Title: Mastering the Art of Literature Review on NHIS in Ghana

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According to those actors, the discussions have been purely. I believe if the NHIS adopt similar
premium arrangement where those who can afford higher premium can pay to enjoy better quality
services (i.e better quality health facilities, medications, wider disease coverage etc) it will offer the
NHIS additional revenue. Because the premiums were double the calculated per. During the first
wave of reform and establishment of the NHIS, the earmarks had a positive impact on overall public
spending for health: from 2004 to 2010, public spending on health rose from 0.75 percent of GDP to
2.38 percent of GDP (see Figure 1). We seek to contribute to the topic by showing the dynamics of
healthcare utilisation in free health insurance contexts and associated unintended impacts. Based on
prior experiences with CBHI, the technical actors believed that control of adverse selection. Upload
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Language Teachers Julie Vorholt Eagle rebirth Eagle rebirth Salahuddin S. Benefit package should be
looked at again to create some space for PHIS to complement the NHIS. This has serious
implications for membership renewal and new enrollments onto the Scheme, which are influenced by
member satisfaction and perceived satisfaction respectively. Jones, S.G. et al. 2006. Securing Health:
Lessons from Nation-Building Missions, Rand Corporation. Available. Performance Based
Incentives to Strengthen Primary Health Care in Haryana Sta. Check to see if the ID number you
enter matches the one on the Ghana Card. Financial sustainability threats include: fraud and
corruption at health insurance schemes; abuse of the gatekeeper system where clients are supposed to
first report to a primary health provider and subsequently referred to a higher level facility when
necessary; low premium payments, and broad benefits package without co-payment. Note: For
simplicity, this analysis examines the primary and sometimes secondary motivators driving each actor
group. The Ghana example serves as a useful case study for safe motherhood financing interventions.
The capping provides an avenue to deal with budget rigidities and create enough fiscal space for
government to undertake its economic policies. Fig 2 shows details of the frequency of occurrence of
the thematic areas discussed in the 31 reviewed publications. They also got assurances that public
resources would be available in the. However, using the adjusted odds ratios, basic, secondary and
tertiary educational levels were observed to be insignificant predictors of NHIS enrollment. NPP
government’s key campaign message was to overhaul the previous systems. Thus proposing an. The
study was carried out to find out the extent to which health care is accessible and affordable to the
people and to determine the sustainability of the scheme. Immediately thereafter, they began on an
aggressive path towards fulfilling. HFG Project Entry Point Mapping: A Tool to Promote Civil
Society Engagement on Health Fin. Financial Access to Healthcare among Persons with Disabilities
in the Kumasi. Another high-powered actor was the MOH-appointed chair of the design process.
Funding: This review forms part the WOTRO-COHEiSION Ghana Project scientific outputs.
Expanding Coverage to Informal Workers: A Study of EPCMD Countries’ Efforts t. The National
Health Insurance Act (NHIA) of August 2003 aimed to establish an insurance fund for each.
Indeed, the manual and unintegrated systems of healthcare provision and claims adjudication is a
really big source of leakage to the NHIA. Along with this shift in thinking has come an unraveling of
the close alliance between political actors and. HFG Project Integrating Financing of Vertical Health
Programs: Lessons from Kyrgyzstan an. Well done Daniel. As the conversation continuous on UHC
more articles are needed on the broad categorization of the expenditure side especially on payments
to providers against tertiary health, secondary health and primary health to foster more reforms for
sustainability. It takes selfless and more discipline to present this well structured and educative
publication. Akuapem South district office Akuapem South district office They are near District
Magistrate Court, Nsawam. P. O. Box NW 602, Nsawkaw. In terms of the country context, 90% of
the 31 articles were solely on Ghana while the remaining 10% were comparative studies, comparing
the NHIS in Ghana with health insurance systems in Nigeria, Tanzania and South Africa. Subsequent
reform that aimed to increase the amount of revenue collected through the National Health Insurance
Levy (NHIL) was limited by a general cap on earmarked revenue. The emphasis that policymakers
put on ensuring rapid enrollment into the NHIS has largely been. This article indeed touches relevant
issues affecting sustainability of Ghana’s National Health Insurance. Although it had its own
weaknesses we can still learn from some positives it presented. The Republic of Ghana was the first
country south of the Sahara to gain its independence from Britain. As such the additionality of the
reform aimed at increasing revenue for NHIA remains in question. The author has done a great job by
chronicling the sequence of health insurance financing policies as well as the structure of the NHIA.
Expanding Coverage to Informal Workers: A Study of EPCMD Countries’ Efforts t. After two years
of implementation, there has been a clear rebalancing of the political landscape. All. I’m particularly
happy with the introduction of mobile renewal of membership and the fact that road accident victims
are given some coverage under the scheme. Please share them using the comments feature, below.
Many of the interviewees expressed concern about the sustainability of. Under Act 947, all
allocations to the various statutory funds must not exceed 25 percent of all government revenue. The
purpose of this research was to determine: the adequacy of funding of Offinso Health insurance
scheme; the relationship between revenue trends and claims management from 2006 to 2011; and
measures put in place to ensure the financial sustainability of the scheme. USAID United States
Agency for International Development. Under the NHIS amended Act 852 (2012), every Ghanaian is
required to enroll in a health insurance scheme. Johar Achieving uhc in gahna current debate
Achieving uhc in gahna current debate Wai Wai Han Windows 7 Windows 7 Javier Rodriguez
Galindo Telefonia movil Telefonia movil Javier Rodriguez Galindo Datasheet sensor temperatura
mcp9700 Datasheet sensor temperatura mcp9700 ADELIUS Chickenoreagle 140313062901-
phpapp02 (1) Chickenoreagle 140313062901-phpapp02 (1) Salahuddin S. Nyonator, F. and Kutzin, J.
1999. Health for some? The effects of user fees in the Volta Region of Ghana. There are several
actions that could trigger this block including submitting a certain word or phrase, a SQL command
or malformed data. In August 2003, the Ghanaian Government embarked on a sweeping set of
health reforms that aimed to. Governing Quality in Health Care on the Path to Universal Health
Coverage: A. Mays, N. and Pope, C. 1995. Rigour and qualitative research. Great work and a paper
for the National Health Insurance Authority to adopt as one of the reference books.
However, while the policy successfully enticed people to enroll, the difficulties in implementation
had. Practically, policymakers often develop and entrust a core group of individuals to formulate
and. Expanding Coverage to Informal Workers: A Study of EPCMD Countries’ Efforts t. In many
ways, the development of the Ghanaian NHIS is not dissimilar to the health reform process in.
According to most people involved, the politically connected consultants were among the most.
Jamestown is the first of many communities that would benefit from the initiative, even as Ms
Karikari launches the programme on her birthday. On an annual basis, the cap for each statutory fund
is determined by an overall assessment of current government priority programs for that year, with
the allocation of domestic resources aligned accordingly. Second, a clear understanding of the policy
process can help countries to. You research work from inception to date on NHIA can not be
overemphasized. In view of this, countries have adopted different health financing mechanisms
including National Health Insurance (NHI) to ensure universal access to quality basic health care.
NHIS started with the fee-for-service payment method in 2005, but it rewarded providers
indiscriminately as they provided services to members even if the services were not needed. Under
the NHIS amended Act 852 (2012), every Ghanaian is required to enroll in a health insurance
scheme. International Journal of Health Planning and Management 5(4): 287-312. Moreover, none of
the studies did a detailed analysis of databases that explored perspectives of the three key
stakeholders of the NHIS: client, provider and insurer. Findings showed that the government and the
administrators at Ejisu-Juaben are committed to the implementation of health insurance policy and
provide improved health care in the municipality. I recommend amongst others, a vigorous and
effective electronic system for claims submission to reduce or avoid over reimbursement and also
system for monitoring the billing of services rendered to clients especially to check double billing (
billing both the clients and NHIA for the same services rendered yet, giving wrong impression to the
client that NHIA doesn’t cover those services) to encourage more registration for membership for
more premium and registration fees etc. Paper presented at the 62nd Political Studies Association
Annual International Conference in Defence of Politics. 14. There are several actions that could
trigger this block including submitting a certain word or phrase, a SQL command or malformed
data. The sample size of articles that used primary data ranged from a low of 28 personal interviews
with six FGDs to a high of 120,000 respondents in a randomized control trial. The review focused
on the operational and financial sustainability threats and prospects of the NHIS. The Fiscal
Responsibility Act, 2018 (Act 982) requires that the budget deficit shall not be more than 5% of
Gross Domestic Product (GDP). As a result, bill vote is delayed, and Parliament goes to recess. Most
interestingly, our interviews revealed that there is a marked shift in the dialog from political. He has
fair Design Thinking background and applies innovative ways in writing his articles. Out of the 31
reviewed articles, 45% recommended supply-side or provider-centered strategies; 10% suggested
mainly demand-side or client-centered approaches and the remaining 16% proposed supply and
demand side interventions. The passage of Act 852 replaced Act 650, made District Mutual Health
Insurance Schemes (DMHIS) and NHIA one body to help harmonize activities, and injected some
efficiency into the NHIS. In effect Sustainability and Growth must presuppose each other. This
publication was produced for review by the United States Agency for International Development.
Predictably, the increased enrollment into insurance has led to an increased utilization of services.
This paper adds to Walt and Gilson’s framework by further fleshing out its broad “policy process”.
Funds from international donors that directly support any aspect of NHIA’s operations also go
straight to NHIA operational accounts. Grindle, M.S. and Thomas, J.W. 1991. Public Choices and
Policy Change: The Political Economy of Reform in. Are there any plans for the premium to be
reviewed in the short term. To neutralize this opposition, the consultants leveraged their strong
vertical. Publishing their names alone will serve as an advert for them to receive more patients, which
will increase their revenue generation. Perspectives on threats to NHIS sustainability in Ghana.
Summary of peer reviewed articles on the NHIS sustainability challenges and prospects are presented
in Table 2. The 40% enrolment in the NHIS suggests perhaps tenets of the NHIS are yet to be fully
embraced by communities because of inadequate community engagement coupled with clients’
concerns on service quality in NHIS-accredited health facilities. However, these individuals are
supposed to provide proof of their indemnity. Fig 2 shows details of the frequency of occurrence of
the thematic areas discussed in the 31 reviewed publications. The research showed that, the NHIS
has been an effectual tool for increasing utilization of healthcare services and now citizenry protect
themselves from unforeseen healthcare expenditures, but the standard of quality healthcare services
has reduced. October 2005). Moreover, all consultants involved in the formulation were ordered to
cease activities. The strategy proposed by the chair and the consultants was clearly influenced by the
political. Expanding Coverage to Informal Workers: A Study of EPCMD Countries’ Efforts t. For
example, Figure 2 describes utilization patterns the seven most. Future reforms must include direct
remittance from all sources to the Scheme and removal of all caps, with the required controls sitting
with the NHIA. They felt that actuarial studies needed to be conducted to estimate. Linking an
expansion of the consumption tax to health provided an opportunity for the GRA, which would have
otherwise faced resistance to increasing the rate. This publication was produced for review by the
United States Agency for International Development. Data was analysed using thematic grouping
procedure. You can download the paper by clicking the button above. HFG Project Do Better Laws
and Regulations Promote Universal Health Coverage. Furthermore, grey literature statistics have
shown that Institutional Maternal Mortality Ratio (IMMR) declined from 224 per 100,000 live births
in 2008 to 144 per 100,000 live births in 2014. This is particularly the case in the number of males
than females in the Sunyani Municipality. Meanwhile, members of the state-society networks began
to form alliances with each other to further. Please share them using the comments feature, below.
Well done Daniel. A major problem to the financial sustainability of the NHIS stems from lack of
commitment from the government to place the needed premium on health. In effect Sustainability
and Growth must presuppose each other. Future reviewers should extent their scope and do
comparative reviews of health insurance sustainability in more than one African country. As such, the
cap is seen as a negative measure by the health sector, weakening the power of the 2018 reform and
constraining potential revenue for NHIS operations.