Seeking the mandate of the people in the 2000 elections. 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. The study was a crosssectional comparative assessment of paper and electronicbased claims. Jonathan a coles, university of glasgow, united kingdom received. Huihui wang, nathaniel otoo and lydia dsaneselby abstract pdf 2mb epub 2mb cited by. Although the national health insurance scheme nhis. This study was conducted to assess the maternal, neonatal, and health system related factors that influence neonatal deaths in the ashanti region, ghana. Cookie information is stored in your browser and performs functions such as recognising you when you return. Plenary session 2 towards innovative healthcare financing experiences from the world. Building on communitybased health insurance to expand. Role of a health protection scheme in health services. The socioeconomic factors that affect utilisation of health care services by the exempt groups under the national health insurance scheme in ghana. The effects of ghanas national health insurance scheme on. The model, however, could not be sustained for long and a token user fee was first introduced in 1972.
The national health insurance scheme nhis implemented in ghana in 2004 3,4 is one of the most ambitious health care financing reforms in sub saharan africa ssa. 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. 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 3 shaping uhc policy for post 2015. This study determines consumer and provider factors which most influence the nhis. Ghana s nhis in brief ghana s health care system was founded on the basis of the free health care model. Evaluating the impact of the national health insurance scheme of.
The ghana national health insurance scheme nhis is unique in that it is a combination of both social health insurance and mutual health insurance concepts. The state of enrollment on the national health insurance. Nhis questionnaires, datasets, and related documentation. The nhis is a social intervention program intended to provide financial risk protection against out of pocket healthcare expenditure for residents in ghana. Nhis in ghana is achieving universal health coverage uhc or not. Downloadable documents national health insurance scheme. The scheme, which guarantees health care that is free for most. The law makes it compulsory for all ghanaians to join a health insurance scheme in ghana. Like many other social health insurance schemes in africa, the nhis is striving for universal health coverage uhc. June 2012 volume 46, number 2 ghana medical journal the. The ghana national health insurance scheme 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 sub. At the centralized level, the nhis is regulated by the national health insurance authority nhia, which also plays a key role in guiding. 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%.
Several countries, including ghana, have thus introduced and implemented mandatory national health insurance schemes nhis as part of reform efforts towards increasing access to. The scheme, which guarantees health care that is free for. Indeedit is estimatedthat out of eighteenpercentof the i. 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 sub. This study determines consumer and provider factors which most influence the nhis at a municipal health facility in ghana. A fullyfledged user fee scheme known as cash and carry came into effect in 1985. Until the nhis was introduced in 2003, the country had over time implemented a number of financing reforms. 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. Nhis medicines list national health insurance scheme. However, stagnating active membership, reports of poor quality health care rendered to nhis insured clients and cost escalations have raised concerns on the operational and financial sustainability of the scheme. The idea for the national health insurance scheme nhis in ghana was conceived by former president john kufuor. Ministry of health august 2004 ghana health service. Ghana passed mandatory national health insurance nhi legislation act 650 in 2003 and commenced nationwide implementation in 2004.
A highly subsidized health care program for a privileged few article pdf available january 2016 with. History of nhis in ghana nhia in ghana ghana health news. Ghana has been the first country in ssa to establish a large financial protection scheme and other african countries working towards universal health coverage are closely watching. June 2012 volume 46, number 2 ghana medical journal. The ghana national health insurance scheme 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.
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. Tanzania has expressed the desire to replicate the successes of ghanas national health insurance scheme to help strengthen its scheme, following the laurels chalked up by ghanas scheme. Predictors of neonatal deaths in ashanti region of ghana. This study was conducted to assess the maternal, neonatal, and health system related factors that. Neonatal mortality continues to be a public health problem, especially in subsaharan africa. The effect of ghanas national health insurance scheme on. Aliyu said the best plan for nhis funding is the sustainable source for funds. Jan 17, 2015 in 2004, ghana began the implementation of a national health insurance scheme nhis following the passage of the national health insurance act act 650 in 2003. Impact of nhis free maternal healthcare policy on utilization. This website uses cookies so that we can provide you with the best user experience possible.
This is an analytical crosssectional study at the winneba municipal hospital whm in ghana. The study is intended to improve policy formulation and assist the nhia to evaluate the impact of the free maternal healthcare policy based on utilization of maternal care services as a measurement of. Nana addo extols nhis mobile renewal service impact. The government has earmarked valueadded tax to finance nhis in addition to deduction from social security trust ssnit and premium payment. 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. 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 the health of all nigerians at an affordable cost through various prepayment systems.
Ghana national health insurance scheme nhis was established in 2003 as a major vehicle to achieve the countrys commitment of universal health coverage. Pdf assessment of national health insurance schemes nhis. Several countries, including ghana, have thus introduced and implemented mandatory national health insurance schemes nhis as part of reform efforts towards increasing access to health services. Survey procedures, sample design, variance estimation, and other methodological studies. The authors thank pamela derish, scientific editor in the ucsf. Evaluating the impact of the national health insurance scheme. The national health insurance scheme in ghana is deemed as one of the legacies of the john kufuor administration. Although the national health insurance scheme nhis of ghana was.
To determine whether enrollment in the nhis reduces the likelihood of oopes and. The health insurance was set up to allow ghanaian residents to make contributions into a fund so that in the event of illness members could be. Robert kaba alhassan1,2, edward nketiahamponsah3, daniel kojo arhinful2 1 amsterdam institute for global health and development, university of amsterdam, amsterdam, the netherlands, 2 department of epidemiology, noguchi memorial institute for medical research. The nhis has an overall goal of ensuring equitable access to quality basic healthcare for all residents, without having to make outofpocket payments at the point of service. Approximately 150 million people suffer from financial catastrophe annually because of outofpocket expenditures oopes on health. 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 the.
Nhis ghana overview reforms achievements version 3 free download as powerpoint presentation. The national health insurance act, 2012 act 852 section 40 details the object of the national health insurance fund nhif. Ghana is among the first countries in subsaharan africa to begin implementation of a national health insurance scheme nhis. Reducing medical claims cost to ghanas national health. Ghanas nhis provides exemption entitlement or nhis premium payment exemption to some segments of the population, including persons aged 70 years or older, children under 18 years, the ultrapoor. When it comes to social insurance provision in ghana, the national health insurance scheme nhis is the jewel in the crown. Insurance scheme nhis is a prominent model for african countries striving to achieve universal health coverage. The national health insurance agency nhia, responsible for managing the nhis, was originally set up to regulate the many communitybased health insurance cbhi schemes set up.
Background the introduction of the national health insurance scheme nhis in ghana in 2003 significantly contributed to improved health services utilization and health outcomes. Ghanas nhis provides exemption entitlement or nhis premium payment exemption to some segments of the population, including persons aged 70 years or older, children under 18 years, the ultrapoor persons who cannot show a source of income and have no fixed residence, ssnit contributors or those receiving pensions from the ssnit. History of nhis birth of ghanas national health insurance scheme the idea for the national health insurance scheme nhis in ghana was conceived by former president john kufuor who when seeking the mandate of the people in the 2000 elections, promised to abolish the cash and carry system of health delivery. The effect of the national health insurance scheme nhis on.
Survey instruments questionnaires data, questionnaires and related documentation. Download fulltext pdf download fulltext pdf nigeria national health insurance scheme. In 2004, ghana began the implementation of a national health insurance scheme nhis following the passage of the national health insurance act act 650 in 2003. Ghana and gabon increased taxes on items on luxury goods or health hazard goods such as tobacco. Nhis restricted variable information, restricted and public use variable lists. Ghana national health insurance scheme nhis was established in 2003 as a major vehicle to. History of nhis birth of ghanas national health insurance scheme the idea for the national health insurance scheme nhis in ghana was conceived by former president john kufuor who when. The government has earmarked valueadded tax to finance nhis in addition to deduction from social. Assessment of national health insurance schemes nhis effectiveness in a tertiary teaching hospital in southeast nigeria article pdf available june 2017 with 2,109 reads how we measure. Evaluating the impact of the national health insurance. Plenary session 1 ghana s journey to universal health coverage. The national health insurance scheme nhis, ghanas singlepayer social health insurance scheme established in 2004, was also set up to improve quality of care. Utilization of the ghana national health insurance scheme and.
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