» Articles » PMID: 26347791

Relationship Between Health Insurance Status and the Pattern of Traditional Medicine Utilisation in Ghana

Overview
Date 2015 Sep 9
PMID 26347791
Citations 9
Authors
Affiliations
Soon will be listed here.
Abstract

This paper examines the relationship between national health insurance status and the pattern of traditional medicine (TRM) use among the general population in Ghana. A retrospective cross-sectional survey of randomly sampled adults, aged ≥18 years (N = 324), was conducted. The results indicate that TRM use was high with prevalence of over 86%. The study found no statistically significant association between national health insurance status and TRM utilisation (P > 0.05). Paradoxically, major sources of TRM, frequency of TRM use, comedical administration, and disclosure of TRM use to health care professionals differed significantly between the insured and uninsured subgroups (P < 0.001). Whereas effectiveness of TRM predicted its use for both insured [odds ratio (OR) = 4.374 (confidence interval (CI): 1.753-10.913; P = 0.002)] and uninsured [OR = 3.383 CI: 0.869-13.170; P = 0.039)], work experience predicted TRM use for the insured [OR = 1.528 (95% CI: 1.309-1.900; P = 0.019)]. Cultural specific variables and health philosophies rather than health insurance status may influence health care-seeking behaviour and TRM use. The enrollment of herbal-based therapies on the national health insurance medicine plan is exigent to ensure monitoring and rational use of TRM towards intercultural health care system in Ghana.

Citing Articles

The use of traditional medicine practitioner services for childhood illnesses among childbearing women: a multilevel analysis of demographic and health surveys in 32 sub-Saharan African countries.

James P, Gyasi R, Kasilo O, Wardle J, Bah A, Yendewa G BMC Complement Med Ther. 2023; 23(1):137.

PMID: 37120536 PMC: 10148432. DOI: 10.1186/s12906-023-03972-3.


Traditional Medicine Utilisation Among Pregnant Women in Sub-saharan African Countries: A Systematic Review of Literature.

Mudonhi N, Nunu W Inquiry. 2022; 59:469580221088618.

PMID: 35506677 PMC: 9073130. DOI: 10.1177/00469580221088618.


Facilitators and barriers to the clinical administration of herbal medicine in Ghana: a qualitative study.

Asare C, Aziato L, Boamah D BMC Complement Med Ther. 2021; 21(1):182.

PMID: 34193131 PMC: 8247187. DOI: 10.1186/s12906-021-03334-x.


Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key Stakeholders' Perspectives.

Nunu W, Makhado L, Mabunda J, Lebese R Health Serv Insights. 2021; 14:11786329211013553.

PMID: 33994795 PMC: 8111273. DOI: 10.1177/11786329211013553.


Implementation of the National Health Insurance Scheme (NHIS) in Ghana: Lessons for South Africa and Low- and Middle-Income Countries.

Christmals C, Aidam K Risk Manag Healthc Policy. 2020; 13:1879-1904.

PMID: 33061721 PMC: 7537808. DOI: 10.2147/RMHP.S245615.


References
1.
Palmer N, Mueller D, Gilson L, Mills A, Haines A . Health financing to promote access in low income settings-how much do we know?. Lancet. 2004; 364(9442):1365-70. DOI: 10.1016/S0140-6736(04)17195-X. View

2.
Hjortsberg C . Why do the sick not utilise health care? The case of Zambia. Health Econ. 2003; 12(9):755-70. DOI: 10.1002/hec.839. View

3.
Astin J . Why patients use alternative medicine: results of a national study. JAMA. 1998; 279(19):1548-53. DOI: 10.1001/jama.279.19.1548. View

4.
Onyiapat J, Okoronkwo I, Ogbonnaya N . Complementary and alternative medicine use among adults in Enugu, Nigeria. BMC Complement Altern Med. 2011; 11:19. PMC: 3066112. DOI: 10.1186/1472-6882-11-19. View

5.
EISENBERG D, Davis R, Ettner S, Appel S, Wilkey S, Van Rompay M . Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey. JAMA. 1998; 280(18):1569-75. DOI: 10.1001/jama.280.18.1569. View