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|Title: ||“Let’s talk about money”: how do poor older people finance their healthcare in rural Ghana? A qualitative study|
|Authors: ||Agyemang-Duah, Williams|
|Keywords: ||Healthcare finance|
Poor older people
|Issue Date: ||20-Mar-2019|
|Publisher: ||International Journal for Equity in Health|
|Abstract: ||Background: Older people utilise more healthcare services and are likely to incur higher healthcare
expenditure, however, data on their healthcare financing mechanisms are scarce in low-and middle- income
countries including Ghana. In this study, we aimed at exploring how poor older people finance their
healthcare in rural Ghana.
Methods: We conducted in-depth interviews and focus group discussions with 60 study participants
comprising 30 poor older people, 15 healthcare providers and 15 caregivers in Atwima Nwabiagya District of
Ghana. Data were analysed using thematic analytical framework and presented based on an a posteriori
inductive reduction approach.
Results: The study revealed that poor older people finance their healthcare through personal income, family
support, Livelihood Empowerment Against Poverty grants and National Health Insurance Scheme subscription.
It was also found that poor older people spent between GH¢ 20 and 250 on drugs, laboratory test and
hospitalisation anytime they access a healthcare facility.
Conclusion: The findings contribute to our understanding of how poor older people finance their healthcare
in rural Ghana. We argue that health stakeholders should strengthen healthcare financing mechanisms for
poor older people for optimal healthcare use|
|Appears in Collections:||College of Architecture and Planning|
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