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Tytuł pozycji:

Is the National Health Insurance Scheme helping pregnant women in accessing health services? Analysis of the 2014 Ghana demographic and Health survey.

Tytuł :
Is the National Health Insurance Scheme helping pregnant women in accessing health services? Analysis of the 2014 Ghana demographic and Health survey.
Autorzy :
Ameyaw EK; School of Public Health, Faculty of Health, University of Technology Sydney, PMB University Private Mail Bag, Sydney, NSW, Australia.
Ahinkorah BO; School of Public Health, Faculty of Health, University of Technology Sydney, PMB University Private Mail Bag, Sydney, NSW, Australia.
Baatiema L; Department of Population and Health, Faculty of Social Sciences, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana.
Seidu AA; Department of Population and Health, Faculty of Social Sciences, College of Humanities and Legal Studies, University of Cape Coast, Cape Coast, Ghana. .; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland, Australia. .
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Źródło :
BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2021 Mar 12; Vol. 21 (1), pp. 201. Date of Electronic Publication: 2021 Mar 12.
Typ publikacji :
Journal Article
Język :
English
Imprint Name(s) :
Original Publication: London : BioMed Central, [2001-
MeSH Terms :
Maternal Health Services*/organization & administration
Maternal Health Services*/standards
Prenatal Care*/methods
Prenatal Care*/standards
Health Services Accessibility/*organization & administration
Patient Participation/*methods
Pregnant Women/*psychology
Adult ; Demography ; Female ; Ghana/epidemiology ; Health Services Needs and Demand ; Humans ; National Health Programs/statistics & numerical data ; Pregnancy ; Quality Improvement/organization & administration
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Contributed Indexing :
Keywords: Ghana; Health service; Maternal healthcare; National Health Insurance Scheme; Pregnant women
Entry Date(s) :
Date Created: 20210312 Date Completed: 20210520 Latest Revision: 20210520
Update Code :
20210521
PubMed Central ID :
PMC7953785
DOI :
10.1186/s12884-021-03651-6
PMID :
33706716
Czasopismo naukowe
Background: Increasing the use of healthcare is a significant step in improving health outcomes in both the short and long term. However, the degree of the relationship between utilization of health services and health outcomes is affected by the quality of the services rendered, the timeliness of treatment and follow-up care. In this study, we investigated whether the National Health Insurance Scheme (NHIS) is helping pregnant women in accessing health services in Ghana.
Methods: Data for the study were obtained from the women's file of the 2014 Ghana Demographic and Health Survey. All women with birth history and aged 15-49  constituted our sample (n = 4271). We employed binary logistic regression analysis in investigating whether the NHIS was helping pregnant women in accessing health service. Statistical significance was set at <0.05.
Results: Most women had subscribed to the NHIS [67.0%]. Of the subscribed women, 78.2% indicated that the NHIS is helping pregnant women in accessing healthcare. Women who had subscribed to the NHIS were more likely to report that it is helping pregnant women in accessing health service [aOR = 1.70, CI = 1.38-2.10]. We further noted that women who had at least four antenatal visits were more likely to indicate that NHIS is helping pregnant women in accessing health services [aOR = 3.01, CI = 2.20-4.14]. Women with secondary level of education [aOR= 1.42; CI: 1.04-1.92] and those in the richest wealth quintile [aOR = 3.51; CI = 1.94-6.34] had higher odds of indicating that NHIS is helping pregnant women in accessing healthcare. However, women aged 45-49 [aOR = 0.49; CI = 0.26-0.94], women in the Greater Accra [aOR = 0.29; CI = 0.16-0.53], Eastern [aOR = 0.12; CI = 0.07-0.21], Northern [aOR = 0.29; CI = 0.12-0.66] and Upper East [aOR = 0.17; CI = 0.09-0.31] regions had lower odds of reporting that NHIS is helping pregnant women in accessing health services.
Conclusion: To enhance positive perception towards the use of health services among pregnant women, non-subscribers need to be encouraged to enrol on the NHIS. Together with non-governmental organizations dedicated to maternal and child health issues, the Ghana Health Service's Maternal and Child Health Unit could strengthen efforts to educate pregnant women on the importance of NHIS in maternity care.

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