Background The government of Ghana introduced the National Health Insurance Scheme (NHIS) in 2004 with the goal of achieving universal coverage within 5 years. Evidence, however, shows that expanding NHIS coverage and especially retaining members have remained a challenge. A multilevel perspective was employed as a conceptual framework and methodological tool to examine why enrolment and retent...

This paper investigates the impact of social transfer programmes on school enrolment and child labour in Malawi utilizing a micro-simulation evaluation method. Four hypothetical cash transfer programmes, differentiated in terms of their conditions on children’s enrolment and gender, are considered. Results show that boys’ enrolment increases in all four scenarios, whereas girls’ enrolment incre...

Background Despite the implementation of the National Health Insurance Scheme (NHIS) since 2005 in Nigeria, the level of health insurance coverage remains low. The study aims to examine the predictors of enrolment in the NHIS among women of reproductive age in Nigeria.   Methods Secondary data from the 2013 Nigeria Demographic and Health Survey (NDHS) were utilized to ex...

Competitive enrolment has emerged as one of the most common patient recruitment practices. Despite being ubiquitous, there is surprisingly little literature on the nature and ethical implications of competitive enrolment. This paper briefly considers the issues associated with this recruitment scheme. I will argue that competitive enrolment creates significant ethical challenges that need to be...

BACKGROUND Disease Management Programmes (DMPs) have been introduced in Germany ten years ago with the aim to improve effectiveness and equity of care, but little is known about the degree to which enrolment in the programme meets the principles of equity in health care. We aimed to analyse horizontal equity in DMP enrolment among patients with coronary heart disease (CHD). METHODS Cross-sect...

Background: The desire for universal health coverage in developing countries has brought attention to community-based health insurance (CBHI) schemes in developing countries. The government of Uganda is currently debating policy for the national health insurance programme, targeting the integration of existing CBHI schemes into a larger national risk pool. However, while enrolment has been larg...

BACKGROUND Disease Management Programmes (DMPs) aim to improve effectiveness and equity of care but may suffer from selective enrolment. We analysed social disparities in DMP enrolment among elderly patients with coronary heart disease (CHD) in Germany, taking into account contextual effects at municipality and primary care practice levels. METHODS Cross-sectional analysis of effects of educa...