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Migrant female head porters? enrolment in and utilisation and renewal of the National Health Insurance Scheme in Kumasi, Ghana

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dc.contributor.author Boateng, S.
dc.contributor.author Amoako, P.
dc.contributor.author Poku, A.A.
dc.contributor.author Baabereyir, A.
dc.contributor.author Gyasi, R.M.
dc.date.accessioned 2019-11-27T13:30:24Z
dc.date.available 2019-11-27T13:30:24Z
dc.date.issued 2017
dc.identifier.other 10.1007/s10389-017-0832-1
dc.identifier.uri http://ir.uew.edu.gh/xmlui/handle/123456789/282
dc.description Published in Journal of Public Health (Germany) en_US
dc.description.abstract Purpose: As a social protection policy, Ghana?s National Health Insurance Scheme (NHIS) aims to improve access to healthcare, especially for the vulnerable. Migrant female head porters (kayayoo), who are part of the informal economic workforce, are underscored as an ethnic minority and vulnerable group in Ghana. This study aimed to analyse the factors associated with enrolment in and renewal and utilisation of the NHIS among migrant female head porters in the Kumasi Metropolis. Method: We purposively sampled 392 migrant female head porters in the Kejetia, Asafo and Bantama markets. We used a binary logit regression model to estimate associations among baseline characteristics, convenience and benefit factors and enrolment in and renewal and utilisation of the NHIS. Result: Age and income significantly increased the probability of NHIS enrolment, renewal and utilisation. Long waiting times at NHIS offices significantly reduced the likelihood of renewal, while provision of drugs highly significantly increased the tendency for migrant female head porters to enrol in, renew and use the NHIS. Consulting and surgery also significantly increased renewal and utilisation of the NHIS. Conclusion: Political commitment is imperative for effective implementation of the decentralisation policy of the NHIS through the National Health Insurance Authority in Kumasi. We argue that retail offices should be well equipped with logistic facilities to ensure convenience in NHIS initial enrolment and renewal processes by citizenry, and by vulnerable groups in particular. en_US
dc.language.iso en en_US
dc.publisher Springer Verlag en_US
dc.relation.ispartofseries Volume : 25;Issue : 6
dc.subject Enrolment en_US
dc.subject Ethnic minorities en_US
dc.subject Migrant female head porters en_US
dc.subject National Health Insurance Scheme en_US
dc.subject Renewal en_US
dc.subject Utilisation en_US
dc.title Migrant female head porters? enrolment in and utilisation and renewal of the National Health Insurance Scheme in Kumasi, Ghana en_US
dc.type Article en_US


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