Health insurance enrolment in the Upper West Region of Ghana: Does food security matter?

Roger Antabe, Kilian Nasung Atuoye, Yujiro Sano, Vincent Zubedaar Kuuire, Sylvester Zachariah Galaa and Isaac Luginaah

International Journal of Health Planning and Management, 2019, vol. 34, issue 4, e1621-e1632

Abstract: Toward achieving universal health coverage, Ghana's national health insurance has been acclaimed as a pro‐poor scheme, yet been criticized for leaving the poor behind. Arising from this is how poverty has been operationalized and how poor people are targeted for enrolment into the scheme. We examine the role of food insecurity (not currently considered) as a multidimensional vulnerability concept on enrolment into Ghana's health insurance using binary logistics regression on cross‐sectional survey of household heads (n = 1438) in the Upper West Region of Ghana. Our analyses show that heads of severely food‐insecure households were significantly less likely to enroll in national health insurance scheme (NHIS) relative to households who reported being food‐secure (OR = 0.36, P

Date: 2019
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