IDEAS home Printed from https://ideas.repec.org/a/spr/hecrev/v12y2022i1d10.1186_s13561-022-00357-z.html
   My bibliography  Save this article

Comparative study of the effect of National Health Insurance Scheme on use of delivery and antenatal care services between rural and urban women in Ghana

Author

Listed:
  • Raymond Elikplim Kofinti

    (University of Cape Coast)

  • Emmanuel Ekow Asmah

    (University of Cape Coast)

  • Edward Kwabena Ameyaw

    (University of Technology Sydney)

Abstract

Background Despite the focus of the National Health Insurance Scheme (NHIS) to bridge healthcare utilisation gap among women in Ghana, recent evidence indicates that most maternal deaths still occur from rural Ghana. The objective of this study was to examine the rural-urban differences in the effects of NHIS enrolment on delivery care utilisation (place of delivery and assistance at delivery) and antenatal care services among Ghanaian women. Methods A nationally representative sample of 4169 women from the 2014 Ghana Demographic and Health Survey was used. Out of this sample, 2880 women are enrolled in the NHIS with 1229 and 1651 being urban and rural dwellers, respectively. Multivariate logistic and negative binomial models were fitted as the main estimation techniques. In addition, the Propensity Score Matching technique was used to verify rural-urban differences. Results At the national level, enrolment in NHIS was observed to increase delivery care utilisation and the number of ANC visits in Ghana. However, rural-urban differences in effects were pronounced: whereas rural women who are enrolled in the NHIS were more likely to utilise delivery care [delivery in a health facility (OR = 1.870; CI = 1.533–2.281) and assisted delivery by a medical professional (OR = 1.994; CI = 1.631–2.438)], and have a higher number of ANC visits (IRR = 1.158; CI = 1.110–1.208) than their counterparts who are not enrolled, urban women who are enrolled in the NHIS on the other hand, recorded statistically insignificant results compared to their counterparts not enrolled. The PSM results corroborated the rural-urban differences in effects. Conclusion The rural-urban differences in delivery and antenatal care utilisation are in favour of rural women enrolled in the NHIS. Given that poverty is endemic in rural Ghana, this positions the NHIS as a potential social equaliser in maternal health care utilisation especially in the context of developing countries by increasing access to delivery care services and the number of ANC visits.

Suggested Citation

  • Raymond Elikplim Kofinti & Emmanuel Ekow Asmah & Edward Kwabena Ameyaw, 2022. "Comparative study of the effect of National Health Insurance Scheme on use of delivery and antenatal care services between rural and urban women in Ghana," Health Economics Review, Springer, vol. 12(1), pages 1-19, December.
    • Handle: RePEc:spr:hecrev:v:12:y:2022:i:1:d:10.1186_s13561-022-00357-z
    DOI: 10.1186/s13561-022-00357-z
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1186/s13561-022-00357-z
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1186/s13561-022-00357-z?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. United Nations UN, 2015. "Transforming our World: the 2030 Agenda for Sustainable Development," Working Papers id:7559, eSocialSciences.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kofinti, Raymond Elikplim & Koomson, Isaac & Paintsil, Jones Arkoh & Ameyaw, Edward Kwabena, 2022. "Reducing children's malnutrition by increasing mothers' health insurance coverage: A focus on stunting and underweight across 32 sub-Saharan African countries," Economic Modelling, Elsevier, vol. 117(C).
    2. Raymond Elikplim Kofinti & Josephine Baako-Amponsah & Prince Danso, 2023. "Household National Health Insurance Subscription and Learning Outcomes of Poor Children in Ghana," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(1), pages 357-394, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Paulina Schiappacasse & Bernhard Müller & Le Thuy Linh, 2019. "Towards Responsible Aggregate Mining in Vietnam," Resources, MDPI, vol. 8(3), pages 1-15, August.
    2. Pina Puntillo, 2023. "Circular economy business models: Towards achieving sustainable development goals in the waste management sector—Empirical evidence and theoretical implications," Corporate Social Responsibility and Environmental Management, John Wiley & Sons, vol. 30(2), pages 941-954, March.
    3. R. Ebrahimi & S. Choobchian & H. Farhadian & I. Goli & E. Farmandeh & H. Azadi, 2022. "Investigating the effect of vocational education and training on rural women’s empowerment," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-11, December.
    4. Bárbara Galleli & Elder Semprebon & Joyce Aparecida Ramos dos Santos & Noah Emanuel Brito Teles & Mateus Santos de Freitas-Martins & Raquel Teodoro da Silva Onevetch, 2021. "Institutional Pressures, Sustainable Development Goals and COVID-19: How Are Organisations Engaging?," Sustainability, MDPI, vol. 13(21), pages 1-21, November.
    5. Sagarika Dey & Priyanka Devi, 2019. "Impact of TVET on Labour Market Outcomes and Women’s Empowerment in Rural Areas: A Case Study from Cachar District, Assam," Indian Journal of Human Development, , vol. 13(3), pages 357-371, December.
    6. Maria Sassi, 2020. "A SEM Approach to the Direct and Indirect Links between WaSH Services and Access to Food in Countries in Protracted Crises: The Case of Western Bahr-el-Ghazal State, South Sudan," Sustainability, MDPI, vol. 12(22), pages 1-13, November.
    7. Olga Stepanova & Magdalena Romanov, 2021. "Urban Planning as a Strategy to Implement Social Sustainability Policy Goals? The Case of Temporary Housing for Immigrants in Gothenburg, Sweden," Sustainability, MDPI, vol. 13(4), pages 1-17, February.
    8. Michel, Hanno, 2020. "From local to global: The role of knowledge, transfer, and capacity building for successful energy transitions," Discussion Papers, Research Group Digital Mobility and Social Differentiation SP III 2020-603, WZB Berlin Social Science Center.
    9. Hervé Corvellec & Johan Hultman & Anne Jerneck & Susanne Arvidsson & Johan Ekroos & Niklas Wahlberg & Timothy W. Luke, 2021. "Resourcification: A non‐essentialist theory of resources for sustainable development," Sustainable Development, John Wiley & Sons, Ltd., vol. 29(6), pages 1249-1256, November.
    10. Wilson Charles Wilson & Maja Slingerland & Frederick P. Baijukya & Hannah Zanten & Simon Oosting & Ken E. Giller, 2021. "Integrating the soybean-maize-chicken value chains to attain nutritious diets in Tanzania," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 13(6), pages 1595-1612, December.
    11. Jones, Lindsey & d'Errico, Marco, 2019. "Whose resilience matters? Like-for-like comparison of objective and subjective evaluations of resilience," World Development, Elsevier, vol. 124(C), pages 1-1.
    12. Bin Xue & Bingsheng Liu & Tao Liang & Dong Zhao & Tao Wang & Xingbin Chen, 2022. "A heterogeneous decision criteria system evaluating sustainable infrastructure development: From the lens of multidisciplinary stakeholder engagement," Sustainable Development, John Wiley & Sons, Ltd., vol. 30(4), pages 556-579, August.
    13. Sudheesh Ramapurath Chemmencheri, 2016. "Social Protection as a Human Right in South Asia," Indian Journal of Human Development, , vol. 10(2), pages 236-252, August.
    14. Ingrid Boas & Frank Biermann & Norichika Kanie, 2016. "Cross-sectoral strategies in global sustainability governance: towards a nexus approach," International Environmental Agreements: Politics, Law and Economics, Springer, vol. 16(3), pages 449-464, June.
    15. Joyeeta Gupta & Louis Lebel, 0. "Access and allocation in earth system governance: lessons learnt in the context of the Sustainable Development Goals," International Environmental Agreements: Politics, Law and Economics, Springer, vol. 0, pages 1-18.
    16. Guo, Jiaqi & Wang, Qiang & Li, Rongrong, 2024. "Can official development assistance promote renewable energy in sub-Saharan Africa countries? A matter of institutional transparency of recipient countries," Energy Policy, Elsevier, vol. 186(C).
    17. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(1), January.
    18. Francesco Bandarin & Enrico Ciciotti & Marco Cremaschi & Giovanna Madera & Paolo Perulli & Diana Shendrikova, 2020. "Which Future for Cities after COVID-19 An international Survey," Reports, Fondazione Eni Enrico Mattei, October.
    19. Thore, Sten, 2022. "Sustainable development goal deficits and the Covid 19 pandemic," Technological Forecasting and Social Change, Elsevier, vol. 174(C).
    20. Thilsted, Shakuntala Haraksingh & Thorne-Lyman, Andrew & Webb, Patrick & Bogard, Jessica Rose & Subasinghe, Rohana & Phillips, Michael John & Allison, Edward Hugh, 2016. "Sustaining healthy diets: The role of capture fisheries and aquaculture for improving nutrition in the post-2015 era," Food Policy, Elsevier, vol. 61(C), pages 126-131.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:hecrev:v:12:y:2022:i:1:d:10.1186_s13561-022-00357-z. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com/economics/journal/13561 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.