Socioeconomic and Demographic Correlates of Nonenrolment Onto the National Health Insurance Scheme Among Children in Ghana: Insight From the 2017/18 Multiple Indicator Cluster Survey

Authors

• Pascal Agbadi, Kwame Nkrumah University of Science and Technology
• Joshua Okyere, University of Cape Coast
• Alberta Lomotey, Kwame Nkrumah University of Science and Technology
• Henry Ofori Duah, Marquette UniversityFollow
• Abdul-Aziz Seidu, University of Cape Coast
• Bright Opoku Ahinkorah, University of Technnology, Sydney

Document Type

Article

Publication Date

6-2021

Publisher

Elsevier

Source Publication

Preventive Medicine Reports

Source ISSN

2211-3355

Abstract

The goal of Ghana’s health insurance scheme is to achieve universal coverage. Despite NHIS’ benefits to children, not all children in Ghana are covered. This study investigates the sociodemographic covariates of nonenrolment onto the national health insurance scheme among children in Ghana. We used the child dataset of the 2017/18 Ghana Multiple Indicator Cluster Survey (G-MICS). We used STATA version 14 for the data analyses. We described each study variable using frequency and percentages. We used Poisson regression to estimate crude and adjusted prevalence ratios of the relationship between the covariates and the outcome variable. Approxi­ mately 57% of children were covered with health insurance in Ghana. In the adjusted multivariable model, male children, children within the ages of 10–14 or 15–17 years, and children who have some form of functional disability and those with no information on their functional disability status, children of mothers with lower than post-secondary education, and children residing in households of less than the fifth quantile on the household wealth index were associated with a higher likelihood of nonenrolment onto the national health insurance scheme. Finally, compared to the children in greater Accra, children in the other nine regions were associated with a lower likelihood of nonenrolment onto the national health insurance scheme. Given the results, improvement in health insurance coverage should be done, taking into consideration variations across the sociodemographic characteristics of the child, mother, and households.

Comments

Published version. Preventive Medicine Reports, Vol. 22 (June 2021). DOI. © 2021 The Authors, published by Elsevier Ltd. Used with permission.

This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).

Henry Duah was affiliated with FOCOS Orthopaedic Hospital, Accra, Ghana at the time of publication.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Recommended Citation

Agbadi, Pascal; Okyere, Joshua; Lomotey, Alberta; Duah, Henry Ofori; Seidu, Abdul-Aziz; and Ahinkorah, Bright Opoku, "Socioeconomic and Demographic Correlates of Nonenrolment Onto the National Health Insurance Scheme Among Children in Ghana: Insight From the 2017/18 Multiple Indicator Cluster Survey" (2021). College of Nursing Faculty Research and Publications. 1187.
https://epublications.marquette.edu/nursing_fac/1187