Health Financing in Ghana at a Crossroads
This report reviews Ghana's health financing system with a special emphasis on its National Health Insurance Scheme (NHIS). Such an assessment is important since Ghana is often considered a global 'good practice' as it is one of only...
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| Format: | Other Health Study |
| Language: | English |
| Published: |
World Bank
2012
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| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20120306001955 http://hdl.handle.net/10986/2729 |
| Summary: | This report reviews Ghana's health
financing system with a special emphasis on its National
Health Insurance Scheme (NHIS). Such an assessment is
important since Ghana is often considered a global
'good practice' as it is one of only a handful of
African emerging market countries to actively start
implementing universal health insurance coverage by
providing formal coverage to its vulnerable population
groups. Ghana's NHIS has evolved rapidly by
transitioning its existing community health insurance
schemes into a national health insurance program supported
by significant amounts of earmarked national government
revenues. In addition to the global interest in the Ghana
'model', this review is timely in view of a recent
critique of the system and call to abandon it in favor of a
National Health Service (NHS) as well as the availability of
several new and updated sources of information on: total
health spending, inputs, outcomes, household spending, and
the macro-economy. The study also undertakes for the first
time an extensive international benchmarking analysis;
assesses the financial protection and equity of the system
at both macro and micro levels; and, contains an extensive
fiscal space analysis based on Ghana's new
macroeconomic realities (i.e., a 60 plus percent higher
(Gross Domestic Product (GDP) as of November 2010). |
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