IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v34y2019i4pe1621-e1632.html
   My bibliography  Save this article

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

Author

Listed:
  • Roger Antabe
  • Kilian Nasung Atuoye
  • Yujiro Sano
  • Vincent Zubedaar Kuuire
  • Sylvester Zachariah Galaa
  • Isaac Luginaah

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

Suggested Citation

  • Roger Antabe & Kilian Nasung Atuoye & Yujiro Sano & Vincent Zubedaar Kuuire & Sylvester Zachariah Galaa & Isaac Luginaah, 2019. "Health insurance enrolment in the Upper West Region of Ghana: Does food security matter?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1621-1632, October.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:4:p:e1621-e1632
    DOI: 10.1002/hpm.2857
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.2857
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.2857?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Dixon, Jenna & Luginaah, Isaac & Mkandawire, Paul, 2014. "The National Health Insurance Scheme in Ghana's Upper West Region: A gendered perspective of insurance acquisition in a resource-poor setting," Social Science & Medicine, Elsevier, vol. 122(C), pages 103-112.
    2. Atuoye, Kilian Nasung & Luginaah, Isaac, 2017. "Food as a social determinant of mental health among household heads in the Upper West Region of Ghana," Social Science & Medicine, Elsevier, vol. 180(C), pages 170-180.
    3. Frederick Armah & Justice Odoi & Genesis Yengoh & Samuel Obiri & David Yawson & Ernest Afrifa, 2011. "Food security and climate change in drought-sensitive savanna zones of Ghana," Mitigation and Adaptation Strategies for Global Change, Springer, vol. 16(3), pages 291-306, March.
    4. Bruce D. Meyer & James X. Sullivan, 2011. "Viewpoint: Further results on measuring the well‐being of the poor using income and consumption," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 44(1), pages 52-87, February.
    5. Alexander S. Preker & Guy Carrin, 2004. "Health Financing for Poor People : Resource Mobilization and Risk Sharing," World Bank Publications - Books, The World Bank Group, number 15019.
    6. Joseph Mensah & Joseph R. Oppong & Christoph M. Schmidt, 2010. "Ghana's national health insurance scheme in the context of the health MDGs: an empirical evaluation using propensity score matching," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 95-106, September.
    7. Alderman, Harold & Garcia, Marito, 1994. "Food Security and Health Security: Explaining the Levels of Nutritional Status in Pakistan," Economic Development and Cultural Change, University of Chicago Press, vol. 42(3), pages 485-507, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Martinson Ankrah Twumasi & Gloria Essilfie & Bright Senyo Dogbe & Ernest Kwarko Ankrah & Charles Hackman Kwamena Essel, 2024. "Does access to financial services improve nutritional intake among rural residents? Assessing potential action mechanism pathways," Review of Development Economics, Wiley Blackwell, vol. 28(3), pages 1131-1151, August.
    2. Daniel Amoak & Joseph Asumah Braimah & Williams Agyemang-Duah & Nancy Osei Kye & Florence Wullo Anfaara & Yujiro Sano & Roger Antabe, 2022. "Understanding the Link between Household Food Insecurity and Self-Rated Oral Health in Ghana," IJERPH, MDPI, vol. 20(1), pages 1-11, December.
    3. Roger Antabe & Florence W Anfaara & Yujiro Sano & Daniel Amoak, 2025. "Ghana’s National Health Insurance enrollment: Does the intersection of educational and residential status matter?," PLOS ONE, Public Library of Science, vol. 20(2), pages 1-13, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Vincent Z. Kuuire & Eric Y. Tenkorang & Andrea Rishworth & Isaac Luginaah & Alfred E. Yawson, 2017. "Is the Pro-Poor Premium Exemption Policy of Ghana’s NHIS Reducing Disparities Among the Elderly?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(2), pages 231-249, April.
    2. Bagnoli, Lisa, 2019. "Does health insurance improve health for all? Heterogeneous effects on children in Ghana," World Development, Elsevier, vol. 124(C), pages 1-1.
    3. Mebratie, Anagaw D. & Sparrow, Robert & Yilma, Zelalem & Alemu, Getnet & Bedi, Arjun S., 2015. "Enrollment in Ethiopia’s Community-Based Health Insurance Scheme," World Development, Elsevier, vol. 74(C), pages 58-76.
    4. Cesur, Resul & Güneş, Pınar Mine & Tekin, Erdal & Ulker, Aydogan, 2017. "The value of socialized medicine: The impact of universal primary healthcare provision on mortality rates in Turkey," Journal of Public Economics, Elsevier, vol. 150(C), pages 75-93.
    5. Amarendra Sharma, 2019. "Indira Awas Yojana and Housing Adequacy: An Evaluation using Propensity Score Matching," ASARC Working Papers 2019-05, The Australian National University, Australia South Asia Research Centre.
    6. Gupta, Rishabh & Mishra, Ashok, 2019. "Climate change induced impact and uncertainty of rice yield of agro-ecological zones of India," Agricultural Systems, Elsevier, vol. 173(C), pages 1-11.
    7. Kang, Ji Young & Park, Sojung & Ahn, Seoyeon, 2022. "The effect of social pension on consumption among older adults in Korea," The Journal of the Economics of Ageing, Elsevier, vol. 22(C).
    8. Richard Agbanyo & James Atta Peprah, 2021. "National health insurance and the choice of delivery facility among expectant mothers in Ghana," International Journal of Health Economics and Management, Springer, vol. 21(1), pages 27-49, March.
    9. Wang Xiao-jun & Zhang Jian-yun & Shamsuddin Shahid & Xia Xing-hui & He Rui-min & Shang Man-ting, 2014. "Catastrophe theory to assess water security and adaptation strategy in the context of environmental change," Mitigation and Adaptation Strategies for Global Change, Springer, vol. 19(4), pages 463-477, April.
    10. Sato, Azusa, 2012. "Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?," World Development, Elsevier, vol. 40(11), pages 2275-2289.
    11. Nunbogu, Abraham Marshall & Elliott, Susan J. & Bisung, Elijah, 2023. "I feel the pains of our past water struggles anytime I turn on the tap: Diaspora perceptions and experiences of water, sanitation, and hygiene (WaSH) gendered violence in Ghana," Social Science & Medicine, Elsevier, vol. 317(C).
    12. John Oti Amoah & Clifford Afoakwah, 2023. "Unravelling the Health Inequalities in Ghana: An Intersectional Perspective," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 170(3), pages 987-1006, December.
    13. Skoufias, Emmanuel, 1998. "Determinants of child health during the economic transition in Romania," World Development, Elsevier, vol. 26(11), pages 2045-2056, November.
    14. Kilian Nasung Atuoye & Roger Antabe & Yujiro Sano & Isaac Luginaah & Jason Bayne, 2019. "Household Income Diversification and Food Insecurity in the Upper West Region of Ghana," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 144(2), pages 899-920, July.
    15. Lan Thi Thu Phan & Yusuke Jinnai, 2018. "Does health insurance matter in the hospital? New evidence from patient-level medical records in Vietnam," Working Papers EMS_2018_01, Research Institute, International University of Japan.
    16. Mohammad Abu-Zaineh & Habiba Romdhane & Bruno Ventelou & Jean-Paul Moatti & Arfa Chokri, 2013. "Appraising financial protection in health: the case of Tunisia," International Journal of Health Economics and Management, Springer, vol. 13(1), pages 73-93, March.
    17. Adam Bee & Bruce D. Meyer & James X. Sullivan, 2013. "The Validity of Consumption Data: Are the Consumer Expenditure Interview and Diary Surveys Informative?," NBER Chapters, in: Improving the Measurement of Consumer Expenditures, pages 204-240, National Bureau of Economic Research, Inc.
    18. Santosh Kumar & Fidel Gonzalez, 2018. "Effects of health insurance on birth weight in Mexico," Health Economics, John Wiley & Sons, Ltd., vol. 27(8), pages 1149-1159, August.
    19. Peele, Morgan & Wolf, Sharon, 2020. "Predictors of anxiety and depressive symptoms among teachers in Ghana: Evidence from a randomized controlled trial," Social Science & Medicine, Elsevier, vol. 253(C).
    20. Bruce D. Meyer & James X. Sullivan, 2012. "Identifying the Disadvantaged: Official Poverty, Consumption Poverty, and the New Supplemental Poverty Measure," Journal of Economic Perspectives, American Economic Association, vol. 26(3), pages 111-136, Summer.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:34:y:2019:i:4:p:e1621-e1632. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.