However, sustainability of the scheme is increasingly threatened by concerns on quality of health service delivery in nhisaccredited health facilities coupled with stakeholders discontentment with the operational. Seven years into its implementation the ghana national health insurance scheme nhis has made significant progress in transitioning to universal coverage, but faces significant fiscal and coverage challenges. A company desirous of operating a health insurance scheme in ghana. However, a substantial financial base recognized widely as a prerequisite for the. This situation resulted in the introduction of a national health insurance scheme nhis in 2003 to replace oop and ensure equity in healthcare access. The role of the national health insurance scheme mdpi.
The total number of inpatient and outpatient visits to health facilities rose. National health insurance act, 2012 an act to establish a national health insurance authority to implemnt a national health insurance scheme, establish a national health. Pdf an evaluation of the national health insurance scheme. Your age and your health will become a basis for your insurance expense and annually charges. Its responsibilities included registration, licensing and regulation of health insurance.
The study investigates the effect of ghanas national health insurance scheme nhis on health care utilisation. Perspectives of frontline health workers on ghanas national. It was fashioned out to address the challenges of the outofpocket payment system of paying for healthcare services in the 1990s, popularly referred to as cash and carry. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 constitution by the federal government of nigeria to improve the health of all nigerians. Evaluating the impact of the national health insurance scheme of. The national health insurance scheme nhis in ghana was established by an act of parliament act 650 in 2003, and, passed into law, legislative instrument, li 1809 in 2004 government of. The chart below fast cash unsecured loan displays the hard. Open access research is enrolment in the national health. The politicoeconomic challenges of ghanas national health. Ghana national health insurance scheme pdf between normal coverage category, building and aerial insurance are required to come through just as the best growing pieces, while the. Boosting membership of the scheme will need to be accompanied by a widening the payment net if the scheme is to remain financially.
The government has earmarked valueadded tax to finance nhis in addition to deduction from social security trust ssnit and premium payment. The effect of ghanas national health insurance scheme on. The national health insurance scheme is a form of national health insurance established by the government of ghana, with a goal to provide equitable access. The national health insurance scheme nhis took off in the year 2005 and is a corporate body established under act 35 of 1999 constitution by the federal government of nigeria to improve. Nov, 2018 ghana, a lower middleincome country in ssa, implemented a national health insurance scheme nhis in 2004 to provide financial risk protection for all residents 17. The national health insurance authority nhia was established under the national health insurance act 2003, act 650, as a body corporate, with perpetual succession, an official seal, that may sue and be sued in its own name. The national health insurance scheme is a form of national health insurance established by the government of ghana, with a goal to provide equitable access and financial coverage for basic health care services to ghanaian citizens. The government is to replace the existing cash and carry. As a body corporate, the authority in the performance of its functions may acquire and hold movable and.
Viva medicare provider phone number your employers scheme might be fine at this time but do not forget to look at it not simply just with regards to your present demands, but as well in conditions of the longer term requirements. Ghana national health insurance scheme makes use of the money quits getting on the net quickly loans approaching. Although the national health insurance scheme nhis of ghana was. 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. The politicoeconomic challenges of ghanas national health insurance scheme implementation adam fusheini1,2 abstract background. Introduction the national health insurance scheme is form of the national health insurance established by the government of ghana with the aim of providing equitable access and. Barely a decade after introduction of ghanas national health insurance scheme nhis, significant successes have been recorded in universal access to basic healthcare.
The object of the council was to secure the implementation of a national health insurance policy that ensures access to basic health care services to all residents republic of ghana 2003. The national health insurance authority nhia was established under the national health insurance act 2003, act 650, as a body corporate, with perpetual succession, an official seal. Health insurance scheme nhis1 to enhance the performance of its health system, paying particular. The ghana helath service ghs is an autonomous executive agency responsible for implementation of national policies under the control of the minister for health through its governing council the ghana health service council. The nhis is financed through a central national health insurance fund nhif which is sourced from the national health insurance levy nhil of 2. Ministry of health august 2004 ghana health service. Following years of outofpocket payment for healthcare, some countries in africa including ghana, kenya and rwanda have instituted social health protection programs through health insurance to provide. Perspectives of frontline health workers on ghanas. Ghana s national health insurance scheme nhis, established into law in 2003 and implemented in 2005 as a propoor method of health financing, has made great progress in enrolling members of. Evaluating the impact of the national health insurance.
Migrant female head porters enrolment in and utilisation. The national health insurance act, 2012 act 852 section 40 details the object of the national health insurance fund nhif. Purpose as a social protection policy, ghanas national health insurance scheme nhis aims to improve access to healthcare, especially for the vulnerable. Ghanas national health insurance scheme nhis was created by the national health insurance act of august 2003, and is one of very few. Ghana national health insurance scheme nhis was established in 2003 as a major vehicle to achieve the countrys commitment of universal health coverage. Ghanas national health insurance scheme nhis was created by the national health insurance act of august 2003, and is one of very few attempts by a subsaharan african country to implement a nationallevel, universal health insurance program. Ghana national health insurance scheme pdf united student. National health insurance authority ministry of health. Ghana national health insurance scheme pdf also because you are paying out an important more significant tax deductible, it is actually estimated that youre going to give decrease in the event that you will be hospitalized as opposed to any other overall healthiness high grade. Viva medicare provider phone number your employers scheme might be fine at this time but do not forget to look at it not simply just with regards to your present demands, but as well in. History of nhis the national health insurance scheme is a form of national health insurance established by the government of ghana, with a goal to provide equitable access and financial.
Ghana s national health insurance scheme nhis has achieved considerable success, but is beset by challenges that have become important election issues ahead of the december parliamentary and presidential polls. In december 2004, ghana established a national health insurance scheme nhis1 to enhance the performance of its health system, paying particular attention to the poor. Ghana national health insurance scheme open knowledge. Challenges facing the national health insurance scheme.
Public social policy development and implementation. The scheme therefore focuses heavily on meeting the needs of the poor and providing social health protection based on the principles. This website uses cookies so that we can provide you with the best user experience possible. Introduction the national health insurance scheme is form of the national health insurance established by the government of ghana with the aim of providing equitable access and financial coverage for the basic health care services to ghanaian citizens.
Ghana is the first country in africa to implement a national health insurance scheme nhis to meet the needs of its population with the aim of achieving uhc. Her responsibilities in the world bank also include preparing, supervising, and evaluating lending operations at the country level. Ghana, a lower middleincome country in ssa, implemented a national health insurance scheme nhis in 2004 to provide financial risk protection for all residents 17. Yet since its inception in 2003, few studies have assessed the scheme. An evaluation of the national health insurance scheme in ghana.
To determine whether enrollment in the nhis reduces the likelihood of. Because the current cash and carry system, which makes it compulsory for everybody to. The government is to replace the existing cash and carry health financing system with a national health insurance scheme. Ghanas national health insurance scheme nhis, established into law in 2003 and implemented in 2005 as a propoor method of health financing, has made great progress in enrolling. Ghanas national health insurance scheme nhis is a promising tool for policymakers. The national health insurance scheme nhis in ghana was established by the national health insurance act, 2003 act 650 and national health insurance regulations, 2004 l. Ghanas national health insurance scheme nhis, established into law in 2003 and implemented in 2005 as a propoor method of health financing, has made great progress in enrolling members of the general population. Although the national health insurance scheme nhis of ghana was designed to promote universal health coverage, oopes as a proportion of total health expenditures remains. Seeking the mandate of the people in the 2000 elections. Akor director ppme, also coordinator of the national health insurance scheme, mr.
History of nhis the national health insurance scheme is a form of national health insurance established by the government of ghana, with a goal to provide equitable access and financial coverage for basic health care services to ghanaian citizens. Plenary session 2 towards innovative healthcare financing experiences from the world. Ghana national health insurance scheme pdf between normal coverage category, building and aerial insurance are required to come through just as the best growing pieces, while the continuousduty motor coverage message is going to be forecasted to grow through a cagr of thirty percent during 20102012. While many studies have focused on predictors of enrolment this study offers a novel analysis of nhis members. Ghana is the first country in africa to implement a national health insurance scheme nhis to meet the needs of its population. Aug 23, 20 ghanas national health insurance scheme nhis, established into law in 2003 and implemented in 2005 as a propoor method of health financing, has made great progress in enrolling members of the general population. Plenary session 3 shaping uhc policy for post 2015. History of nhis in ghana nhia in ghana ghana health news. May 28, 2016 barely a decade after introduction of ghanas national health insurance scheme nhis, significant successes have been recorded in universal access to basic healthcare services. Ghana s national health insurance scheme nhis was created by the national health insurance act of august 2003, and is one of very few attempts by a subsaharan african country to implement a national level, universal health insurance program. Pdf the ghana national health insurance scheme nhis was established as part of a poverty reduction strategy to make health care more. The ghana helath service ghs is an autonomous executive agency responsible for implementation of national policies under the control of the minister for health through its. Most nations prioritize the provision of affordable healthcare for their residence via health insurance. Background the introduction of the national health insurance scheme nhis in ghana in 2003 significantly contributed to improved health services utilization and health outcomes.
Ghana national health insurance scheme pdf 1 3 step may perhaps be an additional tiny phase. Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. Is ghanas nhis on course to deliver or achieve universal health coverage. New earmarked funding sources for the nhisparticularly the national health insurance levyas well as a portion of social security taxes, have improved the consistency of health financing. Nationalsocial health insurance schemes have increasingly been seen in many low and middleincome. A national health insurance council was to govern the nhis. The national health insurance authority nhia is mandated by national health insurance act, 2012 act 852 to regulate private health insurance schemes phis in ghana. The effect of ghanas national health insurance scheme on health. The politicoeconomic challenges of ghanas national. Wiego working paper no 30 1 abstract ghanas national health insurance scheme nhis is an innovative attempt to extend social protection to informal workers, and, as such, it may hold.
Plenary session 1 ghana s journey to universal health coverage. Ghana national health insurance scheme humana vision. Jun 18, 2018 ghanas national health insurance scheme. Trends and characteristics of enrolment in the national. Although the national health insurance scheme nhis of ghana was designed to promote universal health coverage, oopes as a proportion of total health expenditures remains elevated at 26%, exceeding the whos recommendations of less than 1520%. May 18, 2018 the national health insurance scheme is a form of national health insurance established by the government of ghana, with a goal to provide equitable access and financial coverage for basic health care services to ghanaian citizens. However, a substantial financial base recognized widely as a prerequisite for the provision of an efficient health care delivery system. Ghanas national health insurance scheme nhis has achieved considerable success, but is beset by challenges that have become important election issues ahead of the december.
The government of ghana introduced the national health insurance scheme nhis in 2004 with the goal of achieving. Ghana national health insurance scheme pdf everest prime. The national health insurance scheme in ghana is deemed as one of the legacies of the john kufuor administration. Results ability of the nhis to continue its operations in ghana is. Downloadable documents national health insurance scheme. Seven years into its implementation the ghana national health insurance scheme nhis has made significant progress in transitioning to universal coverage, but faces significant fiscal.
While many studies have focused on predictors of enrolment this study offers a novel analysis of nhis members perceptions of service provision at the national level. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 constitution by the federal government of nigeria to improve the health of all nigerians at an affordable cost. However, stagnating active membership, reports of poor quality health care rendered to nhisinsured clients and cost escalations have raised concerns on the operational and financial sustainability of the scheme. The national health insurance scheme nhis in ghana was established by an act of parliament act 650 in 2003, and, passed into law, legislative instrument, li 1809 in 2004 government of ghana. Before joining the world bank, she was a researcher on health sector reform initiatives in china and the united states. In performing its regulatory functions the authority registers, licenses and supervises the operations of phis in ghana. 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. Evaluating the impact of the national health insurance scheme. National health insurance act, 2012 an act to establish a national health insurance authority to implemnt a national health insurance scheme, establish a national health insurance fund to pay for the cost of health care services to members of the scheme, establish private health insurance schemes, and to provide for related matters.
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