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Table 5 Probit Hackman model showing reasons for not being insured under the NHIS among women in GhanaVariables

From: Health insurance coverage, type of payment for health insurance, and reasons for not being insured under the National Health Insurance Scheme in Ghana

 

Female

Female

Female

Not covered by NHIS 1 = not covered, 0 = covered (selection)

Cannot afford NHIS (1 = yes, 0 = no)

Not covered by NHIS 1 = not covered, 0 = covered (selection)

Do not trust NHIS (1 = yes, 0 = no)

Not covered by NHIS 1 = not covered, 0 = covered (selection)

Do not need NHIS (1 = yes, 0 = no)

β (SE)

β (SE)

β (SE)

β (SE)

β (SE)

β (SE)

Age

 15–19

0.0978 (0.0696)

0.245* (0.110)

0.105 (0.0697)

−0.699** (0.239)

0.104 (0.0698)

− 0.527** (0.171)

 20–24

0.203*** (0.0578)

−0.0519 (0.0911)

0.209*** (0.0578)

−0.109 (0.196)

0.209*** (0.0578)

−0.182 (0.146)

 25–29

0.0299 (0.0523)

0.0334 (0.0815)

0.0303 (0.0523)

0.100 (0.160)

0.0304 (0.0523)

−0.232 (0.119)

 30–34

ref

ref

ref

ref

ref

ref

 35–39

−0.0496 (0.0537)

−0.0225 (0.0814)

− 0.0469 (0.0537)

0.134 (0.174)

− 0.0470 (0.0537)

−0.196 (0.124)

 40–44

−0.00618 (0.0574)

− 0.170 (0.0896)

−0.00615 (0.0575)

− 0.00757 (0.197)

−0.00619 (0.0575)

0.106 (0.120)

 45–49

−0.0663 (0.0613)

−0.0152 (0.0898)

− 0.0682 (0.0613)

0.0585 (0.205)

− 0.0684 (0.0613)

0.195 (0.131)

Marital status

 Never in union

0.228*** (0.0535)

−0.125 (0.0809)

0.228*** (0.0536)

0.237 (0.160)

0.227*** (0.0537)

0.149 (0.122)

 Married

ref

ref

ref

ref

ref

ref

 Widowed

0.183** (0.0605)

0.0205 (0.0873)

0.191** (0.0608)

−0.133 (0.214)

0.191** (0.0608)

0.0765 (0.136)

Wealth index

 Poorest

0.500*** (0.0714)

0.729*** (0.195)

0.503*** (0.0718)

−0.387 (0.389)

0.504*** (0.0718)

−0.446 (0.267)

 Poorer

0.409*** (0.0623)

0.609*** (0.173)

0.420*** (0.0627)

−0.399 (0.310)

0.420*** (0.0628)

−0.195 (0.212)

 Middle

0.341*** (0.0541)

0.351** (0.135)

0.345*** (0.0545)

−0.0857 (0.232)

0.345*** (0.0545)

−0.121 (0.176)

 Richer

0.207*** (0.0491)

0.162 (0.104)

0.211*** (0.0492)

−0.203 (0.181)

0.211*** (0.0492)

−0.0628 (0.130)

 Richest

ref

ref

ref

ref

ref

ref

Region

 Western

−0.383*** (0.0604)

0.0168 (0.1000)

− 0.382*** (0.0607)

0.462* (0.209)

−0.382*** (0.0606)

−0.125 (0.160)

 Central

−0.0177 (0.0611)

0.0287 (0.0840)

−0.0216 (0.0613)

−0.132 (0.156)

− 0.0220 (0.0612)

0.124 (0.108)

 Greater Accra

ref

ref

ref

ref

ref

ref

 Volta

−0.665*** (0.0677)

0.138 (0.120)

− 0.666*** (0.0680)

−0.127 (0.307)

− 0.666*** (0.0679)

−0.266 (0.243)

 Eastern

−0.506*** (0.0637)

0.264* (0.103)

−0.511*** (0.0639)

−0.349 (0.264)

− 0.512*** (0.0638)

−0.0284 (0.204)

 Ashanti

0.0286 (0.0580)

−0.240** (0.0852)

0.0320 (0.0584)

− 0.555*** (0.169)

0.0317 (0.0582)

−0.252* (0.105)

 Brong Ahafo

−0.843*** (0.0647)

0.0649 (0.142)

−0.843*** (0.0649)

−0.0934 (0.399)

− 0.843*** (0.0648)

−0.298 (0.294)

 Northern

−0.821*** (0.0715)

0.720*** (0.104)

−0.812*** (0.0718)

−0.474 (0.396)

− 0.812*** (0.0718)

−0.565* (0.287)

 Upper east

−0.822*** (0.0711)

−0.269 (0.166)

− 0.819*** (0.0712)

−0.155 (0.403)

− 0.819*** (0.0712)

−1.005** (0.343)

 Upper west

−1.437*** (0.0804)

1.228*** (0.138)

−1.432*** (0.0807)

−0.347 (0.652)

−1.432*** (0.0806)

−0.806 (0.507)

Religion

 Christian

0.151*** (0.0416)

0.102 (0.0710)

0.153*** (0.0416)

−0.0722 (0.135)

0.153*** (0.0416)

0.0189 (0.109)

 Islam

ref

ref

ref

ref

ref

ref

 Traditional/spiritualist

0.351*** (0.0957)

0.468** (0.154)

0.358*** (0.0963)

−0.0601 (0.443)

0.358*** (0.0963)

0.0801 (0.276)

 No religion

0.341*** (0.0855)

0.0928 (0.129)

0.354*** (0.0864)

0.162 (0.292)

0.353*** (0.0865)

0.170 (0.206)

Residence

 Urban

ref

ref

ref

ref

ref

ref

 Rural

−0.0135 (0.0378)

−0.114* (0.0571)

−0.0137 (0.0378)

− 0.293* (0.123)

−0.0138 (0.0378)

0.121 (0.0871)

Parity

 No child

−0.103 (0.0710)

−0.0379 (0.111)

− 0.113 (0.0713)

−0.00485 (0.218)

− 0.113 (0.0713)

0.343* (0.172)

 1–2

−0.211*** (0.0520)

−0.0834 (0.0920)

− 0.215*** (0.0522)

0.00494 (0.189)

−0.215*** (0.0522)

0.0830 (0.151)

 3–4

−0.132** (0.0462)

0.0563 (0.0694)

− 0.134** (0.0464)

−0.116 (0.168)

− 0.134** (0.0464)

0.0586 (0.121)

 5+

ref

ref

ref

ref

ref

ref

Employment status

 Unemployed

−0.0650 (0.0364)

0.152** (0.0530)

−0.0637 (0.0363)

0.203 (0.112)

−0.0637 (0.0364)

− 0.0972 (0.0871)

 Employed

ref

ref

ref

ref

ref

ref

Instrumental variable

 Education

  No education

0.579*** (0.0745)

0.541*** (0.0821)

 

0.544*** (0.0821)

 

  Primary

0.485*** (0.0726)

0.451*** (0.0796)

 

0.454*** (0.0800)

 

  Secondary

0.275*** (0.0658)

0.246*** (0.0726)

 

0.249*** (0.0741)

 

  Higher

ref

ref

 

ref

 

Summary Statistics

 Number of observations

9385

9385

9385

 Selected

3214

3214

3214

 Non-selected

6171

6171

6171

 Log likelihood

− 7034.182

− 5989.41

− 6610.028

 Wald Chi- square

407.8

102.26

125.46

 Prob > Chi- square

< 0.0001

< 0.0001

< 0.0001

 Athrho

−1.201377

0.0783509

0.0768847

 Rho

−0.8340742

0.078191

0.0767336

  1. Standard errors in parentheses
  2. *p < 0.05
  3. **p < 0.01
  4. ***p < 0.001