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Health Financing In Ghana
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Book Synopsis Health Financing in Ghana by : George Schieber
Download or read book Health Financing in Ghana written by George Schieber and published by World Bank Publications. This book was released on 2012-08-30 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Health Financing in Ghana by : George Schieber
Download or read book Health Financing in Ghana written by George Schieber and published by World Bank Publications. This book was released on 2012-08-14 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Ghana National Health Insurance Scheme by : Huihui Wang
Download or read book Ghana National Health Insurance Scheme written by Huihui Wang and published by World Bank Publications. This book was released on 2017-08-14 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Health Financing for Poor People by : Alexander S. Preker
Download or read book Health Financing for Poor People written by Alexander S. Preker and published by World Bank Publications. This book was released on 2004 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the most urgent development challenges facing many low and middle income countries is the need for adequate financing systems to pay for health care provision to the estimated 1.3 billion impoverished people living in rural areas or working in the informal sector in urban areas. This publication considers ways of improving the financing of health care at low income levels, as part of a global strategy for increased investment in health and poverty reduction. Topics discussed include: global and regional trends in healthcare financing; strengths and weaknesses of community-based health financing, and experiences in Asia and Africa; country case studies using household survey analysis from Senegal, Rwanda, India and Thailand; deficit financing; and the impact of risk sharing on achieving health system goals.
Book Synopsis Decentralization and Governance in the Ghana Health Sector by : Bernard F Couttolenc
Download or read book Decentralization and Governance in the Ghana Health Sector written by Bernard F Couttolenc and published by World Bank Publications. This book was released on 2012-07-06 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ghana's government has embarked on a decentralization process since the 1980s, but the intended devolution of the health system faces important challenges and shortfalls. This study analyzes the strengths and weaknesses of the decentralization of the Ghanaian health system.
Book Synopsis The Health Sector in Ghana by : Karima Saleh
Download or read book The Health Sector in Ghana written by Karima Saleh and published by World Bank Publications. This book was released on 2012-12-27 with total page 241 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume analyzes Ghana s health system performance and highlights the range of policy options needed to improve health system performance and health outcomes.
Book Synopsis Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives by : OECD
Download or read book Fiscal Sustainability of Health Systems Bridging Health and Finance Perspectives written by OECD and published by OECD Publishing. This book was released on 2015-09-24 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to ...
Book Synopsis Private Health Sector Assessment in Ghana by : Ricardo A. Bitran
Download or read book Private Health Sector Assessment in Ghana written by Ricardo A. Bitran and published by World Bank Publications. This book was released on 2011-01-01 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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
Book Synopsis Financing Health Services in Developing Countries by : John S. Akin
Download or read book Financing Health Services in Developing Countries written by John S. Akin and published by World Bank Publications. This book was released on 1987-01-01 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.
Book Synopsis Financing Health Services Through User Fees and Insurance by : R. Paul Shaw
Download or read book Financing Health Services Through User Fees and Insurance written by R. Paul Shaw and published by Washington, D.C. : World Bank, c1995 (1996 printing). This book was released on 1995 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: World Bank Discussion Paper No. 294. Presents case studies that focus on user fees and self-financing health insurance as a means of contributing to efficiency, equity, and sustainable financing in the health sector. User fees are emphasized as a form of cost-sharing because private, out-of-pocket expenditures for health account for nearly one-half of total expenditures in Africa. Evidence presented in this report suggests that self-financing insurance is more prevalent in many countries than had been previously thought.
Book Synopsis Health at a Glance 2017 OECD Indicators by : OECD
Download or read book Health at a Glance 2017 OECD Indicators written by OECD and published by OECD Publishing. This book was released on 2017-11-10 with total page 216 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition of Health at a Glance presents the most recent comparable data on the health status of populations and health system performance in OECD countries.
Book Synopsis Finding Sustainable Means of Financing Health Care in Ghana by : Francis Mensah Asenso-Boadi
Download or read book Finding Sustainable Means of Financing Health Care in Ghana written by Francis Mensah Asenso-Boadi and published by . This book was released on 2004 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study seeks to improve the knowledge of health care financing issues in Ghana as the country seeks a sustainable means of financing health care. To this end an empirical study of Ghanaians' willingness to pay for health services and for health insurance is undertaken thereby applying the contingent valuation model of estimating willingness to pay in a different context (health care financing and demand) from the usual applications reported in the literature, which value the benefit component of cost-benefit analysis. Firstly, the study examines the three main methods of raising funds to finance health care (namely, government through taxes, user payments at the point of use, and health insurance) and discusses their advantages and disadvantages. Ghana's experiences in health care financing are considered with particular reference to the introduction of user charges by the government in 1992 and the issues raised concerning revenue generation, health service utilisation and equity, especially those affecting people with lower income levels. The empirical study was undertaken in two district capitals and their immediate environs in the Eastern region of Ghana with a sample of 487 heads of household interviewed in their own homes. The study shows that, overall, Ghanaians are willing to pay for their health care whether delivered by government or private hospitals and they are also willing to contribute into a national health insurance scheme. However, one's willingness to pay does not necessarily mean one will be able to pay for one's health care, since this depends on ability to pay. Since Ghana's per capita income is US$390 and the daily minimum wage is less than US$1, many Ghanaians may find it difficult to pay for their health care at the time of use given the uncertain nature of health care needs. Consequently, this study proposes the establishment of a national/social health insurance scheme, which if properly implemented, could be of immense benefit in raising adequate funds to improve upon health care delivery in the country.
Book Synopsis Good Practices in Health Financing by : Pablo Enrique Gottret
Download or read book Good Practices in Health Financing written by Pablo Enrique Gottret and published by World Bank Publications. This book was released on 2008-01-01 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume focuses on nine countries that have completed, or are well along in the process of carrying out, major health financing reforms. These countries have significantly expanded their people's health care coverage or maintained such coverage after prolonged political or economic shocks (e.g., following the collapse ofthe Soviet Union). In doing so, this report seeks to expand the evidence base on "good performance" in health financing reforms in low- and middle-income countries. The countries chosen for the study were Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam.
Book Synopsis The Impact of Health Insurance in Low- and Middle-Income Countries by : Maria-Luisa Escobar
Download or read book The Impact of Health Insurance in Low- and Middle-Income Countries written by Maria-Luisa Escobar and published by Rowman & Littlefield. This book was released on 2011-01-01 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Colombia embarked in 1993 on a fifteen-year effort to cover its entire population with insurance, in combination with greater freedom to choose among providers. A decade later Mexico followed suit with a program tailored to its federal system. Several African nations have introduced new programs in the past decade, and many are testing options for reform. For the past twenty years, Eastern Europe has been shifting from government-run care to insurance-based competitive systems, and both China and India have experimental programs to expand coverage. These nations are betting that insurance-based health care financing can increase the accessibility of services, increase providers' productivity, and change the population's health care use patterns, mirroring the development of health systems in most OECD countries. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance–based care is key to the public policy debate of whether to extend insurance to low-income populations—and if so, how to do it—or to serve them through other means. Using recent household data, this book presents evidence of the impact of insurance programs in China, Colombia, Costa Rica, Ghana, Indonesia, Namibia, and Peru. The contributors also discuss potential design improvements that could increase impact. They provide innovative insights on improving the evaluation of health insurance reforms and on building a robust knowledge base to guide policy as other countries tackle the health insurance challenge.
Book Synopsis Health Financing Revisited by : Pablo Enrique Gottret
Download or read book Health Financing Revisited written by Pablo Enrique Gottret and published by World Bank Publications. This book was released on 2006-01-01 with total page 340 pages. Available in PDF, EPUB and Kindle. Book excerpt: This overview of health financing tools, policies and trends--with a particular focus on challenges facing developing countries--provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.
Book Synopsis The Health Sector in Ghana by : Karima Saleh
Download or read book The Health Sector in Ghana written by Karima Saleh and published by World Bank Publications. This book was released on 2012-12-28 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: "... briefly discusses some of the debates in Ghana's health sector: decentralization and governance, private sector partnership, strengthening health systems, and health financing. It brings together several elements of health system development and challenges and links it to health financing and delivery performance. The volume reviews the situation among human resources for health and pharmaceuticals. The private sector is growing and attention is required on its development. The volume benefits from health service delivery assessments in the public and private sectors, and finds large variations in distribution and weak incentives to improve productivity and performance. It also reviews the demand side financing reform, its coverage of the population and its effect on service use and the financial sustainability of the National Health Insurance Scheme ..."--Publisher's website.
Book Synopsis Scaling Up Affordable Health Insurance by : Alexander S. Preker
Download or read book Scaling Up Affordable Health Insurance written by Alexander S. Preker and published by World Bank Publications. This book was released on 2013-05-31 with total page 778 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents an in-depth review on the role of health care financing in improving access for low-income populations to needed care, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.
