Assessing equity in health care through the national health insurance schemes of Nigeria and Ghana: A review-based comparative analysis

International Journal for Equity in Health

Volumn 12, Issue 1, 2013, Pages

  Odeyemi, Isaac A ^a   Nixon, John ^b  

^a Astellas Pharma UK   (United Kingdom)

^b UNIVERSITY OF YORK   (United Kingdom)

Author keywords

Access; Equity; Ghana; Health care expenditure; Health economics; Healthcare systems; National Health Insurance Scheme; NHIS; Nigeria; Social health insurance; Sub Saharan Africa

Indexed keywords

ASSESSMENT METHOD; COMPARATIVE STUDY; DATA SET; DEVELOPING WORLD; ECONOMIC ANALYSIS; EQUITY; GROSS DOMESTIC PRODUCT; HEALTH CARE; HEALTH INSURANCE; LITERATURE REVIEW; MORTALITY; POLICY MAKING; POVERTY ALLEVIATION; URBAN AREA;

ARTICLE; BIBLIOGRAPHIC DATABASE; COMMUNITY BASED HEALTH INSURANCE; DEMOGRAPHY; DISEASE BURDEN; DONOR FUNDING; ECONLIT; FUNDING; GHANA; GOVERNMENT; HEALTH CARE ACCESS; HEALTH CARE CONCEPTS; HEALTH CARE COST; HEALTH CARE DISTRIBUTION; HEALTH CARE EQUITY; HEALTH CARE FINANCING; HEALTH CARE SYSTEM; HEALTH INSURANCE; HUMAN; INFANT MORTALITY; LIFE EXPECTANCY; MEDICAL PARAMETERS; MEDLINE; NATIONAL HEALTH INSURANCE; NIGERIA; OUT OF POCKET PAYMENT; PRIORITY JOURNAL; PRIVATE HEALTH INSURANCE; PURCHASING; SYSTEMATIC REVIEW;

GHANA; HEALTH EXPENDITURES; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HUMANS; INSURANCE, HEALTH; LIFE EXPECTANCY; NATIONAL HEALTH PROGRAMS; NIGERIA;

GHANA; NIGERIA;

EID: 84872479985     PISSN: None     EISSN: 14759276     Source Type: Journal    
DOI: 10.1186/1475-9276-12-9     Document Type: Article

References (48)

1. Beyond fragmentation and towards universal coverage: insights from Ghana, South Africa and the United Republic of Tanzania. McIntyre D, Garshong B, Mtei G, Meheus F, Thiede M, Akazili J, Ally M, Aikins M, Mulligan JA, Goudge J, Bulletin of the World Health Organisation 2008 86 871 876 10.2471/BLT.08.053413
2. Wagstaff A, Social Health Insurance Re-examined. Health Economics 2010 19 503 517
3. The World Health Organisation, The world health report-Health systems financing: the path to universal coverage Geneva: World Health Organisation 2010
4. Towards universal coverage: Examining costs of illness, payment, and coping strategies to different population groups in Southeast Nigeria. Ezeoke OP, Onwujekwe OE, Uzochukwu BS, AmJTrop Med Hyg 2012 86 52 57 10.4269/ajtmh.2012.11-0090
5. The National Health Insurance Scheme [Nigeria]: [ http://www.nhis.gov.ng/ ]
6. Nigeria's National Health Insurance Scheme: The Need for Beneficiary Participation. Metiboba S, Research Journal of International Studies 2011 22 51 56
7. National Health Insurance Scheme [Ghana]: [ http://www.nhis.gov.gh/? CategoryID=216 ]
8. The financial protection effect of Ghana National Health Insurance Scheme: evidence from a study in two rural districts. Nguyen HT, Rajkotia Y, Wang H, International Journal for Equity in Health 2011 10 4 10.1186/1475-9276-10-4 21247436
9. Does National Health Insurance Promote Access to Quality Health Care? Evidence from Nigeria. Ibiwoye A, Adeleke IA, Geneva Papers on Risk and Insurance: Issues and Practice 2008 33 219 233 10.1057/gpp.2008.6
10. Equity in health care finance and delivery. Wagstaff A, Van Doorslaer E, Handbook of Health Economics The Netherlands: Elsevier, Culyer AJ, Newhouse JP, 2000
11. Folland S, Goodman AC, Stano M, The Economics of Health and Health Care New Jersey: Pearson Prentice Hall 6 2010
12. A framework for assessing the performance of health systems. Murray CJL, Frenk S, Bulletin of the World Health Organization: Evidence for Health Policy 2000 78 717 731
13. The role of risk equalization in moving from voluntary private health insurance to mandatory coverage: the experience in South Africa. McLeod H, Grobler P, Adv Health Econ Health Serv Res 2009 21 159 196 19791703
14. Risk equalisation and voluntary health insurance: The South Africa experience. McLeod H, Grobler P, Health Policy 2010 98 27 38 10.1016/j.healthpol.2010.06.008 20619476
15. World Bank Health Data: [ http://data.worldbank.org/topic/health ]
16. The World Health Organisation, Nigeria: Country Cooperation Strategy Geneva: World Health Organisation 2012
17. Health Systems in Low- and Middle- Income Countries. Mills A, The Oxford Handbook of Health Economics: Oxford University Press, Smith P, 2011 30 58
18. Millenium Development Goals [Nigeria]: Report 2010 [ http:www.mdgs.gov.ng ]
19. - 2008 Ghana Millenium Development Goals: 2010 Report [ www.undp-gha.org/site/docs/GhanaGhanaMDGReport-2010.pdf ]
20. Who pays for health care in Ghana? Akazili J, Gyapong J, McIntyre D, International Journal of Equity in Health 2011 10 26 10.1186/1475-9276-10-26
21. Health insurance systems in five Sub-Saharan African countries: medicine benefits and data for decision making. Carapinha JL, Ross-Degnan D, Desta AT, Wagner AK, Health Policy 2011 99 193 202 10.1016/j.healthpol.2010.11.009 21167619
22. Nigeria: National Health Insurance System [ http://www. jointlearningnetwork.org/content/national-health-insurance-system ]
23. The World Health Organisation, The World Health Report 2000: Health Systems: Improving Performance Geneva: World Health Organisation 2000
24. Community-based health insurance in developing countries: a study of its contribution to the performance of health financing systems. Carrin G, Waelkens M-P, Criel B, Trop Med Int Health 2005 10 799 811 10.1111/j.1365-3156.2005. 01455.x 16045467
25. Equity aspects of the National Health Insurance Scheme in Ghana: Who is enrolling, who is not and why? Jehu-Appiah C, Aryeetey G, Spaan E, de Hoop T, Agyepong I, Baltussen R, Soc Sci Med 2011 72 157 165 10.1016/j.socscimed.2010. 10.025 21145152
26. TWG-NSHDP / Health Sector Development Team, The National Strategic Health Development Plan Framework (2009-2015) [Nigeria]: TWG-NSHDP 2009 23289078
27. Sources of healthcare financing among surgical patients in a rural Niger Delta practice in Nigeria. Dienye PO, Brisibe SF, Eke R, Rural Remote Heal 2011 11 1577
28. Meeting the promise: Progress on the Abuja commitment of 15% government funds to health. EQUINET, Policy Series No 20 Harare, Zimbabwe: Equinet 2008
29. The World Health Organisation, Ghana: Country Cooperation Strategy Geneva: World Health Organisation 2012
30. Something old or something new? Social health insurance in Ghana. Witter S, Garshong B, BMC International Health and Human Rights 2009 9 20 10.1186/1472-698X-9-20 19715583
31. Awosika L, Health insurance and managed care in Nigeria Postgraduate Medicine: Annals of Ibadan 2005 3
32. Assessing the implementation of social health insurance in Nigeria: Where are the missing links? Mohammed S, Babale MS, Dong H, Sauerborn R, In 7th European Congress on Tropical Medicine and International Health Spain: Barcelona 2011
33. Knowledge and attitude of civil servants in Osun state, Southwestern Nigeria towards the national health insurance. Olugbenga-Bello AI, Adebimpe WO, Niger J Clin Pract 2010 13 421 426 21220858
34. Out-of-pocket payment for health services: constraints and implications for government employees in Abakaliki, Ebonyi State, south east Nigeria. Oyibo PG, Afr Health Sci 2011 11 481 485 22275943
35. The National Health Insurance Scheme (NHIS): a survey of knowledge and opinions of Nigerian dentists' in Lagos. Adeniyi AA, Onajole AT, Afr J Med Med Sci 2010 39 29 35 20632669
36. Performance of health insurance program in Nigeria: Providers vs. insurers perspectives. Mohammed S, De Allegri M, Suleman I, Babale MS, Sauerborn R, Dong H, Barcelona, Spain: 7th European Congress on Tropical Medicine and International Health 2011
37. Constraints to universal coverage: Inequities in health service use and expenditures for different health conditions and providers. Onwujekwe O, Onoka C, B. U, K. H, International Journal for Equity in Health 2011 10 50 10.1186/1475-9276-10-50 22078263
38. Understanding client satisfaction with a health insurance scheme in Nigeria: factors and enrollees experiences. Mohammed S, Sambo MN, Dong H, Health Research Policy and Systems 2011 9 20 [article 20] 10.1186/1478-4505-9-20 21609505
39. First Fidelity Health Insurance http://www.firstfidelityhealth.com/index. php?p=2
40. Costs, equity, efficiency and feasibility of identifying the poor in Ghana's National Health Insurance Scheme: empirical analysis of various strategies. Aryeetey GC, Jehu-Appiah C, Spaan E, Agyepong I, Baltussen R, Trop Med Int Health 2012 17 1 43 51 10.1111/j.1365-3156.2011.02886.x 21951306
41. Identification of poor households for premium exemptions in Ghana's National Health Insurance Scheme: empirical analysis of three strategies. Aryeetey GC, Jehu-Appiah C, Spaan E, D'Exelle B, Agyepong I, Baltussen R, Trop Med Int Health 2010 15 1544 1552 10.1111/j.1365-3156.2010.02663.x 21044234
42. Household perceptions and their implications for enrolment in the National Health Insurance Scheme in Ghana. Jehu-Appiah C, Aryeetey G, Agyepong I, Spaan E, Baltussen R, Health Policy Plan 2011 27 3 222 233 21504981
43. National health insurance coverage and socio-economic status in a rural district of Ghana. Sarpong N, Loag W, Fobil J, Meyer CG, Adu-Sarkodie Y, May J, Schwarz NG, Trop Med Int Health 2010 15 191 197 10.1111/j.1365-3156.2009.02439.x 19961565
44. Ghana's National Health Insurance Scheme in the context of the health MDGs: an empirical evaluation using propensity score matching. Mensah J, Oppong JR, Schmidt CM, Health Econ 2010 19 Suppl 95 106 20730999
45. IFC signs.3 million Health Insurance agreement with Nigeria [ http://businessnews.com.ng/2012/06/28/ifc-signs-2-3-million-health-insurance- agreement-nigeria/ ]
46. Apoya P, Marriott A, Achieving a Shared Goal: Free Universal Health Care in Ghana. Executive Summary: Oxfam International 2011
47. The Nigerian social health insurance system and the challenges of access to health care: An antidote or a white elephant? Nnamuchi O, Medicine and Law 2009 28 125 166
48. Health financing in Africa: overview of a dialogue among high level policy makers. Sambo LG, Kirigia JM, Ki-Zerbo G, BMC Proc 2011 5 5 2 10.1186/1753-6561-5-S5-S2 22373155