Health Financing in Ghana

Health Financing in Ghana

Author: George Schieber

Publisher: World Bank Publications

Published: 2012-08-30

Total Pages: 196

ISBN-13: 082139567X

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This volume analyzes Ghana s National Health Insurance Scheme and highlights the range of policy options needed to assure its financially sustainable transition to universal coverage.


The Political Economy of Universal Healthcare in Africa

The Political Economy of Universal Healthcare in Africa

Author: Philip C. Aka

Publisher: Taylor & Francis

Published: 2022-04-27

Total Pages: 98

ISBN-13: 1000580687

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The global rise in pandemics, most recently COVID-19, and other health challenges, some of which are due to climate change, have imposed significant challenges on the healthcare systems in economies around the world. Thus, this book deals with an issue that is very timely and relevant, not just in Africa but globally. It critically assesses healthcare reforms in Ghana under the Fourth Republic, since 1993. Although it focuses on Ghana’s National Health Insurance Scheme of 2003, the book instructively goes beyond this program. The book argues that, although Ghana is a bellwether of healthcare reforms in Africa, its healthcare initiatives are still far from the service haven of healthcare as a human right. Themes that animate the book’s argument include the need to translate human rights law, such as the right to health, into practical policies that work for ordinary citizens. Key highlights of the book include an increased accent on health as a human right, emphasis on comparative analysis in healthcare studies, and the formulation of a four-hallmark framework, embedded in economics, law, politics, and human rights, to act as a guide for assessment of healthcare reforms in Africa in particular, and Ghana more specifically. Using Ghana as a case study and analytical window into the world, the book offers a valuable and timely resource for academics, students and policymakers across the disciplines of development and healthcare economics, law, public policy, political science, sociology, and African and Caribbean studies, as well as in various fields in health science.


Chronic Non-communicable Diseases in Ghana

Chronic Non-communicable Diseases in Ghana

Author: de-Graft Aikins

Publisher: African Books Collective

Published: 2014-06-12

Total Pages: 175

ISBN-13: 9988647301

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Chronic non-communicable diseases (NCDs) such as hypertension, stroke, diabetes and cancers, are major causes of disability and death in Ghana. NCDs are not only public health problems. They are also developmental problems, because the rising prevalence of long-term chronic conditions has major social and financial implications for affected individuals, families, healthcare providers and the government. This University of Ghana Readers volume from the Regional Institute for Population Studies presents social and medical science research on Ghanas NCD burden. The body of multidisciplinary research spans the last fifty years and offers important insights on NCD prevalence and experience as well as cultural, health systems and policy responses. This volume will be an essential resource for researchers and students in the health sciences, healthcare providers, health policymakers, and lay individuals with an interest in Ghanas contemporary public health challenges.


Comparative Health Systems

Comparative Health Systems

Author: James A. Johnson

Publisher: Jones & Bartlett Learning

Published: 2017-03-02

Total Pages: 596

ISBN-13: 128414500X

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The Second Edition of Comparative Health Systems: A Global Perspective offers new perspectives in health administration, public health, and public policy that address evidence-based approaches to health system improvement; systems thinking at the policy level; integrated information management; macro and micro innovation, and systems sustainability. Part I offers introduces foundational concepts including health and disease; and policy and economics. Two new chapters explore innovation and sustainability; and the role and contributions of non-governmental organizations. In Part II, the health systems of 19 countries are each examined in their own chapter, that carefully explores the country’s geography and culture, the history of its health system, followed by a detailed evaluation of cost, quality, access and innovation.


Ghana National Health Insurance Scheme

Ghana National Health Insurance Scheme

Author: Huihui Wang

Publisher: World Bank Publications

Published: 2017-08-14

Total Pages: 101

ISBN-13: 1464811180

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Ghana National Health Insurance Scheme (NHIS) was established in 2003 as a major vehicle to achieve the country’s commitment of Universal Health Coverage. The government has earmarked value-added tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium payment. However, the scheme has been running under deficit since 2009 due to expansion of coverage, increase in service use, and surge in expenditure. Consequently, Ghana National Health Insurance Authority (NHIA) had to reduce investment fund, borrow loans and delay claims reimbursement to providers in order to fill the gap. This study aimed to provide policy recommendations on how to improve efficiency and financial sustainability of NHIS based on health sector expenditure and NHIS claims expenditure review. The analysis started with an overall health sector expenditure review, zoomed into NHIS claims expenditure in Volta region as a miniature for the scheme, and followed by identifictation of factors affecting level and efficiency of expenditure. This study is the first attempt to undertake systematic in-depth analysis of NHIS claims expenditure. Based on the study findings, it is recommended that NHIS establish a stronger expenditure control system in place for long-term sustainability. The majority of NHIS claims expenditure is for outpatient consultations, district hospitals and above, certain member groups (e.g., informal group, members with more than five visits in a year). These distribution patterns are closely related to NHIS design features that encourages expenditure surge. For example, year-round open registration boosted adverse selection during enrollment, essentially fee-for-service provider mechanisms incentivized oversupply but not better quality and cost-effectiveness, and zero patient cost-sharing by patients reduced prudence in seeking care and caused overuse. Moreover, NHIA is not equipped to control expenditure or monitor effect of cost-containment policies. The claims processing system is mostly manual and does not collect information on service delivery and results. No mechanisms exist to monitor and correct providers’ abonormal behaviors, as well as engage NHIS members for and engaging members for information verification, case management and prevention.


Governing Health Systems in Africa

Governing Health Systems in Africa

Author: Martyn Sama

Publisher: African Books Collective

Published: 2008

Total Pages: 283

ISBN-13: 2869781822

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Drawing on various disciplinary perspectives, this book re-focuses the debate on what makes a good health system, with a view to clarifying the uses of social science research in thinking about health care issues in Africa. The explosion of the HIV/AIDS pandemic, the persistence of malaria as a major killer, and the resurgence of diseases like tuberculosis which were previously under control, have brought about changes in the health system, with implications for its governance, especially in view of the diminished capacity of the public health facilities to cope with a complex range of expanded needs. Government responsibilities and objectives in the health sector have been redefined, with private sector entities (both for profit and not-for profit) playing an increasingly visible role in health care provisions. The reasons for collaborative patterns vary, but chronic under-funding of publicly financed health services is often an important factor. Processes of decentralisation and health sector reforms have had mixed effects on health care system performance; while private health insurance markets and private clinics are pointers to a growing stratification of the health market, in line with the intensified income and social differentiation that has occurred over the last two decades.These developments call for health sector reforms.


The Health Sector in Ghana

The Health Sector in Ghana

Author: Karima Saleh

Publisher: World Bank Publications

Published: 2012-12-27

Total Pages: 241

ISBN-13: 0821396005

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This volume analyzes Ghana s health system performance and highlights the range of policy options needed to improve health system performance and health outcomes.


Changing Trends in Mental Health Care and Research in Ghana

Changing Trends in Mental Health Care and Research in Ghana

Author: Ofori-Atta, Angela

Publisher: Sub-Saharan Publishers

Published: 2015-04-26

Total Pages: 286

ISBN-13: 9988860218

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This Reader is about the changing trends in mental health care and research in Ghana. The book includes a brief history of Department of Psychiatry at the University of Ghana Medical School and Mental Health Care in Ghana through the eyes of professionals who have lived this history. There is also a revised situation analysis of mental health services and legislation from 2005. These are followed by three main sections on Conceptualization of Mental Illness (depression, religion and illness, autism, substance use disorders and schizophrenia), Mental Health Practice in a teaching hospital setting (referrals to Korle-Bu, how psychiatric illnesses manifest, how people's lives are affected and what skill sets and resources are available for dealing with them) and finally the Department's focus on research includes the Mental Health Information System, Sickle Cell Disease, Medical Ethics, and Liaison Psychiatry. In the concluding paragraph, read about the way forward in mental health care and research.


Private Health Sector Assessment in Ghana

Private Health Sector Assessment in Ghana

Author: Ricardo A. Bitran

Publisher: World Bank Publications

Published: 2011-01-01

Total Pages: 152

ISBN-13: 0821387472

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Private Health Sector Assessment in Ghana is part of the World Bank Working Paper series. These papers are published to communicate the results of the Bank?s ongoing research and to stimulate public discussion. The private health sector in Ghana is a large and important sector in the market for health-related goods and services. However, little has been documented concerning the size and configuration of private providers and their contribution to health sector outcomes. With better information about the size, scope, distribution, and constraints of private actors, Ghana?s public policy makers