American Journal of Public Health Research, 2014, Vol. 2, No. 1, 27-35
Available online at http://pubs.sciepub.com/ajphr/2/1/6
© Science and Education Publishing
DOI:10.12691/ajphr-2-1-6
Demand for Health Insurance in Ghana: What Factors
Influence Enrollment?
Ebenezer Owusu-Sekyere
1,*
, Anthony Chiaraah
2
1
Department of Development Studies, University for Development Studies, WA, Ghana
2
Department of Economics and Entrepreneurship Development, University for Development Studies, WA, Ghana
*Corresponding author: oseturbo@yahoo.com
Received November 16, 2013; Revised January 17, 2014; Accepted February 09, 2014
Abstract In 2003, there was a paradigm shift in Ghana’s quest for a more humane, affordable and reliable
mechanism of financing healthcare with the introduction of the national health insurance scheme. The scheme was to
replace the hitherto obnoxious Cash and Carry System of paying for health care at the point of service, and to
provide a better and much more humane financial arrangement that will enable the citizens to access health care
service without having to pay at the point of service delivery and also ensure an improvement in the quality of basic
health. This study employed descriptive statistics-Logit and Probit Models to investigate the factors that influence
Ghanaians to enroll with the scheme. The results from the logit and probit models indicate that sex, marital status
and cost of curative care were strong factors in influencing one’s decision to join the scheme. Again the marginal
effects and odd ratios gave a further indication that factors such as individuals’ income, higher levels of education
and poor ill health among others also influence Ghanaians to join the scheme. This research is of the view that any
public education aimed at increasing enrollment should be guided by these factors.
Keywords: National Health Insurance, healthcare financing, cash and carry, logit and probit, enrollmen
Cite This Article: Ebenezer Owusu-Sekyere, and Anthony Chiaraah, “Demand for Health Insurance in
Ghana: What Factors Influence Enrollment?” American Journal of Public Health Research, vol. 2, no. 1 (2014):
27-35. doi: 10.12691/ajphr-2-1-6.
1. Introduction
One major challenge facing health delivery in Ghana is
financing. Health financing in Ghana Prior to
independence, was predominantly by out-of-pocket
payments at point of service use [1]. This however
changed under the First Republic, from the late 1950s up
to 1966, when healthcare financing in Ghana was in line
with the Socialist philosophy of the then Government, and
was virtually free as was education and other social
services. Following the overthrow of the government,
Healthcare financing in Ghana saw a complete ‘U-Turn’
[2]. Under the military-cum-civilian junta of the National
Liberation Council (NLC), Ghanaians were asked to pay
for their healthcare. This continued till the introduction of
the National Health Insurance Scheme NHIS in 2004 [3].
As at 1981, the economy of Ghana had deteriorated to
such an extent that the government wandered how to find
the best combination of Government-Peoples-Partnership
that would meet each other part of the way and satisfy the
needs and pockets of Ghanaians as well the Government’s
finances in the healthcare sector [4]. ‘Cash and Carry’
system of healthcare financing was thus introduced. Under
Cash and Carry’, patients were required to pay for drugs
and some medical consumables, as and when they visit
hospital, while the state bore all other costs including
consultation, salaries and emoluments for Doctors, Nurses
and other healthcare workers in state hospitals. ‘Cash and
Carry’ also provided for free medical care for the aged
above 70 years of age, children under five years and
pregnant women for their ante-natal care, all under an
exemption programme implemented with that system of
financing. The ‘Cash and Carry’ system survived until
2004 when the present health insurance system came into
being [5].
The National Health Insurance Scheme (NHIS) was
established under Act 650 of 2003 by the Government of
Ghana to provide basic healthcare services to persons
resident in the country through mutual and private health
insurance schemes. Act 650 of 2003 has been amended
and replaced with National Health Insurance act 852 of,
2012 to cater for the inconsistencies and the legal
ambiguities in the previous act. The purpose of the
amendment was also to cater for the changing
developmental trends in the health sector and to solidify
the gains made ten years after the implementation of the
scheme. The new act recognizes the existence the District
Mutual, Private Mutual and Private Commercial Schemes
which are regulated by the National Health Insurance
Council (NHIC). Ghana introduced a national health
insurance scheme (NHIS) as part of a major development
policy framework-Ghana Poverty Reduction Strategy
(GPRS) implemented in 2003. The aim of the NHIS was
to replace the hitherto obnoxious Cash and Carry System
of paying for health care at the point of service, and to
provide a better and much more humane financial