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

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  • 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
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    References listed on IDEAS

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    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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, December.
    7. 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.
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    Cited by:

    1. 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.

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