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Table 4 Multivariate Logistic Regression results of NHIS enrolment on Delivery Care

From: Comparative study of the effect of National Health Insurance Scheme on use of delivery and antenatal care services between rural and urban women in Ghana

 

Place of Delivery

Assistance at Delivery

National

Rural

Urban

National

Rural

Urban

OR

OR

OR

OR

OR

OR

 NHIS (base: No)

Yes

1.697***

1.870***

1.145

1.819***

1.994***

1.263

(1.425–2.022)

(1.533–2.281)

(0.774–1.695)

(1.524–2.171)

(1.631–2.438)

(0.847–1.881)

Wealth Quintile (base: Poorest)

 Poorer

1.403**

1.387*

1.329

1.382**

1.355*

1.311

(1.115–1.764)

(1.076–1.788)

(0.731–2.417)

(1.098–1.740)

(1.049–1.750)

(0.720–2.386)

 Middle

1.980***

1.881***

1.960*

2.054***

1.911***

2.141*

(1.499–2.616)

(1.362–2.598)

(1.082–3.549)

(1.551–2.721)

(1.380–2.648)

(1.168–3.925)

 Rich

7.650***

6.456***

6.957***

9.084***

8.482***

8.535***

(5.078–11.525)

(3.528–11.815)

(3.477–13.919)

(5.934–13.906)

(4.239–16.972)

(4.230–17.223)

Education level (base: none)

 Primary

1.251

1.176

1.444

1.213

1.142

1.424

(0.996–1.571)

(0.906–1.526)

(0.882–2.364)

(0.965–1.524)

(0.879–1.483)

(0.860–2.357)

 At least Secondary

2.164***

1.831***

3.954***

2.065***

1.794***

3.362***

(1.716–2.729)

(1.406–2.383)

(2.363–6.615)

(1.636–2.605)

(1.376–2.338)

(2.020–5.596)

Employment (base: Unemployed)

 Employed

1.105

1.113

1.214

1.112

1.093

1.298

(0.883–1.383)

(0.858–1.444)

(0.768–1.919)

(0.884–1.397)

(0.839–1.424)

(0.821–2.052)

 Marital status (base: currently married)

1.314

1.555*

0.769

1.419*

1.623*

0.942

 Never married

(0.955–1.806)

(1.067–2.265)

(0.415–1.427)

(1.024–1.966)

(1.104–2.388)

(0.503–1.764)

 Formerly married

0.928

0.919

0.945

0.990

0.979

1.030

(0.684–1.259)

(0.649–1.300)

(0.473–1.886)

(0.728–1.347)

(0.692–1.385)

(0.503–2.110)

 Age

1.000

0.998

1.002

1.001

0.999

1.008

(0.988–1.012)

(0.985–1.012)

(0.976–1.029)

(0.989–1.013)

(0.985–1.012)

(0.981–1.035)

Religion (base: Christian)

 Moslem

1.139

1.178

0.986

1.184

1.222

0.952

(0.897–1.448)

(0.897–1.547)

(0.563–1.726)

(0.930–1.506)

(0.929–1.608)

(0.544–1.668)

 Traditional

0.308***

0.366***

0.058***

0.310***

0.373***

0.059***

(0.202–0.468)

(0.235–0.570)

(0.020–0.172)

(0.203–0.471)

(0.239–0.581)

(0.021–0.162)

 No religion

0.509***

0.491***

0.721

0.518***

0.507***

0.668

(0.354–0.730)

(0.327–0.736)

(0.278–1.870)

(0.361–0.742)

(0.340–0.756)

(0.264–1.689)

Ethnicity (base: Akan)

 Ga/dangme

1.030

1.062

1.298

0.872

0.912

0.985

(0.643–1.649)

(0.601–1.877)

(0.448–3.756)

(0.545–1.396)

(0.517–1.610)

(0.374–2.594)

 Ewe

1.173

1.023

2.025

1.030

0.942

1.458

(0.803–1.714)

(0.660–1.586)

(0.848–4.835)

(0.701–1.511)

(0.604–1.470)

(0.636–3.342)

 Savannah

1.051

0.957

1.337

1.034

0.975

1.191

(0.779–1.417)

(0.674–1.360)

(0.753–2.373)

(0.762–1.403)

(0.682–1.395)

(0.670–2.117)

Residence (base: urban)

 Rural

0.483***

 

0.532***

 

(0.382–0.612)

(0.420–0.674)

Region (base: Greater Accra)

 western

0.703

1.076

0.552

0.687

0.988

0.543

(0.409–1.208)

(0.503–2.302)

(0.207–1.475)

(0.396–1.191)

(0.458–2.128)

(0.200–1.475)

 Central

0.754

1.199

0.485

0.790

1.186

0.522

(0.442–1.284)

(0.558–2.575)

(0.204–1.155)

(0.458–1.360)

(0.545–2.578)

(0.217–1.252)

 Volta

0.808

1.359

0.404

0.843

1.287

0.497

(0.464–1.407)

(0.626–2.949)

(0.152–1.071)

(0.479–1.486)

(0.586–2.826)

(0.184–1.344)

 Eastern

0.761

1.129

0.596

0.699

1.012

0.487

(0.461–1.256)

(0.553–2.304)

(0.245–1.448)

(0.420–1.166)

(0.492–2.083)

(0.203–1.168)

 Ashanti

1.361

2.287*

0.756

1.320

2.076

0.772

(0.767–2.413)

(1.029–5.080)

(0.298–1.915)

(0.736–2.368)

(0.924–4.665)

(0.300–1.989)

 Brong Ahafo

1.460

2.143

1.379

1.363

1.886

1.347

(0.849–2.508)

(0.997–4.606)

(0.527–3.607)

(0.786–2.365)

(0.870–4.090)

(0.511–3.549)

 Northern

0.507*

0.709

0.532

0.470*

0.597

0.588

(0.288–0.893)

(0.316–1.590)

(0.206–1.376)

(0.263–0.838)

(0.264–1.352)

(0.222–1.555)

 Upper East

4.106***

6.832***

1.827

3.915***

5.707***

2.455

(2.212–7.619)

(2.958–15.780)

(0.605–5.516)

(2.089–7.336)

(2.445–13.323)

(0.786–7.662)

 Upper west

1.408

1.912

3.527

1.224

1.527

3.602

(0.781–2.537)

(0.845–4.325)

(0.713–17.437)

(0.672–2.230)

(0.669–3.485)

(0.723–17.949)

 Barriers to Access

0.913**

0.900**

1.002

0.910**

0.897**

0.994

(0.861–0.968)

(0.843–0.960)

(0.856–1.172)

(0.858–0.966)

(0.840–0.958)

(0.848–1.164)

Frequency of watching TV (base: Not at all)

 At least one

1.248*

1.260*

1.196

1.290*

1.300*

1.235

(1.025–1.519)

(1.010–1.572)

(0.745–1.918)

(1.058–1.572)

(1.041–1.624)

(0.767–1.990)

 N

4169.000

2457.000

1712.000

4169.000

2457.000

1712.000

 R

0.250

0.160

0.230

0.255

0.167

0.234

  1. *, **, and *** indicate 1%, 5%, and 10% levels of significance respectively; OR: Odds Ratio; Confidence Intervals in brackets; Coefficients are adjusted for clustering
  2. Source: Authors computation