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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Management of mutual health organizations in Ghana
Tropical Medicine and International Health, Volume 11, No. 5, Year 2006
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Description
OBJECTIVE: Mutual Health Organizations (MHO) emerged in Ghana in the mid-1990s. The organizational structure and financial management of private and public MHO hold important lessons for the development of national health insurance in Ghana, but there is little evidence to date on their features. This paper aims at filling this data gap, and at making recommendations to Ghanaian authorities on how to stimulate the success of MHO. METHODS: Survey among 45 private and public MHO in Ghana in 2004-2005, asking questions on their structure, financial management and financial position. RESULTS: Private MHO had more autonomy in setting premiums and benefit packages, and had higher community participation in meetings than public MHO. MHO in general had few measures in place to control moral hazard and reduce adverse selection, but more measures to control fraud and prevent cost escalation. The vast majority of schemes were managed by formally trained and paid staff. The financial results varied considerably. CONCLUSIONS: Ghanaian authorities regulate the newly established public MHO, but may do good by leaving them a certain level of autonomy in decision-making and secure community participation. The financial management of MHO is suboptimal, which indicates the need for technical assistance. © 2006 Blackwell Publishing Ltd.
Authors & Co-Authors
Baltussen, Rob P.M.
Netherlands, Rotterdam
Erasmus Universiteit Rotterdam
Netherlands, Nijmegen
Radboud University Medical Center
Netherlands, Rotterdam
Erasmus Mc
Bruce, E.
Ghana, Accra
Ghana Health Service
Rhodes, G.
Netherlands, Rotterdam
Ecorys Netherlands
Narh-Bana, Solomon A.
Ghana, Accra
Ghana Health Service
Agyepong, Irène Akua
Ghana, Cape Coast
Regional Health Administration Cape Coast
Statistics
Citations: 40
Authors: 5
Affiliations: 6
Identifiers
Doi:
10.1111/j.1365-3156.2006.01621.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Environmental
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Ghana