Ecological zone and health insurance coverage among adolescent girls in Ghana: analysis of the 2017 maternal health survey

Ahinkorah, BO

Ecological zone and health insurance coverage among adolescent girls in Ghana: analysis of the 2017 maternal health survey

Ahinkorah, BO

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Publisher:: Oxford University Press
Publication Type:: Journal Article
Citation:: Journal of Public Health, 2021, 29, (4), pp. 745-752
Issue Date:: 2021-01-01

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Field	Value	Language
dc.contributor.author	Ahinkorah, BO
dc.date.accessioned	2021-09-22T04:18:18Z
dc.date.available	2021-09-22T04:18:18Z
dc.date.issued	2021-01-01
dc.identifier.citation	Journal of Public Health, 2021, 29, (4), pp. 745-752
dc.identifier.issn	1741-3842
dc.identifier.issn	1613-2238
dc.identifier.uri	http://hdl.handle.net/10453/150661
dc.description.abstract	Aim: Health insurance has been recognized globally as one of the significant means of financing healthcare to achieve universal coverage, particularly in low and middle-income countries. This article sought to examine how ecological zone interacts with other socio-demographic characteristics to influence health insurance coverage among adolescent girls in Ghana. Subjects and methods: The study used data from the 2017 Ghana Maternal Health Survey. A sample size of 3767 adolescent girls was used for this study. This study employed both descriptive and inferential analytical approaches to analyze the data using STATA version 14.0. Results: The study found that ecological zone has a statistically significant association with health insurance coverage among adolescent girls in Ghana, with adolescent girls in the Northern Zone less likely to be covered by health insurance than those in the Coastal Zone [AOR = 0.76, CI = 0.58–0.98]. Other factors that determined health insurance coverage among adolescent girls in Ghana were age, parity, education level and marital status. Conclusion: With adolescent girls in the Northern Zone less likely to be covered by health insurance, it is unlikely that Ghana will be able to achieve equity in healthcare even with the existence of health insurance. If this situation persists, the ability of the country to work towards achieving Sustainable Development Goal 3, which seeks to ensure healthy lives and promote well-being for all at all ages, is under threat.
dc.language	en
dc.publisher	Oxford University Press
dc.relation.ispartof	Journal of Public Health
dc.relation.isbasedon	10.1007/s10389-019-01187-w
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services
dc.subject.classification	Public Health
dc.title	Ecological zone and health insurance coverage among adolescent girls in Ghana: analysis of the 2017 maternal health survey
dc.type	Journal Article
utslib.citation.volume	29
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2021-09-22T04:18:17Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	29
utslib.citation.issue	4

Abstract:

Aim: Health insurance has been recognized globally as one of the significant means of financing healthcare to achieve universal coverage, particularly in low and middle-income countries. This article sought to examine how ecological zone interacts with other socio-demographic characteristics to influence health insurance coverage among adolescent girls in Ghana. Subjects and methods: The study used data from the 2017 Ghana Maternal Health Survey. A sample size of 3767 adolescent girls was used for this study. This study employed both descriptive and inferential analytical approaches to analyze the data using STATA version 14.0. Results: The study found that ecological zone has a statistically significant association with health insurance coverage among adolescent girls in Ghana, with adolescent girls in the Northern Zone less likely to be covered by health insurance than those in the Coastal Zone [AOR = 0.76, CI = 0.58–0.98]. Other factors that determined health insurance coverage among adolescent girls in Ghana were age, parity, education level and marital status. Conclusion: With adolescent girls in the Northern Zone less likely to be covered by health insurance, it is unlikely that Ghana will be able to achieve equity in healthcare even with the existence of health insurance. If this situation persists, the ability of the country to work towards achieving Sustainable Development Goal 3, which seeks to ensure healthy lives and promote well-being for all at all ages, is under threat.

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http://hdl.handle.net/10453/150661