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Tytuł pozycji:

Political economy and the pursuit of universal health coverage in Ghana: a case study of the National Health Insurance Scheme.

Tytuł:
Political economy and the pursuit of universal health coverage in Ghana: a case study of the National Health Insurance Scheme.
Autorzy:
Novignon J; Department of Economics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Lanko C; Department of Economics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Arthur E; Department of Economics, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Źródło:
Health policy and planning [Health Policy Plan] 2021 Nov 12; Vol. 36 (Supplement_1), pp. i14-i21.
Typ publikacji:
Journal Article; Review
Język:
English
Imprint Name(s):
Original Publication: [Oxford] : Oxford University Press in association with the London School of Hygiene and Tropical Medicine, c1986-
MeSH Terms:
National Health Programs*
Universal Health Insurance*
Fees and Charges ; Ghana ; Humans ; Insurance, Health ; Politics
References:
Health Syst Reform. 2019;5(3):183-194. (PMID: 31369319)
Glob Health Action. 2014 May 13;7:23848. (PMID: 24836443)
Soc Sci Med. 2011 Jan;72(2):157-65. (PMID: 21145152)
Ghana Med J. 2012 Jun;46(2):76-84. (PMID: 22942455)
Health Policy Plan. 2008 Mar;23(2):150-60. (PMID: 18245803)
Health Policy Plan. 2017 Apr 1;32(3):366-375. (PMID: 28365754)
Lancet Glob Health. 2018 Feb;6(2):e169-e179. (PMID: 29248367)
Int J Equity Health. 2013 Jan 22;12:9. (PMID: 23339606)
Health Syst Reform. 2019;5(3):224-235. (PMID: 31390295)
BMC Health Serv Res. 2018 Jun 7;18(1):426. (PMID: 29879978)
Health Policy Plan. 2015 Nov;30(9):1105-17. (PMID: 25339634)
Grant Information:
International Development Research Centre
Contributed Indexing:
Keywords: Ghana; Health insurance; health financing; political economy; universal health coverage
Entry Date(s):
Date Created: 20211201 Date Completed: 20211203 Latest Revision: 20211214
Update Code:
20240105
PubMed Central ID:
PMC8633650
DOI:
10.1093/heapol/czab061
PMID:
34849898
Czasopismo naukowe
The road to universal health coverage depends on resources committed to the health sector. In many cases, the political structure and strength of advocacy play an important role in setting budgets for health. However, this has, until recently, not been of interest to health system researchers and policymakers. In this study, we document the political path to the establishment of the Ghana National Health Insurance Scheme (NHIS) as well as continuous political interest in the scheme. To achieve our objectives, we used qualitative data from interviews with key stakeholders. These include stakeholders instrumental in the design and establishment of the NHIS. We also reviewed party manifestoes from the two main political parties in the country. Promises relating to the NHIS were extracted from the various manifestos and analysed. Other documents that account for the design and implementation of the scheme were reviewed. We found that the establishment of the NHIS was down to political commitment and effective engagement with relevant stakeholders. It was considered a solution to the political promise to remove user fees and make healthcare accessible to all. A review of the manifestos shows that in almost every election year after the NHIS was established, there has been some promise related to improving the scheme. There were several policy propositions repeated in different election years. The findings imply that advocacy to get health financing on the political agenda is crucial. This should start from the development of party manifestos. It is important to also ensure that proposed party policies are consistent with national priorities in the medium to long term.
(© The Author(s) 2021. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.)

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