Roger A. Atinga|Gilbert Abotisem Abiiro|Robert Kuganab-Lem
Factors influencing the decision to drop out of health insurance enrolment among urban slum dwellers in Ghana
University of Ghana|University for Development Studies|University for Development Studies
identify factors influencing dropout ghanas health insurance scheme among populations living slum communitiescrosssectional data collected residents 22 slums accra metropolitan assembly cluster systematic random sampling techniques used select interview 600 individuals dropped scheme 6 months prior study descriptive statistics multivariate logistic regression models computed account sample characteristics reasons associated decision dropoutthe proportion dropouts sample increased range 68 2008 348 2012 nonaffordability premium predominant reason followed rare illness episodes limited benefits scheme poor service quality lowincome earners low education significantly likely report premium nonaffordability rare illness common reason among younger respondents informal sector workers respondents higher education subgroups age education occupation income reported nominal benefits scheme reason dropoutinterventions targeted removing bottlenecks health insurance enrolment salient maximising size insurance pool strengthening service quality extending premium exemption cover lowincome families slum communities valuable strategy achieve universal health coverage