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

Simon Boateng; Prince Amoako; Adjoa Afriyie Poku; Anthony Baabereyir; Razak Mohammed Gyasi

doi:10.1007/s10389-017-0832-1

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

Journal article

Open access

Peer reviewed

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

Simon Boateng, Prince Amoako, Adjoa Afriyie Poku, Anthony Baabereyir and Razak Mohammed Gyasi

Journal of public health, Vol.25, pp.625-634

12/2017

DOI: https://doi.org/10.1007/s10389-017-0832-1

PMCID: PMC5681982

PMID: 29177126

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Abstract

Epidemiology

Health Promotion and Disease Prevention

Medicine

Medicine & Public Health

Original Article

Public Health

National Health Insurance Scheme

Migrant female head porters

Enrolment

Ethnic minorities

Utilisation

Renewal

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.

Details

Title: Migrant female head porters’ enrolment in and utilisation and renewal of the National Health Insurance Scheme in Kumasi, Ghana
Creators: Simon Boateng - Social Sciences Department, St. Monica's College of Education, Mampong, Ghana.
Prince Amoako - Kwame Nkrumah University of Science and Technology
Adjoa Afriyie Poku - University of Education, Winneba
Anthony Baabereyir - University of Education, Winneba
Razak Mohammed Gyasi - Lingnan University
Publication Details: Journal of public health, Vol.25, pp.625-634
Publisher: Springer Berlin Heidelberg
Identifiers: 991013035759102368
Copyright: (C) The Author(s) 2017. This article is an open access publication. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Academic Unit: National Centre for Naturopathic Medicine
Language: English
Resource Type: Journal article

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

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