Ghana's National Health Insurance Scheme: helping the poor or leaving them behind?

被引:54
|
作者
Dixon, Jenna [1 ]
Tenkorang, Eric Y. [2 ]
Luginaah, Isaac [1 ]
机构
[1] Univ Western Ontario, Dept Geog, London, ON N6A 5C2, Canada
[2] Mem Univ Newfoundland, Dept Sociol, St John, NF A1C 5S7, Canada
来源
关键词
DEVELOPING-COUNTRIES; ADJUSTMENT PROGRAMS; BURKINA-FASO; WEST-AFRICA; LOW-INCOME; CARE; POVERTY; CONTEXT; INEQUALITIES; ENROLLMENT;
D O I
10.1068/c1119r
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
We present findings on the determinants of enrolment for Ghana's National Health Insurance Scheme (NHIS). With this study we contribute to the literature by providing one of the few quantitative analyses on a nationwide survey. Using data from the 2008 Ghana Demographic and Health Survey, we find that those from the poorest households remain significantly less likely to enrol in the NHIS compared with respondents from wealthy households, even after controlling for theoretically relevant variables. However, our analysis also shows that respondents in Northern Ghana, considered the poorest part of the country, are more likely to be enroled than those in Southern Ghana. The findings present a clear challenge to the original mandate of the NHIS as a propoor policy and suggest that health policy makers should consider expanding and clarifying the criteria for declaring a person as indigent and that the scheme be further evaluated for obstacles that may be hindering enrolment.
引用
收藏
页码:1102 / 1115
页数:14
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