Towards universal health coverage: Exploring the determinants of household enrolment into National Health Insurance in the Kassena Nankana District, Ghana

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dc.contributor.authorWilliams, John J.
dc.contributor.authorAlatinga, Kennedy A.
dc.date.accessioned2015-11-16T10:17:44Z
dc.date.available2015-11-16T10:17:44Z
dc.date.issued2015
dc.description.abstractThis study investigates the determinants of household participation in National Health Insurance Scheme (NHIS) in the Kassena-Nankana District in Ghana. In order to achieve this purpose, a cross-sectional survey was used to collect data from 417 randomly selected household heads. The results established that the NHIS is making incremental progress towards achieving universal health coverage because majority (67%) of the sampled population was enrolled in the NHIS. However, further analysis of the data highlighted both the challenge of achieving equity of participation in health insurance and the yawning financial barriers to accessing health care for poor households and those employed in the informal sector. For example, majority (77%) of uninsured households indicated that they were not enrolled in the NHIS because they could not afford the cost of insurance premiums. The research findings showed that income, socio-economic status (SES), formal employment, educational status, and gender amongst others, significantly determine household enrolment in health insurance. In order to increase the enrolment of the poor in the NHIS, and of achieving universal health coverage, the authors recommend that the government considers using payroll deductions to finance the health care needs of all formal sector employees while financing the health care of the rest of the population using tax revenues. It is also recommeded that the NHIS considers making the payment of insurance premium flexible, such as allowing housholds to pay in installments or in kind.en_US
dc.description.accreditationInternational Bibliography of Social Sciencesen_US
dc.identifier.citationAlatinga, K. and Williams, J.J. (2015). Towards universal health coverage: Exploring the determinants of household enrolment into National Health Insurance in the Kassena Nankana District, Ghana. Ghana Journal of Development Studies, Vol.12(1 & 2): 88-102en_US
dc.identifier.issn0855-6768
dc.identifier.urihttp://hdl.handle.net/10566/1972
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherFaculty of Integrated Development Studies, University for Development studiesen_US
dc.rightsOpen Access. This article published in the Ghana Journal of Development Studies is freely available at http://www.ajol.info/index.php/gjds/article/view/125124
dc.source.urihttp://dx.doi.org/10.4314/gjdsv12i1&2.6
dc.status.ispeerreviewedtrue
dc.subjectUniversal Health Coverageen_US
dc.subjectKassena-Nankana Districten_US
dc.subjectGhanaen_US
dc.subjectNational Health Insurance Scheme (NHIS)en_US
dc.subjectSocio-economic status (SES)en_US
dc.subjectEmploymenten_US
dc.subjectWorld Health Organization (WHO)en_US
dc.subjectHousehold participationen_US
dc.titleTowards universal health coverage: Exploring the determinants of household enrolment into National Health Insurance in the Kassena Nankana District, Ghanaen_US
dc.typeArticleen_US

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Research Articles (School of Government)
Prof. John J. Williams