| Description |
1 online resource (xix, 172 pages) : illustrations |
| Series |
Directions in development. Human development |
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Directions in development (Washington, D.C.). Human development.
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| Contents |
Foreword; Acknowledgments; About the Authors; Abbreviations; Overview; Study Approach; Key Messages; Fiscal Space; Reform Options; Tables; O.1 Options for Reforming Ghana's National Health Insurance Scheme; Chapter 1 Introduction; Underlying Demographics and Epidemiology; Figures; 1.1 Ghana Population Pyramids, 2010 and 2030; Configuration of Ghana's Health System; 1.2 Burden of Disease in Ghana (Actual) and Sub-Saharan Africa (Projected); 1.3 Organization of Ghana's Health System; 1.4 Ghana's Service Delivery System; Functions and Goals of Ghana's Health System and Health Financing |
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1.5 Components and Objectives of a Health System1.6 Functions and Goals of Health Financing; 1.7 Ghana's Transition to Universal Coverage; Ghana's Health Financing System; 1.1 Features of Ghana's National Health Insurance Scheme; 1.8 Flows of Funds in Ghana's Health System; 1.9 Sources of Ministry of Health Revenues, 2005-09; 1.10 Sources of Ministry of Health Revenues, 2009; 1.11 Funds Generated Internally by Ministry of Health Facilities, 2005-09; Notes; 1.12 Projected Revenues and Expenditures of Ghana's National Health Insurance Scheme, 2008-18; References |
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Chapter 2 Ghana's Health Financing: A Performance AssessmentHealth Outcomes, Inputs, and Health Spending; Equity and Financial Protection; 2.1 Coverage of National Health Insurance Scheme, by Gender and Wealth Quintile, 2008; 2.2 Facility Consulted in Ghana in Case of Illness or Injury, 1991-2006; 2.3 Percent of Ill/Injured in Ghana Who Sought Care at a Health Facility, by Wealth Quintile and Insurance Status, 2008; 2.4 Percent of Ill/Injured in Ghana Who Self-Treated or Sought Care at a Nonformal Facility, by Wealth Quintile and Insurance Status, 2008 |
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2.5 Percent of Pregnant Women in Ghana Who Delivered in a Health Facility, 2003 and 20082.6 Percent of Pregnant Women in Ghana Who Sought Assistance During Delivery, 2003 and 2008; 2.7 Percent of Pregnant Women in Ghana Who Sought Assistance During Delivery, by Wealth Quintile and Insurance Status, 2008; 2.8 Percent of Pregnant Women in Ghana Who Delivered in a Health Facility, by Wealth Quintile and Insurance Status, 2008; 2.1 Average Month of Pregnancy During First Prenatal Visit by Women in Ghana, by Wealth Quintile and Insurance Status, 2008 |
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2.2 Share of Spending Devoted to Health Care in Ghana, by Consumption Quintile, 2005/062.9 Catastrophic Expenditure Headcounts in Ghana, by Threshold, 2005/06; 2.3 Per Capita Household Expenditure in Ghana, Gross and Net of Health Spending, 2005/06; 2.10 Poverty Rates in Ghana Before and After Out-of-Pocket Health Expenditures, 2005/2006; Consumer Responsiveness; 2.4 Consumer Satisfaction with Ghana's National Health Insurance System, 2008; 2.5 Consumer Satisfaction with Medical Services in Ghana; Annex 2A. Performance Assessment of Ghana's Health System |
| Summary |
Ghana is one of only several African countries to enact legislation and earmark financing for universal health insurance coverage for its entire population. Seven years into its implementation the Ghana National Health Insurance Scheme (NHIS) has made significant progress in transitioning to universal coverage, but faces significant fiscal and coverage challenges. This study reviews Ghana's health financing system with a special emphasis on its National Health Insurance Scheme. Such an assessment is important because Ghana is often considered a global 'good practice' in terms of earmarking significant amounts of its general revenues for health insurance coverage, providing formal coverage to its vulnerable population groups, and extending coverage by transitioning its existing community health insurance schemes into a national health insurance program. In addition to the global interest in the Ghana 'model', this review is timely in view of recent critiques of the system and questions about its financial sustainability. The study is also unique in terms of evaluating Ghana's NHIS in terms of basic health system goals of health outcomes, financial protection, consumer satisfaction, equity, efficiency, and financial sustainability. The strengths and weaknesses of Ghana's health financing system are assessed on the basis of these performance goals to provide the current health policy reform baseline. The assessment is also based on several new and updated sources of information on: total health spending, inputs, outcomes, household spending, and the macro economy. It also undertakes for the first time an extensive international benchmarking analysis; assesses the financial protection/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., the revaluation of Ghana's Gross Domestic Product (GDP) upward by some 60 percent in November 2010, making Ghana a lower middle income country). The study concludes with an assessment of potential structural and operational reform options to assure NHISs long-term efficacy and sustainability in the context of its future available fiscal space |
| Bibliography |
Includes bibliographical references |
| Subject |
National Health Insurance Scheme (Ghana)
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| SUBJECT |
National Health Insurance Scheme (Ghana) fast |
| Subject |
National health insurance -- Ghana
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Medical care -- Finance -- Government policy -- Ghana
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Health services accessibility -- Ghana
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MEDICAL -- Medicaid & Medicare.
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Health services accessibility
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Medical care -- Finance -- Government policy
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National health insurance
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Ghana
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| Form |
Electronic book
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| Author |
Schieber, George.
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World Bank.
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| LC no. |
2012029748 |
| ISBN |
9780821395677 |
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082139567X |
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