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Table 4 Description of the reviewed articles

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

SN

Author(s)

Year

Region(s)

Objective

Sample size

1

Ayitey et al.

2013

All 10 regions in Ghana before the regional redemarcation in 2019.

The study investigates the determinants of older adults’ decision to enrol in social health protection schemes in Ghana.

8,687 households

2

Alatinga & Williams

2015

Kassena-Nankana District, Upper East region

Investigates the determinants of households’ decision to enrol in social health protection schemes in Ghana.

417 household heads

3

Baozhen et al.

2019

Ashanti Region

The study investigated the factors influencing the patronage of Ghana’s NHIS.

60 households

4

Duku et al.

2015

Western and the Greater Accra Regions in Ghana

The extent to which the NHIS exemption policy for older adults influences or predicts enrolment in the scheme was investigated in this study.

4214 individuals aged 18 years and above of which 933 are older adults aged 50 years and above).

5

Kotoh et al.

2018

Central and Eastern Regions of Ghana

Factors that influence the enrolment and retention in Ghana’s NHIS.

3000 households

6

Parmar et al.

2014

Central, Eastern, Ashanti, Brong-Ahafo and Northern regions

The study explored how the social, political, economic and cultural (SPEC) dimensions of social exclusion influence the enrolment of older adults in social health protection programs.

435 older adults

7

Salari et al.

2019

All 10 regions in Ghana before the regional redemarcation in 2019.

The study investigated the predictors of NHIS enrolment among Ghanaians, using disaggregated data from three national household surveys (Demographic and Health Survey [DHS], Multiple Indicators Cluster Survey [MICS], and Ghana Living Standards Survey [GLSS]

DHS (12,831 households)

MICS (12,150 households)

GLSS (18,000 households)

8

Van der Wielen et al.

2018a

All 10 regions in Ghana before the regional redemarcation in 2019.

Determinants of national health insurance enrolment in Ghana across the life course using data from the 2007-2008 Study on Global Ageing and Adult Health (SAGE) and the 2012-2013 Ghana Living Standards Survey (GLSS) was the study’s focus.

16,772 households from GLSS

5,110 individuals from the SAGE survey

9

Van der Wielen et al.

2018b

All 10 regions in Ghana before the regional redemarcation in 2019.

The objective of the paper was to examine the community, household and individual level determinants of NHIS enrolment among older adults aged 50–69 and 70 plus, using data from the 2012-2013 Ghana Living Standards Survey (GLSS).

16,772 households from GLSS

10

Van der Wielen et al.

2018c

All 10 regions in Ghana before the regional redemarcation in 2019.

The study investigated whether insurance enrolment increase healthcare utilisation among rural dwelling older adults, using data from the 2012-2013 Ghana Living Standards Survey (GLSS).

16,772 households from GLSS