Pdf ghanas social health insurance scheme, introduced in 2003. History early history to independence in precolonial times the area of presentday ghana comprised a number of independent kingdoms, including gonja and dagomba in the north, ashanti in the interior, and the fanti states along the coast. Limit delivery of services to level of accreditation. But, a professor at the university of ghana s school of public health, prof. Nhis ghana overview reforms achievements version 3. Mr mensah is the author of the book entitled in the shadows of politics. Seeking the mandate of the people in the 2000 elections. Ghana national health insurance scheme open knowledge. The national health insurance scheme in ghana is deemed as one of the legacies of the john kufuor administration. The history of cape coast castle and the atlantic slave trade by. Improving health insurance coverage in ghana research explorer. Ghana national health insurance scheme nhis was established in 2003 as a major vehicle to achieve the countrys commitment of universal health coverage. Services to be offered include proper history taking, examination and routine laboratory investigations to help reach a diagnosis. In 1957, when the leaders of the former british colony of the gold coast sought an appropriate name for their newly independent statethe first black african nation to gain its independence from colonial rulethey named their new country after ancient ghana.
Ghana is among the first countries in subsaharan africa to begin implementation of a national health insurance scheme nhis. Ghana, country of western africa, situated on the coast of the gulf of guinea. Pdf the ghana national health insurance scheme nhis was. Addaekorankye management and public administration department central university college, accra, ghana abstract the study examined the challenges of financing health care in ghana. The effect of the national health insurance scheme nhis. A timeline, photographs, maps, and an appendix of biographies of notable figures in the history of ghana are included. The legal perspectives of ghanas nhis we can undoubtedly say that the nhis has made great strides in the history of ghanas health system since its implementation.
The study investigates the effect of ghanas national health insurance scheme nhis on health care utilisation. It also identified various funding mechanisms available to finance health care in ghana. Until the nhis was introduced in 2003, the country had over time implemented a number of financing reforms. It is an historical overview the kind that every library needs as basic, general academic research material. Access to health insurance is expected to have positive effect in improving access to healthcare and offer financial risk protection to households. Factors that influence enrolment and retention in ghana. The three colors of the flag red, green, and black and the black star in the middle are all symbolic of the panafricanist movement. The nhis is a social intervention program intended to provide financial risk protection against out of pocket healthcare expenditure for residents in ghana. He maintained that, the nhia was considered a leading agency under the ministry of health moh in terms of performance and systems. Because the current cash and carry system, which makes it compulsory for everybody to.
The nhis continues to play a critical role towards attaining universal health coverage in ghana albeit confronted by challenges that could. The acting director of quality assurance qa at the national health insurance authority nhia, mr. Does the operations of the national health insurance scheme. List of books and articles about ghana history online. The government has earmarked valueadded tax to finance nhis in addition to deduction from social security trust ssnit and premium payment. The effect of ghanas national health insurance scheme on. Books set in ghana fiction and nonfiction books set completely or at least partially in ghana. The main goal of the nhis was to ensure that within five years of implementation, every resident of ghana would belong to a health insurance scheme that would guarantee access to health care and adequately cover residents against.
Despite the fact that the national health insurance scheme nhis has. Irene agyepong, disagrees, saying, ghana should have achieved more in health delivery under the scheme, if. Provide returns on utilization of services and other data to nhis through hmos vii. The ghana national health insurance scheme nhis in 2003, the government of ghana established the national health insurance scheme through an act of parliament act 650, revised to act 852 in 2012 to provide financial risk protection against the cost of basic health care for all residents in ghana. A short history of ghana from earliest times until 1980. Health care industry health care reform medically uninsured persons national health insurance analysis surveys. Ghana s fourth republic, established in 1993, has dealt with the legacy of instability inherited from the past as it moves towards a more stable future. Finally there came emancipation and the evolution of modern ghana. The findings that are presented in this book include work i per. This was a key theme in the early history of ghanas independence. After a decade of its implementation, national coverage is just about 34% of the national.
June 2012 volume 46, number 2 ghana medical journal. Laboratory investigations include malaria parasite, wbc. We provide a short history of health insurance in ghana, and briefly discuss general patterns of enrolment in ghana as well as in accra in a first step. This seeks to interrogate historical claims data to identify fraud and achieve value for. 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. Jan 18, 2016 the former chief executive of the national health insurance authority nhia, sylvester mensah, has said that despite the negative reportage on the scheme in the last couple of weeks, ghanas national health insurance scheme nhis remains a leading global model and a centre for international knowledge and experience sharing. Ismail osei, has declared zero tolerance for false entries as claims for reimbursement. Pdf the implementation of the national health insurance. We provide a short history of health insurance in ghana, and briefly discuss general patterns of enrolment in ghana as well as in accra in.
Top american libraries canadian libraries universal library community texts project gutenberg biodiversity. To provide financial risk protection against the cost of quality health care for all residents in ghana and to delight our members and other stakeholders with an. The idea for the national health insurance scheme nhis in ghana was conceived by former president john kufuor who when seeking the mandate of the people in the 2000 elections, promised to abolish the cash and carry system of health delivery. As part of rejuvenated efforts at pursuing sustainable health care financing options that promote universal coverage, ghana has adopted a national health insurance scheme nhis to provide financial access and universal coverage for health care, which is key in promotive, preventive, curative and rehabilitative health interventions for all at an affordable cost. It is perhaps the earliest example of history writing in english by an african ruler. When we say maternity care is free, there used to be a period in our history. Original article, report by international journal of health policy and management. Electronic search was done for literature published between 20032016 on the nhis and its sustainability in ghana. The national health insurance scheme nhis is a social intervention program introduced by government to provide financial access to quality health care for residents in ghana. Ghanas national health insurance scheme nhis, established. In 1482 the first european fort was established by the portuguese at elmina. Find the top 100 most popular items in amazon books best sellers. This development made ghana one of the few countries in africa to have adopted a national health insurance scheme.
Book description this is a key text for understanding the history of the great west african kingdom of asante now in ghana. It starts in the precolonial period, then the incursion by the traders of the west followed by their gradual domination until full blown colonial rule was established. Refusal to enrol in ghanas national health insurance. Nhis ghana overview reforms achievements version 3 free download as powerpoint presentation. The national health insurance scheme is a form of national health insurance established by the government of ghana, with a goal to provide equitable access and financial coverage for basic health care services to ghanaian citizens. The project, which was known as ghana history book project, was formally launched at agona swedru, in the central region of ghana on 14th april, 2012. Refusal to enrol in ghanas national health insurance scheme. Education, health knowledge and child health in coastal ghana what do people know, how do they know it, and does it matter. Featured texts all books all texts latest this just in smithsonian libraries fedlink us genealogy lincoln collection.
A new name of great resonance in african history is adopted ghana although the ancient kingdom of that name was far to the north, in presentday mali. The national health insurance levy nhil, which is 2. While recent studies have shown that wealth is an important factor in enrolment in the scheme, there is little understanding of its interlinkages with the geographical divisions and deepseated deprivation in the northern region. The financial statements have been prepared on a historical cost basis.
Nhis questionnaires, datasets, and related documentation. Jan 17, 2015 access to health insurance is expected to have positive effect in improving access to healthcare and offer financial risk protection to households. After a decade of its implementation, national coverage is. Search the history of over 424 billion web pages on the internet. June 2012 volume 46, number 2 ghana medical journal the. The effect of the national health insurance scheme nhis on. Towards a sustainable health care financing in ghana. This article is from bmc international health and human rights, volume. Pregnant women were offered free access to health care through. Ghanas national health insurance scheme nhis remains a leading global model and a centre for international knowledge and experience sharing. A description in narrative and tabular format, of the past history of the book of. The nhis is a social intervention program intended to provide financial risk protection against out of pocket healthcare expenditure for. The first section of the book covers the beginnings of precolonial statehood in the area of west africa that would become ghana.
Achievements and challenges of the national health insurance. The government is to replace the existing cash and carry health financing system with a national health insurance scheme. Nhis microdata files record lengths and counts pdf icon pdf 63 kb nhis microdata reference information. The national health insurance scheme in ghanas upper west.
In february 20, the name of the project was changed from ghana history book project to ghana state book project. The history of ghana is in the series greenwood histories of the modern nations. Trade was begun, largely in gold and slaves, and intense competition developed among many european nations for trading advantages. Achievements and challenges of the national health. Although relatively small in area and population, ghana is one of the leading countries of africa and is celebrated for its rich history. However, looking at it from the other side of the spectacle we can argue that. The result is an indispensably detailed account of the asante monarchy from the seventeenth to the nineteenth centuries. Ghana began the implementation of a national health insurance scheme nhis in 2004 as a way to ensure equitable access to basic healthcare for all residents. The effect of ghanas national health insurance scheme on health.
Ghanas national health insurance scheme nhis on health care utilisation. Ghanas national health insurance scheme nhis was designed as a propoor strategy to create wider access to health care. For more books about this country and others, see the around the world in 80 days group. Factors that influence enrolment and retention in ghana national health insurance scheme. This was a key theme in the early history of ghana s independence. Does the operations of the national health insurance. Stakeholders perspectives on the success drivers in ghanas. History of ghana gold coast british colony, history of ghana 19661979, elmina castle, ghana empire, ashanti empire, angloashanti wars, john kufuor, osei kofi tutu i, kofi abrefa busia, ignatius kutu acheampong alphascript publishing. Ghanas fourth republic, established in 1993, has dealt with the legacy of instability inherited from the past as it moves towards a more stable future.
This article is from international journal for equity in health, volume 12. Factors that influence enrolment and retention in ghana national. The highly unpopular cash and carry system became a salient political issue and the main opposition party, the national patriotic party npp, began to call for its abolishment in its manifestos and campaignsa promise that may have helped the npp win the 2000 presidential and parliamentary elections. Ghana succumbed to attacks by its neighbors in the 11th century, but its name and reputation endured. In a second step, we use data from the womens health study of accra wave ii to evaluate. Nimo1 1department of community health, university of ghana medical school, college of health sciences, korle. I argued that why would we do what we called book calculations and. Ghana s national health insurance scheme nhis was designed as a propoor strategy to create wider access to health care. Irene agyepong, disagrees, saying, ghana should have achieved more in health delivery under the scheme, if more. We provide a short history of health insurance in ghana, and briefly discuss general patterns of.
Aug 30, 2016 the ghana national health insurance scheme nhis in 2003, the government of ghana established the national health insurance scheme through an act of parliament act 650, revised to act 852 in 2012 to provide financial risk protection against the cost of basic health care for all residents in ghana. History of ghana gold coast british colony, history of ghana 19661979, elmina castle, ghana empire, ashanti empire, angloashanti. But, a professor at the university of ghanas school of public health, prof. The study investigates the effect of ghana s national health insurance scheme nhis on health care utilisation.