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

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  • Adam Fusheini
  • Gordon Marnoch
  • Ann Marie Gray

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.

Suggested Citation

  • Adam Fusheini & Gordon Marnoch & Ann Marie Gray, 2017. "Implementation Challenges of the National Health Insurance Scheme in Selected Districts in Ghana: Evidence from the Field," International Journal of Public Administration, Taylor & Francis Journals, vol. 40(5), pages 416-426, April.
    • Handle: RePEc:taf:lpadxx:v:40:y:2017:i:5:p:416-426
    DOI: 10.1080/01900692.2015.1127963
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