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The role of government and community in the scaling up and sustainability of mutual health organisations: An exploratory study in Ghana

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  • Adomah-Afari, Augustine
  • Chandler, Jim A.

Abstract

Governments of many developing countries, including those in Sub-Saharan Africa have embraced the community-based health insurance schemes phenomenon under the health sector reforms with optimism. Ghana has introduced a National Health Insurance Scheme, which is amalgamated with social health insurance and community-based health insurance schemes. The aim of this study was to explore the role of the Ghana government and community in the scaling-up and sustainability of mutual health organisations. Four district mutual health insurance schemes were selected using geographical locations, among other criteria, as case studies. Data were gathered through interviews and documentary/literature review. The findings of the empirical study were analysed and interpreted using social policy and community field theories. The findings of the paper suggest that in order to ensure their effective scaling up and maintain overall sustainability, there is the need for some form of government regulation and subsidy. However, since government regulation cannot work without the acceptance of the community, there is the need to integrate these actors in policy formulation.

Suggested Citation

  • Adomah-Afari, Augustine & Chandler, Jim A., 2018. "The role of government and community in the scaling up and sustainability of mutual health organisations: An exploratory study in Ghana," Social Science & Medicine, Elsevier, vol. 207(C), pages 25-37.
  • Handle: RePEc:eee:socmed:v:207:y:2018:i:c:p:25-37
    DOI: 10.1016/j.socscimed.2018.04.044
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    References listed on IDEAS

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    1. McPake, Barbara & Hanson, Kara & Mills, Anne, 1993. "Community financing of health care in Africa: An evaluation of the Bamako initiative," Social Science & Medicine, Elsevier, vol. 36(11), pages 1383-1395, June.
    2. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 34-58, Spring.
    3. Dieter K. Zschock, 1982. "General review of problems of medical care delivery under social security in developing countries1," International Social Security Review, John Wiley & Sons, vol. 35(1), pages 3-16, January.
    4. Atim, Chris, 1999. "Social movements and health insurance: a critical evaluation of voluntary, non-profit insurance schemes with case studies from Ghana and Cameroon," Social Science & Medicine, Elsevier, vol. 48(7), pages 881-896, April.
    5. Bloom, Gerald, 2011. "Building institutions for an effective health system: Lessons from China's experience with rural health reform," Social Science & Medicine, Elsevier, vol. 72(8), pages 1302-1309, April.
    6. Gajate-Garrido, Gissele & Owusua, Rebecca, 2013. "The national health insurance scheme in Ghana: Implementation challenges and proposed solutions:," IFPRI discussion papers 1309, International Food Policy Research Institute (IFPRI).
    7. Tabor, Steven R., 2005. "Community-based health insurance and social protection policy," Social Protection Discussion Papers and Notes 32545, The World Bank.
    8. Berman, Peter, 1995. "Health sector reform: making health development sustainable," Health Policy, Elsevier, vol. 32(1-3), pages 13-28.
    9. Carrin, Guy & Ron, Aviva & Hui, Yang & Hong, Wang & Tuohong, Zhang & Licheng, Zhang & Shuo, Zhang & Yide, Ye & Jiaying, Chen & Qicheng, Jiang & Zhaoyang, Zhang & Jun, Yu & Xuesheng, Li, 1999. "The reform of the rural cooperative medical system in the People's Republic of China: interim experience in 14 pilot counties," Social Science & Medicine, Elsevier, vol. 48(7), pages 961-972, April.
    Full references (including those not matched with items on IDEAS)

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