Achieving universal health care coverage: Current debates in Ghana on covering those outside the formal sector

BMC International Health and Human Rights

Volumn 12, Issue 1, 2012, Pages

  Abiiro, Gilbert Abotisem ^a,b   McIntyre, Di ^b  

^a UNIVERSITY FOR DEVELOPMENT STUDIES   (Ghana)

^b UNIVERSITY OF CAPE TOWN   (South Africa)

Author keywords

Ghana; National health insurance; One time premium payment; Policy objective; Policy options; Tax funding; Those outside formal sector employment; Universal health care coverage

Indexed keywords

EMPLOYMENT; FINANCIAL MANAGEMENT; GHANA; HEALTH CARE; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HUMAN; NATIONAL HEALTH INSURANCE; NATIONAL HEALTH SERVICE; REVIEW;

EID: 84867894551     PISSN: None     EISSN: 1472698X     Source Type: Journal    
DOI: 10.1186/1472-698X-12-25     Document Type: Review

References (31)

1. WHO, Sustainable health financing, universal coverage and social health insurance, Fifty-Eighth World Health Assembly resolutions WHA58.33 World Health Organization, Geneva 2005
2. WHO, World Health Report 2010, Health systems financing-the path to universal coverage World Health Organization, Geneva 2010
3. Carrin G, James C, Reaching universal coverage via social health insurance: key design features in the transition period, DISCUSSION PAPER World Health Organization, Geneva 2004 EIP/FER/DP.04.2
4. Myths, instruments, and objectives in health financing and insurance. Kutzin J, Extending social protection in health: Developing countries' experiences, lessons learnt and recommendations Deutsche Gesellschaft fur Technische Zusammenarbeit (GTZ), Eschborn, Germany 2007 87 95 22146029
5. Health-financing reforms in southeast Asia: challenges in achieving universal coverage. Tangcharoensathien V, Patcharanarumol WIP, Alijunid SM, Mukti AG, Akkhavong K, Banzon E, Huong DB, Thabrany H, Mills A, Lancet 2011 377 863 873 10.1016/S0140-6736(10)61890-9 21269682
6. Oxfam, Alliance for Reproductive Health Rights, Essential Service Platform of Ghana, Integrated Social Development Centre Achieving a Shared Goal: Free Universal Health Care in Ghana. Oxfam International 2011 Online at: http://www.oxfam.org/sites/www.oxfam.org/files/rr-achieving-shared-goal- healthcare-ghana-090311-en-sum.pdf. Accessed on 24 April, 2011.
7. When the 'non-workable ideological best' becomes the enemy of the 'imperfect but workable good. Agyepong IA, Orem JN, Hercot D, Trop Med Int Health 2011 16 105 109 10.1111/j.1365-3156.2010.02639.x 21371211
8. Universal financial protection through national health insurance: A stakeholder analysis of the proposed one-time premium payment (OTPP) policy in Ghana. Abiiro GA, McIntyre D, Health Policy Plan 2012 1 16 10.1093/heapol/czs059
9. Arhinful DK, The solidarity of self-interest: Social and cultural feasibility of rural health insurance in Ghana Research Report 71/2003: African Studies Centre, Leiden 2003
10. Public social policy development and implementation: a case study of the Ghana National Health Insurance scheme. Agyepong IA, Adjei S, Health Policy Plan 2008 23 150 160 18245803
11. The World Bank, World Development Report 1993: Investing in Health Oxford University Press for the World Bank, New York 1993
12. The political economy of user fees with targeting: developing equitable health financing policy. Gilson L, Mills A, J Int Dev 1995 7 369 401 10.1002/jid.3380070305
13. Garshong B, Ansah E, Dakpallah G, Huijts I, Adjei S, "We Are Still Paying." A study on the factors affecting the implementation of the exemptions policy in Ghana Health Research Unit, Ministry of Health, Ghana 2001
14. Nyonator F, Diamenu S, Amedo E, Eleeza J, Caring for the health of the poor-Policy versus implementation, a baseline evaluation of exemption practices within health facilities in the Volta region of Ghana Volta Regional Health Administration, Ghana 1996 23140791
15. Atim C, Grey S, Apoya P, Anie SJ, Aikins M, A survey of health financing schemes in Ghana PHRplus, Abt Associates for USAID, Bethesda, MD 2001
16. MOH, National Health Insurance Policy Framework for Ghana Ministry of Health, Ghana 2004 Revised edition
17. Wahab H, Assessing the implementation of Ghana's NHIS law Indiana University, Bloomington Paper prepared for workshop in political theory and policy analysis mini-conference April 26-28, 2008. 2008 22978604
18. Equity in financing and use of health care in Ghana, South Africa and Tanzania: implications for paths to universal coverage. Mills A, Ataguba JE, Akazili J, Borghi J, Garshong B, Makawia S, Mtei G, Harris B, Macha J, Meheus F, McIntyre D, Lancet 2012 10.1016/S0140-6736(08)61345-8
19. NHIA, Delivery on the NHIS Promise of "One-time premium Payment": Financial Sustainability of the NHIS based on recent financial assessment of the NHIS, presentation to stakeholders The National Health Insurance Authority of Ghana, Elimina 2010 20730999
20. Adjei S, Results for Development Institute, Moving toward universal health coverage Results for Development Institute with inputs from Sam Adjei, Executive Director, Center for Health and Social Services, Ghana, IV Funding/Results for Development institute, Washington, DC Ghana case-study. 2010
21. Gyapong J, Garshong B, Akazili J, Aikins M, Agyepong I, Nyonator F, Critical analysis of Ghana's health system with a focus on equity challenges and the National Health Insurance, Shield Workpackage1 Report 2007 Online at: http: //heu uct.org.za/research/projects/shield-project/, accessed 12 April 2011 23115900
22. Asante F, Aikins M, Does the NHIS cover the poor? Danida Institute of Statistical Social and Economic Research (ISSER), University of Ghana, Legon 2007
23. MOH, Pulling together, achieving more: Health Sector Programme of Work 2008, Independent Review, draft report Ministry of Health, Accra 2009
24. Effect of removing direct payment for health care on utilisation and health outcomes in Ghanaian children: A Randomised Controlled Trial. Ansah EK, Narh-Bana S, Asiamah S, Dzordzordzi V, Biantey K, Dickson K, Gyapong JO, Koram KA, Greenwood BM, Mills A, Whitty CJ, PLoS Med 2009 6 1549 1277
25. Akazili J, Equity in health care financing in Ghana University of Cape Town, Cape Town, South Africa PhD Thesis. 2010
26. NDC Party Manifesto, A better Ghana, Investing in people, jobs and the economy National Democratic Congress, Accra 2008 68
27. Ghanamma website, NHIS' One-Time Premium - An Actuarial Estimate http: //www.ghanamma.com/news/2011/04/29/nhis%E2%80%99-one-time-premium-an-actuarial- estimate/ ] accessed on 30 April, 2011 23151949
28. Adu-Gyamerah E, "NHIA IN DANGER IF 2011 http: //tettehamoako. blogspot.com/2010/03/nhia-in-danger-if-1b-march-4-2010.html ]. accessed on 5 March, 2011
29. Addison T, Osei R, Taxation and Fiscal Reforms in Ghana, Discussion Paper No. 2001/97 Helsinki: UNU/WIDER 2001 internet publication
30. Social Health Insurance Re-examined. Wagstaff A, Health Econ 2010 19 503 517 19399789
31. McIntyre D, Learning from experience: Health care financing in low- and middle-income countries Global Forum for Health Research, Geneva, Switzerland 2007