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The Impact of Ghana's National Health Insurance Scheme's Coverage Policy on Modern Contraceptive Use
Studies in Family Planning
|March 18, 2026
Summary
Ghana's National Health Insurance Scheme (NHIS) policy boosted modern contraceptive use by 2.9 percentage points. This demonstrates health insurance's potential to improve access to family planning services.
Area of Science:
- Public Health
- Health Economics
- Reproductive Health
Background:
- Ghana's National Health Insurance Scheme (NHIS) introduced a contraceptive coverage policy.
- Understanding the impact of health insurance on contraceptive use is crucial for reproductive health outcomes.
Purpose of the Study:
- To evaluate the effect of the NHIS contraceptive coverage policy on modern contraceptive use in Ghana.
- To assess the policy's impact on both modern and long-term contraceptive methods.
Main Methods:
- Analysis of Ghana Demographic and Health Survey data (2008-2022).
- Utilized propensity score matching and difference-in-differences estimator.
- Employed multivariable linear probability models and performed sensitivity analyses.
Main Results:
- The NHIS policy significantly increased modern contraceptive use by 2.9 percentage points and long-term method use by 2.3 percentage points.
- Heterogeneous effects observed: urban women showed significantly higher increases in long-term method use compared to rural women.
Conclusions:
- Health insurance policies can effectively enhance access to and utilization of modern contraceptive methods.
- Sustained financing, provider reimbursement, and monitoring are vital for policy sustainability and reliable service availability.
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