Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

video

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

sound

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Persian Version

Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

View:

198
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Download:

168
Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Cites:

Information Journal Paper

Title

STAKEHOLDERS PERSPECTIVES ON THE SUCCESS DRIVERS IN GHANA’S NATIONAL HEALTH INSURANCE SCHEME – IDENTIFYING POLICY TRANSLATION ISSUES

Pages

  273-283

Abstract

 Background: GHANA’s National Health Insurance Scheme (NHIS), established by an Act of Parliament (Act 650), in 2003 and since replaced by Act 852 of 2012 remains, in African terms, unprecedented in terms of growth and coverage. As a result, the scheme has received praise for its associated legal reforms, clinical audit mechanisms and for serving as a hub for knowledge sharing and learning within the context of South-South cooperation. The scheme continues to shape national health insurance thinking in Africa. While the success, especially in coverage and financial access has been highlighted by many authors, insufficient attention has been paid to critical and context-specific factors. This paper seeks to fill that gap.Methods: Based on an empirical qualitative case study of stakeholders’ views on challenges and success factors in four mutual schemes (district offices) located in two regions of GHANA, the study uses the concept of POLICY TRANSLATION to assess whether the GHANA scheme could provide useful lessons to other African and developing countries in their quest to implement social/NHISs.Results: In the study, interviewees referred to both ‘hard and soft’ elements as driving the "success" of the GHANA scheme. The main ‘hard elements’ include bureaucratic and legal enforcement capacities; IT; financing; governance, administration and management; regulating membership of the scheme; and service provision and coverage capabilities. The ‘soft’ elements identified relate to: the background/context of the health insurance scheme; innovative ways of funding the NHIS, the hybrid nature of the GHANA scheme; political will, commitment by government, stakeholders and public cooperation; social structure of GHANA (solidarity); and ownership and participation.Conclusion: Other developing countries can expect to translate rather than re-assemble a national health insurance programme in an incomplete and highly modified form over a period of years, amounting to a process best conceived as germination as opposed to emulation. The GHANA experience illustrates that in adopting health financing systems that function well, countries need to customise systems (policy customisation) to suit their socio-economic, political and administrative settings. Home-grown health financing systems that resonate with social values will also need to be found in the process of translation.

Cites

  • No record.

    • References

  • No record.

    • Cite

    APA: Copy

    FUSHEINI, ADAM, MARNOCH, GORDON, & GRAY, ANN MARIE. (2017). STAKEHOLDERS PERSPECTIVES ON THE SUCCESS DRIVERS IN GHANA’S NATIONAL HEALTH INSURANCE SCHEME – IDENTIFYING POLICY TRANSLATION ISSUES. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 6(5), 273-283. SID. https://sid.ir/paper/338559/en

    Vancouver: Copy

    FUSHEINI ADAM, MARNOCH GORDON, GRAY ANN MARIE. STAKEHOLDERS PERSPECTIVES ON THE SUCCESS DRIVERS IN GHANA’S NATIONAL HEALTH INSURANCE SCHEME – IDENTIFYING POLICY TRANSLATION ISSUES. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2017;6(5):273-283. Available from: https://sid.ir/paper/338559/en

    IEEE: Copy

    ADAM FUSHEINI, GORDON MARNOCH, and ANN MARIE GRAY, “STAKEHOLDERS PERSPECTIVES ON THE SUCCESS DRIVERS IN GHANA’S NATIONAL HEALTH INSURANCE SCHEME – IDENTIFYING POLICY TRANSLATION ISSUES,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 6, no. 5, pp. 273–283, 2017, [Online]. Available: https://sid.ir/paper/338559/en

    Related Journal Papers

  • No record.

    • Related Seminar Papers

  • No record.

    • Related Plans

  • No record.

    • Recommended Workshops






    Move to top