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. 2014 Feb 21;6(3):82-9.
doi: 10.5539/gjhs.v6n3p82.

The National Health Insurance Scheme (NHIS) in the Dormaa Municipality, Ghana: why some residents remain uninsured?

Thompson Amo  1
Affiliations

The National Health Insurance Scheme (NHIS) in the Dormaa Municipality, Ghana: why some residents remain uninsured?

Thompson Amo. Glob J Health Sci. .

Abstract

The paper presents a quantitative investigation on the national health insurance scheme (nhis) in dormaa municipality, Ghana: why some residents remain uninsured? Since its implementation has been a little over a decade now. The aim is to identify the obstacles to enrollment by the public which would enable policy direction to ensure that all residents are registered with the scheme. A descriptive and cross-sectional study was conducted between May and July, 2013. Both purposive and simple random sampling technique were used to select 210 respondents and data obtained through self-administered and face-to-face interviews guided by structured questionnaire. chi square (X2) test of independence was adopted to show the association between socioeconomic and demographic features and membership. Findings from the research suggest that residents' decision to enrol have significant associated with gender, education, number of children, place of residence, employment and income. It was also observed that membership is highly affected by premium level. The discussion of the findings and recommendations offered, if incorporated into the policy guideline of NHIS could maintain and at the same time increase enrollment level which would guarantee quality, accessible and affordable basic health care protection for the good people of Ghana.

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Figures

Figure 1
Figure 1
Reasons for non-membership of the NHIS by respondents
Figure 2
Figure 2
The respondents’ suggestions to achieve universal coverage
See this image and copyright information in PMC

References

    1. Agyepong I. A, Adjei S. Public social policy development and implementation: a case study of the Ghana National Health Insurance scheme. Health policy and planning. 2008;23(2):150–60. http://dx.doi.org/heapol/czn002 . - PubMed
    1. Atim C. Bethesda MD, editor. Contribution of Mutual Health Organizations to Financing , Delivery, and Access to Health Care Synthesis of Research in Nine West and Central African Countries. Technical Report. Partnerships for Health Reform Project, Abt Associates. 1998;18:1–8.
    1. Basaza R, Criel B, Van der Stuyft P. Community health insurance in Uganda: why does enrolment remain low? A view from beneath. Health policy (Amsterdam, Netherlands) 2008;87(2):172–84. http://dx.doi.org/10.1016/j.healthpol.2007.12.008 . - PubMed
    1. Criel B. “District Based Health Insurance in Sub Saharan Africa”. Part 1: Case studies in health services organization and policy 10, Antwerp. 1998
    1. Dixon J, Tenkorang E. Y, Luginaah I. Ghana’s National Health Insurance Scheme: helping the poor or leaving them behind? Environment and Planning C: Government and Policy. 2011;29(6):1102–1115. http://dx.doi.org/10.1068/c1119r .