Skip to main content

Administrative Efficiency and Policy Failure: The National Health Insurance Scheme of Ghana in Perspective

  • Reference work entry
  • First Online:
Global Encyclopedia of Public Administration, Public Policy, and Governance

Synonyms

Efficiency – efficacy; Quality of care – Service quality or quality of service; Welfare

Definition

The National Health Insurance Scheme: The National Health Insurance Scheme is a social health insurance scheme to protect the insured against social risk – i.e., ill-health.

Efficacy: Inputs (either financial, structural, or infrastructural) provided by governments or stakeholders to derive quality of healthcare for the insured.

Wellbeing: Healthcare services delivered by providers to ensure that people have good health condition and working in safety.

Introduction

Globally, as countries move toward universal health coverage, healthcare financing through social health insurance is a very important tool in achieving the guaranteed universal financial protection that meets the health needs of populations, especially in developing countries. Thus, healthcare financing has become the crux of ongoing discourse on global development policy for social protection especially situated in...

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 3,499.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Addae-Korankye A (2013) Challenges of financing health care in ghana: the case of national health insurance scheme (NHIS). Int J Asian Soc Sci 3(2):511–522. Journal homepage: http://www.aessweb.com/journal-detail.php?id=5007

  • Akazili J, Welaga P, Bawah A, Achana FS, Oduro A, Awoonor-Williams JKW, Williams JE, Aikins M, Phillips JF (2014) Is Ghana’s pro-poor health insurance scheme really for the poor? Evidence from Northern Ghana. BMC Health Serv Res 14(637):1–9

    Google Scholar 

  • Atinga RA (2011) Healthcare quality under the National Health Insurance Scheme in Ghana: perspectives from premium holders. Int J Quality Reliab Manage 29(2):144–161. https://doi.org/10.1108/02656711211199883

    Article  Google Scholar 

  • Boateng D, Awunyor-Vitor D (2013) Health insurance in Ghana: evaluation of policy holders’ perceptions and factors influencing policy renewal in the Volta region. Int J Equity Health 12:50. 1–10

    Article  Google Scholar 

  • Carrin G (2002) Social health insurance in developing countries: a continuing challenge. Int Soc Secur Rev 55(2):57

    Article  Google Scholar 

  • Dalinjong PA, Laar AS (2012) The national health insurance scheme: perceptions and experiences of health care providers and clients in two districts of Ghana. Heal Econ Rev 2:13. http://www.healtheconomicsreview.com/content/2/1/13

    Article  Google Scholar 

  • Fatawu A, Kpelle M, Kukurah J-D, Sakara A (2014) Service quality in national health insurance scheme healthcare: a case study of Wa municipal national health insurance scheme in the upper west region of Ghana. Develop Country Stud 4(20):108–123

    Google Scholar 

  • Fenny AP, Enemark U, Asante FA, Hansen KS (2014) patient satisfaction with primary health care – a comparison between the insured and non-insured under the national health insurance policy in Ghana. Global J Health Sci 6(4):1–13

    Article  Google Scholar 

  • Hsiao WC, Shaw PR (2007) Social health insurance for developing nations. World Bank, Washington, DC

    Book  Google Scholar 

  • Konrad Adenauer Foundation (1999) Alternative ways of funding health care: the role of stakeholders in promoting sustainable community health insurance. Accra, Ghana

    Google Scholar 

  • Lagarde M, Palmer N (2006) The impact of health financing strategies on access to health services in low and middle income countries (Protocol). Cochrane Database of Systematic Reviews, vol 3, John Wiley & Sons

    Google Scholar 

  • Masango L, Oren JN, Elovainio R, Kirigia J (2012) Moving from ideas to action – developing health financing systems towards universal coverage in Africa. BMC Int Health Hum Rights 12(30):1–11

    Google Scholar 

  • McPake B, Brikci N, Cometto G, Schmidt A, Araujo E (2011) Removing user fees: learning from international experience to support the process. Health Policy Plan 26:104–117

    Article  Google Scholar 

  • National Health Insurance Authority (2010), Annual Report, 2009, National Health Insurance Authority, Accra. http://www.nhis.gov.gh/_Uploads/dbsAttachedFiles/1(1).pdf. Accessed 08 May 2015

  • Nies H, Leichsenring K, Veen R, Rodrigues R Gobet P, Holdsworth LS, Mak E, Durrett H, Repetti M, Naiditch M, Hammar T, Mikkola H, Finne-Soveri H, Hujanen T, Carretero S, Cordero L, Ferrando M, Emilsson T, Ljunggren G, D’Santo P, Ceruzzi F, Turk E (2010) Quality management and quality assurance in long-term care. European Overview Paper. Utrecht/Vienna. Funded by the European Commission under the Seventh Framework Programme Grant agreement no. 223037

    Google Scholar 

  • Norton A, Conway T, Foster M (2001) Social protection concepts and approaches: implications for policy and practice in international development. Working Paper 143. Centre for Aid and Public Expenditure. Overseas Development Institute, 111 Westminster Bridge Road London SE1 7JD UK

    Google Scholar 

  • Oxfam International (2011) Achieving a shared goal: free universal health care in Ghana. Oxfam International, England, Wales and Scotland

    Google Scholar 

  • Seddoh A, Adjei S, Nazzar A (2011) Ghana’s National Health Insurance Scheme: views on progress, observations and commentary. Accra, Ghana

    Google Scholar 

  • Social Security Advisory Board of Trustees (SSABT) (2009) The unsustainable cost of health care. The September 2009 annual report. Washington, DC, USA

    Google Scholar 

  • WHO (2005) Sustainable health financing, universal coverage, and social health insurance. Geneve, Switzerland

    Google Scholar 

  • World Bank (1992) Financing health services in developing countries: an agenda for reform. The World Bank, Washington, DC

    Google Scholar 

  • World Bank (2013) Africa health financing forum: finance and capacity for results. The World Bank, Washington, DC

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Francis Nangbeviel Sanyare .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Sanyare, F.N., Tuolong, J.G. (2018). Administrative Efficiency and Policy Failure: The National Health Insurance Scheme of Ghana in Perspective. In: Farazmand, A. (eds) Global Encyclopedia of Public Administration, Public Policy, and Governance. Springer, Cham. https://doi.org/10.1007/978-3-319-20928-9_3307

Download citation

Publish with us

Policies and ethics