Question

Ghana: The National Health Insurance Scheme was introduced as a mandatory participation scheme. What keeps most citizens from participation?

Check this related to country Ghana

2 paragraph with reference thanks

Answer 1

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In 2003, the implementation of Ghana's National Health Insurance Scheme (NHIS) contributed significantly to increased use of health services and health outcomes. Nonetheless, stagnating active membership, allegations of low quality health care given to NHIS-insured patients and rate escalations have raised concerns about the scheme's organizational and financial stability. The NHIS ' ability to continue its operations in Ghana is financially and operationally threatened by factors such as: cost escalation, possible political interference, inadequate technical capacity, spatial distribution of health facilities and health workers, inadequate monitoring mechanisms, broad benefits package, large exemption groups, inadequate customer education and limited community engagement. In fact, poor quality treatment in health facilities approved by NHIS significantly lowers the trust of clients in the system and subsequently decreases (re)enrolment levels.

In mobile phone technologies for education, as well as other m-Health programs in Ghana, client-centered measures such as community participation in health have been successful. Nevertheless, active involvement by health care and health insurance consumers could be a major initiative or new policy path for enhancing quality health care and maintaining transparency for health care providers and health insurance agencies for customers. It is also important to highlight the need to balance client-centered programs with initiatives to support health care providers in the fields of early payment, improving infrastructure, maximizing quantitative capabilities and morale rates of personnel, medication access, and building resources for health workers. Such fields are identified as essential supply-side measures that could help ensure the active participation of investors in the NHIS and curb the unprofessional behavior of health care providers.

APA Style References:

Agyepong, I. A., & Adjei, S. (2008). Public social policy development and implementation: a case study of the Ghana National Health Insurance scheme. Health policy and planning, 23(2), 150-160.

Jehu-Appiah, C., Aryeetey, G., Spaan, E., De Hoop, T., Agyepong, I., & Baltussen, R. (2011). Equity aspects of the National Health Insurance Scheme in Ghana: Who is enrolling, who is not and why?. Social science & medicine, 72(2), 157-165.