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Does Ghana's National Health Insurance Scheme provide financial protection to tuberculosis patients and their households?

Author

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  • Pedrazzoli, Debora
  • Carter, Daniel J.
  • Borghi, Josephine
  • Laokri, Samia
  • Boccia, Delia
  • Houben, Rein MGJ.

Abstract

Financial barriers are a key limitation to accessing health services, such as tuberculosis (TB) care in resource-poor settings. In Ghana, the National Health Insurance Scheme (NHIS), established in 2003, officially offers free TB care to those enrolled. Using data from the first Ghana's national TB patient cost survey, we address two key questions 1) what are the key determinants of costs and affordability for TB-affected households, and 2) what would be the impact on costs for TB-affected households of expanding NHIS to all TB patients?

Suggested Citation

  • Pedrazzoli, Debora & Carter, Daniel J. & Borghi, Josephine & Laokri, Samia & Boccia, Delia & Houben, Rein MGJ., 2021. "Does Ghana's National Health Insurance Scheme provide financial protection to tuberculosis patients and their households?," Social Science & Medicine, Elsevier, vol. 277(C).
    • Handle: RePEc:eee:socmed:v:277:y:2021:i:c:s0277953621002070
    DOI: 10.1016/j.socscimed.2021.113875
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    References listed on IDEAS

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    1. World Health Organization & World Bank, 2017. "Tracking Universal Health Coverage," World Bank Publications - Books, The World Bank Group, number 29042, December.
    2. McIntyre, Diane & Thiede, Michael & Dahlgren, Göran & Whitehead, Margaret, 2006. "What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts?," Social Science & Medicine, Elsevier, vol. 62(4), pages 858-865, February.
    3. Agyepong, Irene Akua & Nagai, Richard A., 2011. ""We charge them; otherwise we cannot run the hospital" front line workers, clients and health financing policy implementation gaps in Ghana," Health Policy, Elsevier, vol. 99(3), pages 226-233, March.
    4. Knut Lönnroth & Philippe Glaziou & Diana Weil & Katherine Floyd & Mukund Uplekar & Mario Raviglione, 2014. "Beyond UHC: Monitoring Health and Social Protection Coverage in the Context of Tuberculosis Care and Prevention," PLOS Medicine, Public Library of Science, vol. 11(9), pages 1-10, September.
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