Health insurance and healthcare use among men
Evidence from demographic Health Survey
Bibliographic Data
| ID | 22435566 |
|---|---|
| Authors | Byrne Kaulu (0000-0002-8281-8943, University of Zambia, corresponding author), Goodwell Kaulu (0009-0009-6325-1249, University of Zambia) |
| Year | 2026 |
| Volume | 14 |
| Pages | 103257 |
| Publication date | 2026-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Sciences & Humanities Open (JOURNAL) |
| Journal identifiers | ISSN: 2590-2911 • E-ISSN: 2590-2911 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.ssaho.2026.103257 |
| OpenAlex | W7168141613 |
| Language | EN |
| References cited | 22 |
Men in Sub-Saharan Africa underutilize healthcare. Using 2024 Zambia Demographic and Health Survey data (n = 12,585) and Inverse Probability Weighting, this study evaluates the effect of National Health Insurance (NHIMA) on male healthcare utilization. NHIMA increases the probability of seeking care by 8.9 percentage points. However, this benefit is exclusively concentrated among the wealthiest 20%. Furthermore, an ‘urban wealth paradox’ emerges where wealthy urban men utilize facilities significantly less than the urban poor. To achieve universal coverage, policymakers must target informal sector enrollment and accredit private urban providers to retain affluent demographics in the risk pool.
Health care · Health insurance · Health services · MEDLINE · Population · Public health · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms
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| Highly cited | No |
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