Understanding variations in health insurance coverage in Ghana, Kenya, Nigeria, and Tanzania: Evidence from demographic and health surveys.
Understanding variations in health insurance coverage in Ghana, Kenya, Nigeria, and Tanzania: Evidence from demographic and health surveys.
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DOI：
10.1371/journal.pone.0201833
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Darteh EKM
中科院分区：
文献类型：
--
作者：
Amu H;Dickson KS;Kumi-Kyereme A;Darteh EKM
如果没有确保财务风险保护的卫生筹资系统，就不可能实现全民健康覆盖。为确保这一点，一些非洲国家制定了健康保险计划，作为确保其民众普遍获得保健服务的渠道。在本文中，我们研究了加纳、肯尼亚、尼日利亚和坦桑尼亚的医疗保险覆盖率变化。我们使用了加纳（2014年）、肯尼亚（2014年）、尼日利亚（2013年）和坦桑尼亚（2015年）的人口和健康调查数据。研究包括15-49岁的女性和15-59岁的男性。我们的研究人群包括来自加纳的9，378名女性和4，371名男性，来自肯尼亚的14，656名女性和12，712名男性，来自尼日利亚的38，598名女性和17，185名男性，以及来自坦桑尼亚的10，123名女性和2，514名男性。采用双变量和多变量技术对数据进行分析。覆盖率最高的是加纳（女性= 62.4%，男性= 49.1%），最低的是尼日利亚（女性= 1.1%，男性= 3.1%）。年龄、教育程度、居住地、财富状况和职业是影响健康保险覆盖范围变化的社会经济因素。加纳、肯尼亚、尼日利亚和坦桑尼亚的医疗保险覆盖率各不相同，其中加纳的覆盖率最高。如果肯尼亚、坦桑尼亚和尼日利亚目前分散的公共医疗保险体系持续存在，这些国家可能无法实现全民健康覆盖，也无法在2030年前实现可持续发展目标。因此，应协调这些国家的各种计划，以帮助最大限度地扩大其风险池的规模，并增加潜在用户对系统的信心，这可能会鼓励他们加入。
Realisation of universal health coverage is not possible without health financing systems that ensure financial risk protection. To ensure this, some African countries have instituted health insurance schemes as venues for ensuring universal access to health care for their populace. In this paper, we examined variations in health insurance coverage in Ghana, Kenya, Nigeria, and Tanzania. We used data from demographic and health surveys of Ghana (2014), Kenya (2014), Nigeria (2013), and Tanzania (2015). Women aged 15–49 and men aged 15–59 years were included in the study. Our study population comprised 9,378 women and 4,371 men from Ghana, 14,656 women and 12,712 men from Kenya, 38,598 women and 17,185 men from Nigeria, and 10,123 women and 2,514 men from Tanzania. Bivariate and multivariate techniques were used to analyse the data. Coverage was highest in Ghana (Females = 62.4%, Males = 49.1%) and lowest in Nigeria (Females = 1.1%, Males = 3.1%). Age, level of education, residence, wealth status, and occupation were the socio-economic factors influencing variations in health insurance coverage. There are variations in health insurance coverage in Ghana, Kenya, Nigeria, and Tanzania, with Ghana recording the highest coverage. Kenya, Tanzania, and Nigeria may not be able to achieve universal health coverage and meet the sustainable development goals on health by the year 2030 if the current fragmented public health insurance systems persist in those countries. Therefore, the various schemes of these countries should be harmonised to help maximise the size of their risk pools and increase the confidence of potential subscribers in the systems, which may encourage them to enrol.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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