Ghana's National Health Insurance Scheme: Helping the poor or leaving them behind?

Environment and Planning C: Government and Policy

Volumn 29, Issue 6, 2011, Pages 1102-1115

  Dixon, Jenna ^a   Tenkorang, Eric Y ^b   Luginaah, Isaac ^a  

^a UNIVERSITY OF WESTERN ONTARIO   (Canada)

^b MEMORIAL UNIVERSITY OF NEWFOUNDLAND   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

DEMOGRAPHIC SURVEY; HEALTH INSURANCE; HEALTH POLICY; HEALTH SURVEY; LOW INCOME POPULATION; POLICY MAKING; QUANTITATIVE ANALYSIS;

GHANA;

EID: 82855169108     PISSN: 0263774X     EISSN: 14723425     Source Type: Journal    
DOI: 10.1068/c1119r     Document Type: Article

References (62)

1. Abel-Smith B,1994 An Introduction to Health: Policy, Planning and Financing (Longman, New York)
2. 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 23 150-160
3. Agyepong I, Nagai R, 2011, " 'We charge them; otherwise we cannot run the hospital' from line workers, clients and health financing policy implementation gaps in Ghana" Health Policy 99 226-233
4. Aikins M, Dzikunu H, 2006 Utilization by and Cost of Health Care of the Insured Poor in Saboba-Chereponi District Northern Region Danida Health Sector Support Office, Accra
5. Al-Hassan R, Diao X, 2007 Regional Disparities in Ghana: Policy Options and Public Investment Implications International Food Policy Research Institute, Washington, DC
6. Allers M A, Ishemoi L J, 2011, "Equalising spending needs of subnational governments in a developing country: the case of Tanzania" Environment and Planning C: Government and Policy 29 487-501
7. Andrzejewski C, Reed H, White M, 2009, "Does where you live influence what you know? Community effects on health knowledge in Ghana" Health and Place 15 228-238
8. Anyinam C, 1989, "The social cost of the IMF's adjustment programs for poverty: the case of health care in Ghana" International Journal of Health Services 19 531-547
9. Asante F, Aikins M, 2007 Does the NHIS Cover the Poor? Danida, Accra
10. Asenso-Okyere W K, Anum A, Osei-Akoto I, Adukonu A, 1998, "Cost recovery in Ghana: are there any changes in health care seeking behaviour?" Health Policy and Planning 13 181-188
11. Atim C, 1999, "Social movements and health insurance: a critical evaluation of voluntary, non-profit insurance schemes with case studies from Ghana and Cameroon" Social Science and Medicine 48 881-896
12. Aye M, Champagne C, Contandriopolos A, 2002, "Economic role of solidarity and social capital in accessing modern health care services in the Ivory Coast" Social Science and Medicine 55 1929-1946
13. Basaza R, Criel B, Van der Stuyft P, 2008, "Community health insurance in Uganda: why does enrolment remain low? Aview from beneath" Health Policy 87 172-184
14. Cleves M, Gould W, Gutierrez R, 2004 An Introduction to Survival Analysis using STATA (Stata Press, College Station, TX)
15. Criel B, Waelkens MP, 2003, "Declining subscriptions to the Maliando Mutual Health Organization in Guinea-Conakry (West Africa): what is going wrong?" Social Science and Medicine 57 1205-1219
16. De Allegri M, Sauerborn R, 2007, "Community based health insurance developing countries" British Medical Journal 334 1282-1283
17. DeAllegri M, Sanon M, Sauerborn R, 2006a, " 'To enrol or not to enrol?':Aqualitative investigation of demand for health insurance in rural West Africa" Social Science and Medicine 62 1520-1527
18. De Allegri M, Kouyate B, Becher H, Gbangou A, Pokhrel S, Sanon M, Sauerborn R, 2006b, "Understanding enrolment in community health insurance in sub-Saharan Africa: population-based case-control study in rural Burkina Faso" Bulletin of the World Health Organization 84 852-858
19. Edoh D, Brenya A, 2002, "A community-based feasibility study of National Health Insurance Scheme in Ghana"African Journal of Health Sciences 9 41-50
20. Ekman B, 2004, "Community-based health insurance in low-income countries: a systematic review of the evidence" Health Policy and Planning 19 249-270
21. Ghana Statistical Service, 2009 Ghana Demographic and Health Survey, 2008 (Ghana Statistical Service, Accra)
22. Ghana Statistical Service, 2011 Ghana's Population Census 2010 (Ghana Statistical Service, Accra)
23. Gilson L, Russell S, Buse K, 1995, "The political economy of user fees with targeting: developing equitable health financing policy" International Development 7 369-401
24. Gottret P, Schiebar G, 2006 Health Financing Revisited: A Practioner's Guide (The World Bank, Washington, DC)
25. Government of Ghana, 2003, National Health Insurance Act, Act 650 (Government of Ghana, Accra)
26. Government of Ghana, 2004, National Health Insurance Regulations L.I. 1809 (Government of Ghana, Accra)
27. Griffin C, 1992 Health Care in Asia: AComparative Study of Cost and Financing (The World Bank, Washington, DC)
28. Gyimah O S, Takyi BK, Tenkorang E, 2008, "Denominational affiliation and fertility behavior in an African context: an examination of couple data from Ghana" Journal of Biosocial Science 40 445-458
29. Gyimah O S, Tenkorang E, Takyi B K, Adjei J, Fosu G, 2010, "Religion, HIV/AIDS and sexual risk-taking among men in Ghana" Journal of Biosocial Science 42 531-547
30. Health Systems 20/20 Project and Research and Development Division of the Ghana Health Service, 2009 An Evaluation of the Effects of the National Health Insurance Scheme in Ghana Abt Associates Inc., Berthesda, MD
31. Higazi A, 2005 Ghana Country Study: Apart of the report on Informal Remittance Systems in Africa, Caribbean and Pacific (ACP) Countries Centre on Migration, Policy and Society, University of Oxford
32. Hutchful E, 2002 Ghana's Adjustment Experience:The Paradox of ReformUnited Nations Research Institute for Social Development, Geneva
33. Jehu-Appiah C, Aryeetey G, Spaan E, Agyepong I, Baltussen R, 2010, "Efficiency, equity and feasibility of strategies to identify the poor: an application to premium exemptions under National Health Insurance in Ghana" Health Policy 95 166-173
34. 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 and Medicine 72 157-165
35. Jutting J, 2005 Health Insurance for the Poor in Developing Countries (Ashgate, Aldershot, Hants)
36. Koch S, Alaba O, 2010, "On health insurance and household decisions: a treatment effect analysis" Social Science and Medicine 70 175-182
37. Konadu-Agyemang K, 2000, "The best of times and the worst of times: structural adjustment programs and uneven development in Africa: the case of Ghana" The Professional Geographer 52 469-483
38. Leon D, Walt G, Gilson L, 2001, "International perspectives on health inequalities and policy" British Medical Journal 322 591-594
39. Luginaah I, Maticka-Tyndale E, Kairi W, Wildish J, Brouillard-Coyle C, 2007, "Extending HIV/AIDS-prevention efforts in Kenya: primary schools as community-based organizations" Environment and Planning C: Government and Policy 25 439-456
40. McIntyre D, Thiede M, Dahlgren G, Whitehead M, 2006, "What are the economic consequences for households of illness and of paying for health care in low-and middle-income country contexts?" Social Science and Medicine 62 858-865
41. Mariam D H, 2003, "Indigenous social insurance as an alternative financing mechanism for health care in Ethiopia (the case of eders)" Social Science and Medicine 56 1719-1726
42. Mensah J, Oppong J R, Schmidt C M, 2010, "Ghana's National Health Insurance Scheme in the context of the health MDGs: an empirical evaluation using propensity score matching" Health Economics 19 95-106
43. MOH, 2003 The Ghana Health Sector Annual Programme of Work 2003 Ministry of Health, Government of Ghana, Accra
44. MOH, 2009 Pulling Together Achieving More. Independent Review: Health Sector Programme of Work 2008 Ministry of Health, Government of Ghana, Accra
45. Morestin F, Ridde V, 2009 How Can the Poor be Better Integrated into Health Insurance Programs in Africa? An Overview of Possible Strategies (Universitëde Montrëal, Montrëal)
46. NHIA, 2010 NHIA Annual Report 2009 National Health Insurance Authority, Accra
47. Oppong J, 2001, "Structural adjustment and the health care system", in IMF and World Bank Sponsored Sturctural Adjustment Programs in Africa: Ghana's Experience, 1983-1999 Ed. K Konadu-Agyemang (Ashgate, Aldershot, Hants) pp 357-370
48. Ozawa S, Walker D, 2009, "Trust in the context of community-based health insurance schemes in Cambodia: villagers' trust in health insurers"Advances in Health Economics and Health Services Research 21 107-132
49. Peters D H, Garg A, Bloom G, Walker D, Brieger W, Rahman M H, 2008, "Poverty and access to health care in developing countries" Annals of the New York Academy of Sciences 1136 161-171
50. Souares A, Savadogo G, Dong H, Parmar D, SiëA, Sauerborn R, 2010, "Using community wealth ranking to identify the poor for subsidies: a case study of community-based health insurance in Nouna, Burkina Faso" Health and Social Care in the Community 18 363-368
51. StataCorp, 2005, "Stata statistical software: release", StataCorp LP, College Station, TX
52. Tenkorang E, Owusu G, 2010, "Correlates of HIV testing among women in Ghana: some evidence from the Demographic and Health Surveys"AIDS Care 22 296-307
53. The World Factbook, 2010 The World Factbook: Ghana (Central Intelligence Agency, Washington, DC)
54. Tolhurst R, Amekudzi Y P, Nyonator F, Squire S, Theobald S, 2008, " 'He will ask why the child gets sick so often': the gendered dynamics of intra-household bargaining over healthcare for children with fever in the Volta Region of Ghana" Social Science and Medicine 66 1106-1117
55. Turshen M, 1999 Privatizing Health Services in Africa (Guilford Press, New Brunswick, NY)
56. van der Geest K, 2010, "Local perceptions of migration from North-West Ghana"Africa 80 595-619
57. Veenstra G, Luginaah I, Wakefield S, Birch S, Eyles J, Elliott S, 2005, "Who you know, where you live: social capital, neighbourhood and health" Social Science and Medicine 60 2799-2818
58. Waddington C J, Enyimayew K A, 1989, "A price to pay: The impact of user charges in Ashanti-Akim district, Ghana" International Journal of Health Planning and Management 4 17-47
59. Wagstaff A, 2002, "Poverty and health sector inequalities"Bulletin of the World Health Organization 80 97-105
60. WHO, 2000 World Health Report 2000. Health Systems: Improving Performance (World Health Organization, Geneva)
61. Witter S, Garshong B, 2009, "Something old or something new? Social health insurance in Ghana" International Health and Human Rights 9 (online)
62. Yazbeck A, 2009 Attacking Inequality in the Health Sector: A Synthesis of Evidence and Tools (The World Bank, Washington, DC)