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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Progressivity of health care financing and incidence of service benefits in Ghana
Health Policy and Planning, Volume 27, No. SUPPL.1, Year 2012
Notification
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Description
The National Health Insurance (NHI) scheme was introduced in Ghana in 2004 as a pro-poor financing strategy aimed at removing financial barriers to health care and protecting all citizens from catastrophic health expenditures, which currently arise due to user fees and other direct payments. A comprehensive assessment of the financing and benefit incidence of health services in Ghana was undertaken. These analyses drew on secondary data from the Ghana Living Standards Survey (2005/2006) and from an additional household survey which collected data in 2008 in six districts covering the three main ecological zones of Ghana. Findings show that Ghana's health care financing system is progressive, driven largely by the progressivity of taxes. The national health insurance levy (which is part of VAT) is mildly progressive while NHI contributions by the informal sector are regressive. The distribution of total benefits from both public and private health services is pro-rich. However, public sector district-level hospital inpatient care is pro-poor and benefits of primary-level health care services are relatively evenly distributed. For Ghana to attain an equitable health system and fully achieve universal coverage, it must ensure that the poor, most of whom are not currently covered by the NHI, are financially protected, and it must address the many access barriers to health care. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2012; all rights reserved.2012 © Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2012; all rights reserved.
Authors & Co-Authors
Akazili, J.
Ghana, Navrongo
Navrongo Health Research Center
Garshong, Bertha Na
Ghana, Accra
Ghana Health Service
Aikins, Moses Kweku S.
Ghana, Accra
University of Ghana
Gyapong, John O.
Ghana, Accra
Ghana Health Service
McIntyre, Di E.
South Africa, Cape Town
Faculty of Health Sciences
Statistics
Citations: 122
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1093/heapol/czs004
e-ISSN:
14602237
Research Areas
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Ghana