Implementation Challenges of the National Health Insurance Scheme in Selected Districts in Ghana: Evidence from the Field

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5 Citations (Scopus)

Abstract

Ghana’s National Health Insurance Scheme, introduced in 2003, aims to remove financial barriers to health-care access and bridge the inequality gaps in health care. This paper reports on a study of the implementation process in four local government areas in southern and northern Ghana. The paper profiles key institutional actors and draws on qualitative interview data from 33 in-depth interviews. Findings highlight the gaps and challenges that have emerged in the implementation process. Issues of managerial capacity, inadequate and uneven distribution of medical facilities and health-care professionals, cost escalation, fraud and abuse, and reimbursement of providers threaten the sustainability of the scheme.
LanguageEnglish
Pages416-426
JournalInternational Journal of Public Administration
Volume40
Issue number5
Early online date15 Apr 2016
DOIs
Publication statusE-pub ahead of print - 15 Apr 2016

Fingerprint

Ghana
health insurance
district
health care
evidence
escalation
fraud
qualitative interview
abuse
sustainability
costs
interview
Implementation process
National health insurance
Healthcare
Fraud
Costs
Sustainability
Escalation
Local government

Keywords

  • Accessibility
  • challenge
  • Ghana
  • health insurance
  • implementation

Cite this

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abstract = "Ghana’s National Health Insurance Scheme, introduced in 2003, aims to remove financial barriers to health-care access and bridge the inequality gaps in health care. This paper reports on a study of the implementation process in four local government areas in southern and northern Ghana. The paper profiles key institutional actors and draws on qualitative interview data from 33 in-depth interviews. Findings highlight the gaps and challenges that have emerged in the implementation process. Issues of managerial capacity, inadequate and uneven distribution of medical facilities and health-care professionals, cost escalation, fraud and abuse, and reimbursement of providers threaten the sustainability of the scheme.",
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AB - Ghana’s National Health Insurance Scheme, introduced in 2003, aims to remove financial barriers to health-care access and bridge the inequality gaps in health care. This paper reports on a study of the implementation process in four local government areas in southern and northern Ghana. The paper profiles key institutional actors and draws on qualitative interview data from 33 in-depth interviews. Findings highlight the gaps and challenges that have emerged in the implementation process. Issues of managerial capacity, inadequate and uneven distribution of medical facilities and health-care professionals, cost escalation, fraud and abuse, and reimbursement of providers threaten the sustainability of the scheme.

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