol Enrolment, National Health Insurance, Premium, Kassena-Nankana District, Ghana
 
Description This study investigates the determinants of household participation in National Health Insurance Scheme  (NHIS) in the Kassena-Nankana District in Ghana. In order to achieve this purpose, a cross-sectional  survey was used to collect data from 417 randomly selected household heads. The results established  that the NHIS is making incremental progress towards achieving universal health coverage because  majority (67%) of the sampled population was enrolled in the NHIS. However, further analysis of the data  highlighted both the challenge of achieving equity of participation in health insurance and the yawning  financial barriers to accessing health care for poor households and those employed in the informal sector.  For example, majority (77%) of uninsured households indicated that they were not enrolled in the NHIS  because they could not afford the cost of insurance premiums. The research findings showed that income,  socio-economic status (SES), formal employment, educational status, and gender amongst others, significantly determine household enrolment in health insurance. In order to increase the  enrolment of the poor in the NHIS, and of achieving universal health coverage, the authors recommend that the government considers using payroll deductions to finance the health care needs of all formal sector employees while financing the health care of the rest of the population using tax revenues.It is also recommeded that the NHIS considers making the payment of insurance premium flexible, such as allowing housholds to pay in installments or in kind.Keywords: Universal Health Coverage, Determinants, Househol Enrolment, National Health Insurance, Premium, Kassena-Nankana District, Ghana
 
Publisher Faculty of Integrated Development Studies, University for Development Studies
 
Contributor —
 
Date 2015-11-03
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://www.ajol.info/index.php/gjds/article/view/125124
10.4314/gjds.v12i1-2.
 
Source Ghana Journal of Development Studies; Vol 12, No 1-2 (2015); 88-105
0855-6768
 
Language eng
 
Relation http://www.ajol.info/index.php/gjds/article/view/125124/114656
 
Rights Faculty of Integrated Development Studies, University for Development Studies, Ghana