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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Implementation of Ghana's Health User Fee Policy and the Exemption of the Poor: Problems and Prospects
Author:Badasu, Delali MargaretISNI
Year:2004
Periodical:African Population Studies
Volume:19 Supplement A
Pages:285-302
Language:English
Geographic term:Ghana
Subjects:health policy
health financing
poverty
Health and Nutrition
Politics and Government
Economics and Trade
External link:http://www.bioline.org.br/pdf?ep04031
Abstract:Like many other African countries, Ghana has been implementing a cost-sharing policy in its health sector since the 1990s, with the aim of improving both the quality of and access to health services. This paper examines the problems and prospects of exempting the poor under the health user fee policy. It reveals that problems arising from implementing the user fee policy and exemption clause are major obstacles to health access of the poor. The absence of criteria for identifying the poor is not the only problem making the provision unavailable to them. Other factors include the attitude of facility managers and their fear of the potential large number of beneficiaries that can lead to loss of revenue, and lack of monitoring of the policy by the government. However, the study suggests that despite the shortcomings of the exemption policy and its implementation, it should continue to be an important component of health policy, considering the vast inequalities in income among the Ghanaian population. Bibliogr., note, sum. [ASC Leiden abstract]
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