Go to AfricaBib home

Go to AfricaBib home AfricaBib Go to database home

bibliographic database
Previous page New search

The free AfricaBib App for Android is available here

Book Book Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Improving health insurance coverage in Ghana: a case study
Author:Kotoh, Agnes M.ISNI
Series:African Studies Collection (ISSN 1876-0198)
City of publisher:Leiden
Publisher:African Studies Centre
Geographic term:Ghana
Subjects:health insurance
access to health care
External link:https://hdl.handle.net/1887/20951
Abstract:Ghana was one of the first sub-Saharan African countries to introduce national health insurance in order to ensure more equity in access to health care. The National Health Insurance Act was passed in August 2003 and the National Health Insurance Schemes (NHIS) became operational in March 2004. The response of the population has been disappointing, however. This study examines an experiment with so-called 'problem-solving groups' that try to resolve mutual miscommunication and build trust among community members, health workers and health insurance staff. The problem-solving groups consist of representatives of these three stakeholders. The author closely followed the setting-up, meetings and group dynamics of problem-solving groups in seven local communities and analysed the results of the intervention. The research was part of a larger randomized trial involving more than 3000 households in the Central and Eastern Region of Ghana. The overall project revealed some improvement in insurance membership thanks to the work of problem-solving groups. This anthropological case study throws light on the more hidden complexities of promoting health insurance, the most pressing of which is that the poor, for whom health insurance is most urgent, were the least enrolled due to poverty and inadequate exemption. [Book abstract, edited]