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| Title: | Improving health insurance coverage in Ghana: a case study |
| Author: | Kotoh, Agnes M. |
| Year: | 2013 |
| Issue: | 51 |
| Pages: | 259 |
| Language: | English |
| Series: | African Studies Collection (ISSN 1876-0198) |
| City of publisher: | Leiden |
| Publisher: | African Studies Centre |
| ISBN: | 9789054481294 |
| 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] |
