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The national health insurance scheme in Ghana: Implementation challenges and proposed solutions:

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  • Gajate-Garrido, Gissele
  • Owusua, Rebecca

Abstract

Healthcare financing through social health insurance has become a very important tool in providing access to and utilization of health services in most developing countries such as Ghana. Ghana’s National Health Insurance Scheme (NHIS) is a promising tool for policymakers. Yet since its inception in 2003, few studies have assessed the scheme. This paper aims to explore the challenges facing the District Mutual Health Insurance Schemes (DMHISs), how these challenges have been managed over the years, and what can be done to improve the DMHIS operation. The scope of this study is to improve policies and guide support for Ghanaian DMHISs as well as to provide recommendations when implementing future NHISs in a developing-country context.

Suggested Citation

  • 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).
    • Handle: RePEc:fpr:ifprid:1309
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    File URL: http://www.ifpri.org/sites/default/files/publications/ifpridp01309.pdf
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    References listed on IDEAS

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    1. Joseph Mensah & Joseph R. Oppong & Christoph M. Schmidt, 2010. "Ghana's national health insurance scheme in the context of the health MDGs: an empirical evaluation using propensity score matching," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 95-106, September.
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    Cited by:

    1. Vincent Z. Kuuire & Eric Y. Tenkorang & Andrea Rishworth & Isaac Luginaah & Alfred E. Yawson, 2017. "Is the Pro-Poor Premium Exemption Policy of Ghana’s NHIS Reducing Disparities Among the Elderly?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(2), pages 231-249, April.
    2. 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.
    3. Patrick Opoku Asuming & Hyuncheol Bryant Kim & Armand Sim, 2021. "Selection and Behavioral Responses of Health Insurance Subsidies in the Long Run: Evidence from a Field Experiment in Ghana," Papers 2105.00617, arXiv.org.
    4. Bagnoli, Lisa, 2019. "Does health insurance improve health for all? Heterogeneous effects on children in Ghana," World Development, Elsevier, vol. 124(C), pages 1-1.
    5. Patrick Asuming & Hyuncheol Bryant Kim & Armand Sim, 2018. "Long-run Consequences of Health Insurance Promotion When Mandates are Not Enforceable: Evidence from a Field Experiment in Ghana," Papers 1811.09004, arXiv.org, revised Jun 2019.
    6. Cherri Zhang & Md Shafiur Rahman & Md Mizanur Rahman & Alfred E Yawson & Kenji Shibuya, 2019. "Trends and projections of universal health coverage indicators in Ghana, 1995-2030: A national and subnational study," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-19, May.
    7. Novignon, Jacob & Nonvignon, Justice & Mussa, Richard, 2015. "The poverty and inequality nexus in Ghana: a decomposition analysis of household expenditure components," MPRA Paper 63017, University Library of Munich, Germany.
    8. Maia Sieverding & Cynthia Onyango & Lauren Suchman, 2018. "Private healthcare provider experiences with social health insurance schemes: Findings from a qualitative study in Ghana and Kenya," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-22, February.
    9. Garcia-Mandicó, Sílvia & Reichert, Arndt & Strupat, Christoph, 2021. "The Social Value of Health Insurance: Results from Ghana," Journal of Public Economics, Elsevier, vol. 194(C).
    10. Igna Bonfrer & Lyn Breebaart & Ellen Van de Poel, 2016. "The Effects of Ghana’s National Health Insurance Scheme on Maternal and Infant Health Care Utilization," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-13, November.
    11. Gajate-Garrido, Gissele & Ahiadeke, Clement, 2015. "The effect of insurance enrollment on maternal and child health care utilization: The case of Ghana," IFPRI discussion papers 1495, International Food Policy Research Institute (IFPRI).

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    health insurance; implementation;

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