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

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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.
Original languageEnglish
Pages (from-to)416-426
JournalInternational Journal of Public Administration
Issue number5
Early online date15 Apr 2016
Publication statusE-pub ahead of print - 15 Apr 2016



  • Accessibility
  • challenge
  • Ghana
  • health insurance
  • implementation

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