Health insurance subscription among women in reproductive age in Ghana: do socio-demographics matter?
Health insurance subscription among women in reproductive age in Ghana: do socio-demographics matter?
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DOI：
10.1186/s13561-016-0102-x
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发表时间：
2016-06-21
影响因子：
2.4
通讯作者：
Dickson, Kwamena Sekyi
中科院分区：
文献类型：
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作者：
Amu, Hubert;Dickson, Kwamena Sekyi
背景资料：假设健康保险计划在非洲只是最近才推出，并继续发展，各种关注已提出了关于其有效性，提高利用正统的卫生保健和减少自付费用为他们的人口，特别是women.Objective：研究社会人口统计学的影响健康保险认购妇女在加纳。该研究借鉴了2014年加纳人口和健康调查。结果：财富状况、年龄、宗教信仰、出生胎次、婚姻状况和生态区对加纳育龄妇女的医疗保险购买有显著的预测作用。城市居民、未生育的妇女、没有受过教育或受教育程度低的妇女、非洲传统主义者和穷人基本上不参加该计划。调查结果强调，国家健康保险局需要与国家公民教育委员会和信息服务部合作开展更多的教育，以招募更多的城市居民、未生育妇女、那些没有受过教育或教育水平低的人、非洲传统主义者和穷人也加入了该计划。
Background: Premised that health insurance schemes in Africa have only been introduced recently and continue evolving, various concerns have been raised regarding their effectiveness in improving utilisation of orthodox health care and the reduction of out-of-pocket expenditures for their population, particularly women.Objective: To examine the effects of socio-demographics on health insurance subscription among women in Ghana.Methods: The study draws on the 2014 Ghana Demographic and Health Survey. Bivariate descriptive analysis and binary logistic regression were used to analyse the data.Results: Wealth status, age, religion, birth parity, marriage and ecological zone were found to have significantly predicted health insurance subscription among women in reproductive age in Ghana. Urban dwellers, women who are nulliparous, those with no or low levels of education, African traditionalists and the poor were those who largely did not subscribe to the scheme.Conclusion: The findings underscore the need for the National Health Insurance Authority to carry out more education in association with the National Commission for Civic Education and the Information Services Department to recruit more urban dwellers, nulliparous women, those with no or low levels of education, African traditionalists and the poor unto the scheme.