Do prevailing theories sufficiently explain perceptions and health-seeking behavior of Ghanaians?

Christine J. Fenenga*, Kwasi Boahene, Daniel Arhinful, Tobias Rinke de Wit, Inge Hutter

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    8 Citations (Scopus)

    Abstract

    The challenges faced by African countries that have pioneered a national health insurance scheme (NHIS) and the lessons learned can be of great value to other countries, contemplating the introduction of such a health financing system. In 2003, Ghana initiated the NHIS to provide access to healthcare for people in both the formal and informal sectors. The paper assesses the applicability of four theoretical models to explain the perceptions and decisions of Ghanaians to participate in the NHIS. To contextualize these models, we used qualitative data from individual and group interviews of Ghanaians. These interviews form part of the study "towards a client-oriented health insurance system in Ghana" to explain the uptake of the Ghanaian social health insurance. The paper argues for a new integrated model to provide a better understanding of clients' perceptions on illness, healthcare and health insurance. Such a model should highlight trust as a fundamental factor influencing the decision of Ghanaians to enroll in the NHIS. Copyright (c) 2013 John Wiley & Sons, Ltd.

    Original languageEnglish
    Pages (from-to)26-42
    Number of pages17
    JournalInternational Journal of Health Planning and Management
    Volume29
    Issue number1
    DOIs
    Publication statusPublished - Jan-2014

    Keywords

    • perceptions
    • trust
    • health insurance
    • theoretical models
    • Ghana
    • MIDDLE-INCOME COUNTRIES
    • MEDICAL INSTITUTIONS
    • TRUST
    • CARE
    • PHYSICIANS
    • PROVIDERS
    • LESSONS
    • SYSTEMS

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