The national health interview survey nhis is the principal source of information on the health of the civilian noninstitutionalized population of the united states and is one of the major data collection programs of the national center for health statistics nchs which is part of the centers for disease control and prevention cdc. While a good share of problems and challenges exist, ghanas experience has a lot to offer to other countries still struggling to find a path towards universal health coverage. So, a warm happy birthday to the ghana nhis is amply deserved. One of the main objectives of the ghana national health insurance scheme, at its establishment in 2003, was to ease financial burden of the full cost recovery policy, particularly on the poor. Field representatives interviewers manual, nhis 1985 pdf icon pdf 21. May 29, 2017 we explored the motivational factors as well as the barriers to health insurance subscription in the cape coast metropolis of ghana.
Does the operations of the national health insurance. The nhis is a social intervention program intended to provide financial risk protection against out of pocket healthcare expenditure for residents in ghana. Is the propoor premium exemption policy of ghanas nhis. Barriers and motivations for health insurance subscription in. Nhis ghana overview reforms achievements version 3 free download as powerpoint presentation. There is considerable interest at present in exploring the potential of social health insurance to increase access to and affordability of health care in africa.
The government has earmarked valueadded tax to finance nhis in addition to deduction from social security trust ssnit and premium payment. Notice to data users having problems downloading datasets. Full list of deleted nhis registrants modern ghana. Provide estimates to inform the development of the health care financing strategy and the hsmtdp ii 20142016.
Sep 21, 2016 the ghana nhis law act 852 and the preceding act 650 all define out of pocket premium exempt categories. Of ghana entitled 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. Ghanas health care system was founded on the basis of the free health. In december 2004, ghana established a national health insurance scheme nhis 1 to enhance the performance of its health system, paying particular attention to the poor. This study examined the challenges in the implementation and scaleup of the national health insurance scheme nhis in nigeria.
The ghana national health insurance scheme nhis in 2003, the government of ghana established the national health insurance scheme through an act of parliament act 650, revised to act 852 in 2012 to provide financial risk protection against the cost of basic health care for all residents in ghana. June 2012 volume 46, number 2 ghana medical journal 76 the effect of ghanas national health insurance scheme on health care utilisation n. 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 was passed into law in 2003 but fully. In performing its regulatory functions the authority registers, licenses and supervises the operations of phis in ghana. A case study of claims management in two districts article pdf available in ghana medical journal 464.
Until the nhis was introduced in 2003, the country had over time implemented a number of financing reforms. However, stagnating active membership, reports of poor quality health care rendered. Towards a sustainable health care financing in ghana. The acting director of quality assurance qa at the national health insurance authority nhia, mr. Improving health insurance coverage in ghana research explorer. Pdf client power and access to quality health care. Highlighting the financial sustainability challenges in a policy brief produced by coprincipal investigators of the project, robert kaba alhassan, edward nketiahamponsah, stephen duku. Despite universal population coverage and equity being a stated policy goal of its nhis, over a decade since passage of the first law in 2003, ghana continues to struggle with how to attain it. Social capital and ghanas national health insurance.
Seeking the mandate of the people in the 2000 elections. 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 scheme, which guarantees health care that is free for most. Nimo1 1department of community health, university of ghana medical school, college of health sciences, korle. After a decade of its implementation, national coverage is. Pursuing universal health care in a developing economy like ghana is a bold, laudable idea. Does the operations of the national health insurance scheme. Making safe motherhood a reality, recommended among others that to successfully enrol majority of the core poor and vulnerable groups on the nhis, there is the need to strengthen institutional collaboration between the nhis and the department of. Sep 08, 2017 health financing systems are a major factor challenging the provision of equitable and quality health care in ghana. This study collected qualitative data from 30 purposively selected subscribers and nonsubscribers to the national health insurance scheme using an indepth interview guide. Poverty reduction strategy papervolume ii this poverty reduction strategy paper on ghana was prepared by a staff team of the international monetary fund as background documentation for the periodic consultation with the member country. 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.
Ghana national health insurance scheme nhis was established in 2003 as a major vehicle to achieve the countrys commitment of universal health coverage. Because the current cash and carry system, which makes it compulsory for everybody to. Pdf the implementation of the national health insurance. Combining data sets this is part eight of the stata for researchers series. Ismail osei, has declared zero tolerance for false entries as claims for reimbursement. Since the establishment of ghana national health insurance scheme nhis in 2003, the government of ghana has made substantial progress toward its goal of universal health care. The scheme therefore focuses heavily on meeting the needs of the poor and providing social health protection based on the principles. Nhis ghana overview reforms achievements version 3. Plenary session 1 ghanas journey to universal health coverage. Aug 28, 2009 there is considerable interest at present in exploring the potential of social health insurance to increase access to and affordability of health care in africa. Get detailed views of sql server performance, anomaly detection powered by machine learning, historic information that lets you go back in time, regardless if its a physical server, virtualized, or in the cloud. Social capital and ghanas national health insurance scheme.
After a decade of its implementation, national coverage is just about 34% of the national. June 2012 volume 46, number 2 ghana medical journal the. Ghanas national health insurance scheme nhis is an innovative attempt to. Nhis data, questionnaires and related documentation. Plenary session 2 towards innovative healthcare financing experiences from the world.
We designed this descriptive crosssectional study to investigate the knowledge and opinions of 150 randomly selected adults in urban kano regarding the nhis. Prescribed drugs, pharmaceutical care and diagnostic tests as contained in the nhis drugs list and nhis diagnostic test lists. Given the immutable benefits of social health insurance in this pursuit. Acheampong worked for leading health insurance and. The state of enrollment on the national health insurance scheme in. 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. Refusal to enrol in ghanas national health insurance scheme. The universal in uhc and ghanas national health insurance. Tettey also told the press that any other nhis card registrant who is found apart from the list which was presented by the supreme court will also be deleted. The commission has also promised to delete names of other nhis registrants whose names were not captured on the list of 56,000 presented to the supreme court.
The politicoeconomic challenges of ghanas national health insurance scheme implementation adam fusheini1,2 abstract background. This study explored indepth enablers and barriers to. Ghana national health insurance scheme open knowledge. A number of countries are currently experimenting with different approaches. Ghana is among the first countries in subsaharan africa to begin implementation of a national health insurance scheme nhis. These include children under 18, the elderly defined as those over 70, persons with mental disorders, pregnant women and the indigent too poor to pay.
The government is to replace the existing cash and carry health financing system with a national health insurance scheme. When it comes to social insurance provision in ghana, the national health insurance scheme nhis is the jewel in the crown. For a list of topics covered by this series, see the introduction. The predominantly about 70 % tax funded nhis currently has active enrolment hovering around 40 % of the population.
A case study of claims management in two districts article pdf. Ghana s national health insurance scheme nhis was passed into law in 2003 but fully implemented from late 2005. Jan 17, 2015 access to health insurance is expected to have positive effect in improving access to healthcare and offer financial risk protection to households. If youre new to stata we highly recommend reading the articles in order. The study, initiated by send ghana social enterprise development foundation on the theme. The politicoeconomic challenges of ghanas national health.
Pdf challenges in provider payment under the ghana national. Challenges to the scaleup of the nigerian national health. The total number of inpatient and outpatient visits to health facilities rose. The effect of the national health insurance scheme nhis. Nhis membership on the increase send ghana ghana business. Health financing systems are a major factor challenging the provision of equitable and quality health care in ghana. However, currently, majority of the schemes subscribers are individuals in the upper wealth quintile, as the poor in society rather have not subscribed. The national health insurance scheme in ghana is deemed as one of the legacies of the john kufuor administration. To analysethe effect of the introduction of national health insurance scheme on funding in ghana. Prior to implementation of the nhis in ghana, the health financing. Aug 30, 2016 the ghana national health insurance scheme nhis in 2003, the government of ghana established the national health insurance scheme through an act of parliament act 650, revised to act 852 in 2012 to provide financial risk protection against the cost of basic health care for all residents in ghana.
Executive summary the national health insurance scheme nhis, initially introduced in ghana as an alternative to direct outofpocket oop financing to improve access, faces considerable challenges, not least its financial sustainability. Challenges in provider payment under the ghana national health insurance scheme. Download free pdf merger and splitter simple for free. Ghanas national health insurance scheme nhis was passed into law in 2003 but fully implemented from late 2005. Nationalsocial health insurance schemes have increasingly been seen in many low and middleincome countries lmics as a vehicle to universal health coverage uhc and a viable alternative funding mechanism for. Does the operations of the national health insurance scheme nhis in ghana align with the goals of primary health care. Ghana began the implementation of a national health insurance scheme nhis in 2004 as a way to ensure equitable access to basic healthcare for all residents. As part of rejuvenated efforts at pursuing sustainable health care financing options that promote universal coverage, ghana has adopted a national health insurance scheme nhis to provide financial access and universal coverage for health care, which is key in promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost. Act 852 to regulate private health insurance schemes phis in ghana. The effect of ghanas national health insurance scheme on.
Learning from case studies of india, colombia, and thailand. Downloadable documents national health insurance scheme. The law established two 2 types of private health insurance schemes. Electronic search was done for literature published between 20032016 on the nhis and its sustainability in ghana.
Refusal to enrol in ghanas national health insurance. Under the act that established the national health insurance scheme nhis, persons 70 years of age or above are automatically enrolled in the scheme and therefore can access health services free at the point of use. Nhis standard treatment guidelines and referral protocol ii. Addaekorankye management and public administration department central university college, accra, ghana abstract the study examined the challenges of financing health care in ghana. The effect of the national health insurance scheme nhis on. Pdf challenges in provider payment under the ghana. Maternity antenatal, delivery and postnatal care for four pregnancies ending in. It also identified various funding mechanisms available to finance health care in ghana. Pdf does the operations of the national health insurance scheme. June 2012 volume 46, number 2 ghana medical journal. Mar 02, 2016 the study, initiated by send ghana social enterprise development foundation on the theme.
The introduction of the national health insurance scheme nhis in ghana in 2003 significantly contributed to improved health services utilization and health outcomes. Barriers and motivations for health insurance subscription. A simple pdf merger were you can add pdf s, sort them and merge them into one file. Access to health insurance is expected to have positive effect in improving access to healthcare and offer financial risk protection to households.
The nhis is a social intervention program intended to provide financial risk protection against out of pocket healthcare expenditure for. The politicoeconomic challenges of ghanas national. Pdf ghanas social health insurance scheme, introduced in 2003, aims to. 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.