Analysis of the determinants of Universal Health Coverage (UHC) adherence in Côte d'Ivoire: A multi-level analysis of household decisions

Authors

  • Sylvain N'guessan Alassane Ouattara University of Bouaké, Bouaké, Ivory Coast
  • Anzoumana Comoe Félix Houphouët Boigny University, Cocody, Côte d’Ivoire
  • Sandrine Amoin Konan Félix Houphouët Boigny University, Cocody, Côte d’Ivoire

Keywords:

Factors, Individual, Contextual, Multilevel Logit, Universal Health Insurance

Abstract

This study analyzes the determinants of adherence to Universal Health Coverage (UHC) in Côte d'Ivoire, in a context where equitable access to care remains a major challenge. The data used come from the Harmonized Survey on Household Living Conditions (EHCVM 2021), providing a representative base of the population. The estimation of a multilevel Logit regression model highlights the influence of individual characteristics (gender, education, income, age) on the probability of universal health insurance coverage, as well as the constraining role of contextual factors such as the level of satisfaction with care and the distance from health centers, highlighting the importance of geographical accessibility and perceived quality on the likelihood of taking out insurance. The results suggest the need to target women through awareness-raising actions and contribution reductions, to adapt the offer to people with middle or high incomes by improving the quality of care.

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Published

2025-08-29

How to Cite

N’guessan, S., Comoe, A., & Konan, S. A. (2025). Analysis of the determinants of Universal Health Coverage (UHC) adherence in Côte d’Ivoire: A multi-level analysis of household decisions. International Journal of Economic Perspectives, 19(8), 106–121. Retrieved from http://ijeponline.org/index.php/journal/article/view/1141

Issue

Vol. 19 No. 8 (2025)

Section

Peer Review Articles
Copyright & Licensing

Copyright (c) 2025 Sylvain N'guessan, Anzoumana Comoe, Sandrine Amoin Konan

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