Health insurance and social capital in Ghana: a cluster randomised controlled trial.

ABSTRACT:

Background

The National Health Insurance Scheme (NHIS) was introduced in Ghana in 2003, enrolment is still far from the desired target of universal coverage. Low community engagement in the design and management of the system was identified as one of the main barriers. The aim of the current study was to explore the role of social capital in NHIS enrolment in two regions of Ghana, Western and Greater Accra.

Methods

The study involved a cluster-randomised controlled trial of 3246 clients of 64 healthcare facilities who completed both a baseline and a follow-up survey. Thirty-two facilities were randomly selected to receive two types of intervention. The remaining facilities served as control. The interventions were co-designed with stakeholders. Baseline and follow up surveys

SUBMITTER: Fenenga CJ 

PROVIDER: S-EPMC6282266 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature