The impact of community outreach intervention on national health insurance enrolment, knowledge and health services utilisation: evidence from two districts in Ghana

Nsiah-Boateng, Eric; Musah, Mariam; Jung, Hyejin; Akuamoah, Collins Danso; Yang, Dong-Hoon; Kim, Yanghee; Kim, Bounggui; Kim, Chi-wan; Asenso-Boadi, Francis; Kim, Woun-hum; Dsane-Selby, Lydia; Andoh-Adjei, Francis-Xavier

doi:10.35500/jghs.2020.2.e8

Cited by 4 publications

(5 citation statements)

References 24 publications

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“…The authors declare that they have no competing interests Author details 1 Department of Planning, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana. 2 Department of Geography and Planning, Queen's University, Ontario, Canada.…”

Section: Fundingmentioning

confidence: 99%

“…Around the globe, developed countries like Germany, Austria, Japan, Belgium, South Korea, and developing countries like Israel have somehow achieved universal health coverage [UHC] through social health insurance [SHI] [1] with some countries reaching this milestone over a shorter period as compared to others. Several low and middle-income countries [LMICs] are therefore experimenting with different health financing models, for instance, social health insurance and UHC schemes [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…The Government of Ghana [GoG] introduced the National Health Insurance Scheme [NHIS] in 2003 through the enactment of the National Health Insurance Act (Act 650 of 2003) and Legislative Instrument (LI) 1809 [4]. The scheme is a financial risk protection or buffer to all Ghanaians and legally resident non-Ghanaians against the need to pay healthcare user fees at the point of service use [1]. The National Health Insurance Act of 2003, Act 650 stipulates the detailed diseases and healthcare services covered and not covered under the scheme [13].…”

Section: Introductionmentioning

confidence: 99%

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An integrative review on individual determinants of enrolment in National Health Insurance Scheme among older adults in Ghana

et al. 2022

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Background We conducted an integrative review in an attempt to methodically and systematically understand the individual (personal factors) that influence National Health Insurance Scheme [NHIS] enrolment among older adults aged 50 years and above. The study was premised on evidence pointing to a state of little or no change in the enrolment rates [especially among older adults], which contrasts with the initial euphoria that greeted the launch of the scheme - which culminated in high enrolment rates. Methods The integrative literature review was conducted to synthesise the available evidence on individual determinants of NHIS among older adults. The methodological approach of the integrative literature review follows a five-stage interdependent and interconnected procedure of problem identification, literature search, data evaluation, data analysis and results presentation. Studies that met the inclusion criteria were peer-reviewed articles published in the English Language, from January 2010 to July 2020 and have Ghana as its setting or study area. The Andersen's Behavioural Model was used to categorize the predictor variables. Results Predisposing factors [gender, age, level of education and marital status], enabling factors [income] and need factors [health conditions or health attributes of older adults] were identified as individual predictors of NHIS enrolment among older adults. The findings support argument of Andersen's Behavioural Model [where predisposing, enabling and need factors are considered as individual determinants of health behaviour]. Conclusions The findings call for policy reforms that take into account the aforementioned individual predictors of NHIS enrolment, especially among the aged.

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Section: Fundingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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An integrative review on individual determinants of enrolment in National Health Insurance Scheme among older adults in Ghana

et al. 2022

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“…In Ghana, where this study took place, enrolment into the National Health Insurance Scheme (NHIS) was only 35% in 2017 and renewal 73% 12. These low rates have been found in part to be driven by weak administrative processes such as need for yearly renewal of health insurance membership, delays in issuing insurance cards for care access and inaccessibility of NHIS registration centres leading to high costs of enrolment and renewal 13 14. Community engagement in the implementation of the NHIS in Ghana is reported to be poor, with limited outreach education and widespread fear of asking questions about the package of services 15.…”

Section: Introductionmentioning

confidence: 98%

Does mobile renewal make health insurance more responsive to clients? A case study of the National Health Insurance Scheme in Ghana

Akweongo,

Gadeka,

Aryeetey

et al. 2023

BMJ Glob Health

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BackgroundIn 2018, Ghana’s National Health Insurance Authority (NHIA) introduced a mobile strategy to enhance re-enrolment and improve client knowledge of their entitlements. This study investigated how Ghana’s mobile strategy has influenced the NHIA’s responsiveness to clients in terms of patient rights and entitlements, equity and satisfaction with health services.MethodsWe surveyed people (n=1700) in 6 districts who had renewed their insurance in the previous 12 months, using any strategy (mobile or manual). Multiple regression analysis examined correlation between individual characteristics and renewal modality. Policy documents on the mobile programme’s design and focus group discussions (n=12) on people’s experiences renewing their insurance were analysed thematically.ResultsWhile the mobile platform was designed for mobile National Health Insurance Scheme (NHIS) renewal and to provide information about insurance entitlements, few people surveyed (20%) knew about these informational features. Among those who renewed their NHIS coverage, 58% did so on the mobile renewal platform. Mobile renewal was high among those with tertiary education and those in the higher wealth quintiles. Mobile renewal was considered convenient, but required literacy in English, a phone and a mobile money wallet. For those who lacked some or all of these prerequisites but wanted to use mobile renewal, mobile vendors emerged as valued facilitators.ConclusionThe mobile platform has increased the responsiveness of Ghana’s NHIS through offering clients a more convenient mechanism to renew their insurance policies. It does not, however, eliminate the one month waiting period for activating the card, does not provide prompts to reassure clients of their renewal and does not empower most clients with information on entitlements. To improve the adoption and use of the mobile renewal strategy, the NHIA should publicise the platform’s information-sharing functions and explore formally engaging mobile vendors.

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“…The policy protects Ghanaians and lawfully residing non-Ghanaians from financial risk by absolving them of paying for some medical treatments in designated health facilities. 19 The National Health Insurance Act of 2003, Act 650, details the specific ailments and medical treatments that are covered and excluded under the policy. 14 , 20 The National Health Insurance Authority [NHIA] set the premium at a minimum of GH₵ 6.00 ($0.53) and a maximum of GH₵ 42.00 ($3.73), with a GH₵ 6.00 ($0.53) processing charge.…”

Section: Introductionmentioning

confidence: 99%

‘Digitising health protection schemes in Ghana’: An enquiry into factors associated with the use of a mobile phone-based health insurance contribution payment system among tertiary students

Morgan,

Katey,

Asori

et al. 2024

Health�Serv�Insights

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In 2018, Ghana’s National Health Insurance Scheme (NHIS) introduced a mobile money payment system for membership renewal and premium payments to enhance enrolment and retention rates. However, the adoption of such innovations depends on various factors, including personal traits and public perceptions. This study aims to explore the determinants of NHIS membership renewal and premium payment via the mobile renewal system. Conducted at Kwame Nkrumah University of Science and Technology (KNUST) in Kumasi, Ghana, the study used a survey design to gather data from 951 KNUST students. Employing logistic regression analysis, the study identified key factors influencing the use of the NHIS mobile renewal service. The findings revealed that individuals aged 19-21, 25-27 or above 27, without mobile money accounts, and those with no history of online purchases were less likely to adopt the mobile renewal system ( P < .05). Conversely, those perceiving the system as useful and easy to use were more likely to utilise it for NHIS membership renewal ( P < .05). In conclusion, policymakers should prioritise system quality, accessibility, perceived ease of use, and usefulness to facilitate the adoption and usage of the NHIS mobile payment system. These findings contribute valuable insights for enhancing the effectiveness of health insurance innovations.

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The impact of community outreach intervention on national health insurance enrolment, knowledge and health services utilisation: evidence from two districts in Ghana

Cited by 4 publications

References 24 publications

An integrative review on individual determinants of enrolment in National Health Insurance Scheme among older adults in Ghana

An integrative review on individual determinants of enrolment in National Health Insurance Scheme among older adults in Ghana

Does mobile renewal make health insurance more responsive to clients? A case study of the National Health Insurance Scheme in Ghana

‘Digitising health protection schemes in Ghana’: An enquiry into factors associated with the use of a mobile phone-based health insurance contribution payment system among tertiary students

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