Health insurance coverage among women of reproductive age in rural Ghana: policy and equity implications
- Publisher:
- Springer Nature
- Publication Type:
- Journal Article
- Citation:
- Health Research Policy and Systems, 2023, 21, (1), pp. 75
- Issue Date:
- 2023-07-14
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BackgroundGlobally health insurance has been identified as a key component of healthcare financing The implementation of health insurance policies in low and middle income countries has led to a significant increase in access to healthcare services in these countries This study assessed health insurance coverage and its associated factors among women of reproductive age living in rural Ghana MethodsThis study used a nationally representative data from the 2017 2018 Ghana Multiple Indicator Cluster Survey GMICS and included 7340 rural women aged 15 49 years Bivariate and multivariable logistic regression models were developed to assess the association between the explanatory and the outcome variable Statistical significance was considered at p 0 05 ResultsThe overall prevalence of health insurance coverage among rural women in Ghana was 51 9 Women with secondary aOR 1 72 95 CI 1 38 2 14 and higher education aOR 4 57 95 CI 2 66 7 84 were more likely to have health insurance coverage than those who had no formal education Women who frequently listened to radio aOR 1 146 95 CI 1 01 1 30 were more likely to have health insurance coverage than those who did not Women who had a child aOR 1 81 95 CI 1 50 2 17 two children aOR 1 59 95 CI 1 27 1 98 three children aOR 1 41 95 CI 1 10 1 80 and five children aOR 1 36 95 CI 1 03 1 79 were more likely to have health insurance coverage than those who had not given birth Women who were pregnant aOR 3 52 95 CI 2 83 4 38 at the time of the survey and women within the richest households aOR 3 89 95 CI 2 97 5 10 were more likely to have health insurance coverage compared to their other counterparts Women in the Volta region aOR 1 36 95 CI 1 02 1 81 Brong Ahafo region aOR 2 82 95 CI 2 20 3 60 Northern region aOR 1 32 95 CI 1 02 1 70 Upper East region aOR 2 13 95 CI 1 63 2 80 and Upper West region aOR 1 56 95 CI 1 20 2 03 were more likely to have health insurance coverage than those in the Western region ConclusionAlthough more than half
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