Implementation Challenges of the National Health Insurance Scheme in Selected Districts in Ghana: Evidence from the Field

Adam Fusheini, Gordon Marnoch and Ann Marie Gray

International Journal of Public Administration, 2017, vol. 40, issue 5, 416-426

Abstract: Ghana’s National Health Insurance Scheme, introduced in 2003, aims to remove financial barriers to health-care access and bridge the inequality gaps in health care. This paper reports on a study of the implementation process in four local government areas in southern and northern Ghana. The paper profiles key institutional actors and draws on qualitative interview data from 33 in-depth interviews. Findings highlight the gaps and challenges that have emerged in the implementation process. Issues of managerial capacity, inadequate and uneven distribution of medical facilities and health-care professionals, cost escalation, fraud and abuse, and reimbursement of providers threaten the sustainability of the scheme.

Date: 2017
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DOI: 10.1080/01900692.2015.1127963

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