作者
Caroline Jehu-Appiah, Genevieve Aryeetey, Ernst Spaan, Thomas De Hoop, Irene Agyepong, Rob Baltussen
发表日期
2011/1/1
期刊
Social science & medicine
卷号
72
期号
2
页码范围
157-165
出版商
Pergamon
简介
To improve equity in the provision of health care and provide risk protection to poor households, low-income countries are increasingly moving to social health insurance. Using data from a household survey of 3301 households conducted in 2009 this study aims to evaluate equity in enrollment in the National Health Insurance Scheme (NHIS) in Ghana and assess determinants of demand across socio-economic groups. Specifically by looking at how different predisposing (age, gender, education, occupation, family size, marital status, peer pressure and health beliefs etc) enabling (income, place of residence) need (health status) and social factors (perceptions) affect household decision to enrol and remain in the NHIS. Equity in enrollment is assessed by comparing enrollment between consumption quintiles. Determinants of enrolling in and dropping out from NHIS are assessed using a multinomial logit model …
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