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Ghana's national health insurance, free maternal healthcare and facility‐based delivery services

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  • Richard Agbanyo

Abstract

Ghana implemented the National Health Insurance Scheme (NHIS) in 2005 and introduced free maternal healthcare (FMH) into the scheme in 2008. These reforms aimed at improving the utilization of healthcare, especially for expectant mothers. Using data from the 2008 and 2014 Ghana Demographic and Health Surveys (GDHS) with a sample of 8,081, this study employed multivariate probit and conditional mixed process (CMP) estimators to analyze the NHIS enrolment and the use of facility‐based delivery services among expectant mothers within the context of Sustainable Development Goal 3 in Ghana. The influence of birth order on these policies has also been explored. Before and after analysis was used for the effect of the FMH on NHIS enrolment and the use of delivery services while CMP was used for the effect of NHIS on delivery services. It is concluded that higher birth order reduces the likelihood of NHIS enrolment and health facility delivery. Moreover, the FMH policy has improved both NHIS enrolment and facility‐based delivery. Finally, the NHIS policy proves to be a reliable factor to induce utilization of facility‐based delivery services. It is recommended that maternal health education at antenatal care visits should be enriched with potential consequences and complications associated with multiple births. The National Health Insurance Authority (NHIA) should provide registration desks for expectant mothers at health facilities.

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  • Richard Agbanyo, 2020. "Ghana's national health insurance, free maternal healthcare and facility‐based delivery services," African Development Review, African Development Bank, vol. 32(1), pages 27-41, March.
    • Handle: RePEc:bla:afrdev:v:32:y:2020:i:1:p:27-41
    DOI: 10.1111/1467-8268.12412
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    1. Matthew Jowett & Anil Deolalikar & Peter Martinsson, 2004. "Health insurance and treatment seeking behaviour: evidence from a low‐income country," Health Economics, John Wiley & Sons, Ltd., vol. 13(9), pages 845-857, September.
    2. Alfred Kechia Mukong & Justine Burns, 2019. "Bargaining Power within Couples and Health Care Provider Choice in Tanzania," African Development Review, African Development Bank, vol. 31(3), pages 380-392, September.
    3. Maitra, Pushkar, 2004. "Parental bargaining, health inputs and child mortality in India," Journal of Health Economics, Elsevier, vol. 23(2), pages 259-291, March.
    4. Stéphane Mechoulan & François-Charles Wolff, 2015. "Intra-household allocation of family resources and birth order: evidence from France using siblings data," Journal of Population Economics, Springer;European Society for Population Economics, vol. 28(4), pages 937-964, October.
    5. Golsteyn, Bart H.H. & Magnée, Cécile A.J., 2017. "Does birth spacing affect personality?," Journal of Economic Psychology, Elsevier, vol. 60(C), pages 92-108.
    6. Wagner, Anita K. & Graves, Amy Johnson & Reiss, Sheila K. & LeCates, Robert & Zhang, Fang & Ross-Degnan, Dennis, 2011. "Access to care and medicines, burden of health care expenditures, and risk protection: Results from the World Health Survey," Health Policy, Elsevier, vol. 100(2-3), pages 151-158, May.
    7. Wagner, Anita K. & Graves, Amy Johnson & Reiss, Sheila K. & LeCates, Robert & Zhang, Fang & Ross-Degnan, Dennis, 2011. "Access to care and medicines, burden of health care expenditures, and risk protection: Results from the World Health Survey," Health Policy, Elsevier, vol. 100(2), pages 151-158.
    8. Joseph Mensah & Joseph R. Oppong & Christoph M. Schmidt, 2010. "Ghana's national health insurance scheme in the context of the health MDGs: an empirical evaluation using propensity score matching," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 95-106, September.
    9. Chamberlain, Gary & Griliches, Zvi, 1975. "Unobservables with a Variance-Components Structure: Ability, Schooling, and the Economic Success of Brothers," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 16(2), pages 422-449, June.
    10. Gary S. Becker & H. Gregg Lewis, 1974. "Interaction between Quantity and Quality of Children," NBER Chapters, in: Economics of the Family: Marriage, Children, and Human Capital, pages 81-90, National Bureau of Economic Research, Inc.
    11. Sanni Yaya & Feng Da & Ruoxi Wang & Shangfeng Tang & Bishwajit Ghose, 2019. "Maternal healthcare insurance ownership and service utilisation in Ghana: Analysis of Ghana Demographic and Health Survey," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-13, April.
    12. G. Salkeld & M. Ryan & L. Short, 2000. "The veil of experience: do consumers prefer what they know best?," Health Economics, John Wiley & Sons, Ltd., vol. 9(3), pages 267-270, April.
    13. John Anyanwu, 2007. "Demand for Health Care Institutions' Services: Evidence from Malaria Fever Treatment in Nigeria," African Development Review, African Development Bank, vol. 19(2), pages 304-334.
    14. Munkin, Murat K. & Trivedi, Pravin K., 2003. "Bayesian analysis of a self-selection model with multiple outcomes using simulation-based estimation: an application to the demand for healthcare," Journal of Econometrics, Elsevier, vol. 114(2), pages 197-220, June.
    15. Mawuli Gaddah & Alistair Munro & Peter Quartey, 2015. "The Demand for Public Health Care and the Progressivity of Health Care Services in Ghana," African Development Review, African Development Bank, vol. 27(2), pages 79-91, June.
    16. Makate, Marshall, 2016. "Maternal health-seeking behavior and child’s birth order: Evidence from Malawi, Uganda, and Zimbabwe," MPRA Paper 72722, University Library of Munich, Germany, revised 14 Jul 2016.
    17. Huda Ahmed & Hatim Mahran, 2009. "Determinants of Demand for Delivery Services in Sudan: An Empirical Investigation with Reference to Khartoum State, 2004," African Development Review, African Development Bank, vol. 21(3), pages 514-557.
    18. Abayomi Samuel Oyekale, 2014. "Factors Explaining Child Survival in Ethiopia: Application of Two‐Stage Probit Model," African Development Review, African Development Bank, vol. 26(2), pages 237-249, June.
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