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National health insurance subscription and maternal healthcare utilisation across mothers’ wealth status in Ghana

Author

Listed:
  • Edward Kwabena Ameyaw

    (University of Cape Coast)

  • Raymond Elikplim Kofinti

    (University of Cape Coast)

  • Francis Appiah

    (University of Cape Coast)

Abstract

Introduction This study is against the backdrop that despite the forty-nine percent decline in Maternal Mortality Rate in Ghana, the situation still remains high averaging 319 per 100,000 live births between 2011 and 2015. Objective To examine the relationship between National Health Insurance and maternal healthcare utilisation across three main wealth quintiles (Poor, Middle and Rich). Methods The study employed data from the 2014 Ghana Demographic and Health Survey. Both descriptive analysis and binary logistic regression were conducted. Results Descriptively, rich women had high antenatal attendance and health facility deliveries represented by 96.5% and 95.6% respectively. However, the binary logistic regression results revealed that poor women owning NHIS are 7% (CI = 1.76–2.87) more likely to make at least four antenatal care visits compared to women in the middle wealth quintile (5%, CI = 2.12–4.76) and rich women (2%, CI = 1.14–4.14). Similarly, poor women who owned the NHIS are 14% (CI = 1.42–2.13) likely to deliver in health facility than women in the middle and rich wealth quintile. Conclusion The study has vindicated the claim that NHIS Scheme is pro-poor in Ghana. The Ministry of Health should target women in the rural area to be enrolled on the NHIS to improve maternal healthcare utilisation since poverty is principally a rural phenomenon in Ghana.

Suggested Citation

  • Edward Kwabena Ameyaw & Raymond Elikplim Kofinti & Francis Appiah, 2017. "National health insurance subscription and maternal healthcare utilisation across mothers’ wealth status in Ghana," Health Economics Review, Springer, vol. 7(1), pages 1-15, December.
    • Handle: RePEc:spr:hecrev:v:7:y:2017:i:1:d:10.1186_s13561-017-0152-8
    DOI: 10.1186/s13561-017-0152-8
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    References listed on IDEAS

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    1. Eric Arthur, 2012. "Wealth and antenatal care use: implications for maternal health care utilisation in Ghana," Health Economics Review, Springer, vol. 2(1), pages 1-8, December.
    2. K. Navaneetham & A. Dharmalingam, 2000. "Utilization of maternal health care services in South India," Centre for Development Studies, Trivendrum Working Papers 307, Centre for Development Studies, Trivendrum, India.
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    Cited by:

    1. 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.
    2. Shuheng Yu & Xinxin Ma & Peng Zhan, 2024. "Effects of the Resident Basic Medical Insurance Reform on Household Consumption in China," China & World Economy, Institute of World Economics and Politics, Chinese Academy of Social Sciences, vol. 32(1), pages 96-129, January.
    3. 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).
    4. Martin Amogre Ayanore & Milena Pavlova & Nuworza Kugbey & Adam Fusheini & John Tetteh & Augustine Adoliba Ayanore & James Akazili & Philip Baba Adongo & Wim Groot, 2019. "Health insurance coverage, type of payment for health insurance, and reasons for not being insured under the National Health Insurance Scheme in Ghana," Health Economics Review, Springer, vol. 9(1), pages 1-15, December.

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