Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana
Ghana is a country in West Africa with a population of about 25 million. The country is a stable democracy and achieved lower middle-income status in 2011 with a per capita gross national income (GNI) of $1,410. The prevalence of human immunodefici...
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| Format: | Working Paper |
| Language: | English en_US |
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World Bank Group, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2014/09/20274427/universal-health-coverage-inclusive-sustainable-development-country-summary-report-ghana http://hdl.handle.net/10986/20730 |
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okr-10986-20730 |
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oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
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World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ACCESS TO SERVICES AGED ANTENATAL VISITS CANCER CAPITATION CAPITATION PAYMENT CATASTROPHIC HEALTH SPENDING CHILDBIRTH CITIES CLINICS COMMUNITY HEALTH COMPETENCIES COMPLICATIONS COST SHARING DELIVERY OF HEALTH CARE DELIVERY SYSTEM DEMOCRACY DEVELOPMENT GOALS DIAGNOSIS DIET EMERGENCY CARE ENROLLEES ENTITLEMENT EPIDEMIOLOGY ESSENTIAL MEDICINES EXPENDITURES FEE FOR SERVICE FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FEE-FOR-SERVICE SYSTEM FINANCIAL MANAGEMENT FINANCIAL PROTECTION GOVERNMENT PROGRAMS GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CENTERS HEALTH CONDITIONS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INSURANCE HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH POLICY HEALTH RESOURCES HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE MANAGEMENT HEALTH SERVICE PROVIDERS HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIV HIV/AIDS HOSPITAL HOSPITAL BEDS HOSPITAL INPATIENT HOSPITALS HUMAN RESOURCES ILLNESS INCOME INEQUITIES INFORMAL PAYMENTS INFORMAL SECTOR INPATIENT CARE INSURANCE COVERAGE INSURANCE SYSTEM INTEGRATION LARGE CITIES LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH MALARIA MANDATES MATERNAL HEALTH MATERNITY CARE MEDICAL PERSONNEL MEDICAL SPECIALTIES MEDICINES MENTAL DISORDERS MIDWIFE MIDWIVES MIGRATION MINISTRY OF HEALTH NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL LEVEL NATIONAL POLICY NEWBORN NUMBER OF PEOPLE NURSE NURSES NUTRITION ORAL HEALTH OUTPATIENT SERVICES PATIENT PEACE PHARMACEUTICAL SPENDING PHYSICIANS PILOT PROJECTS PLACE OF RESIDENCE POCKET PAYMENTS POLICY DECISIONS POLICY DEVELOPMENT POLICY FRAMEWORK POOR HEALTH POPULAR SUPPORT POPULATION GROUPS PREGNANT WOMEN PRENATAL CARE PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROGRESS PROVIDER PAYMENT PSYCHIATRIC HOSPITALS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR PURCHASING POWER PURCHASING POWER PARITY QUALITY OF CARE QUALITY SERVICES REFERRAL SYSTEM RURAL AREAS SERVICE DELIVERY SERVICE PROVISION SOCIAL POLICY SOCIAL SCIENCE SOCIAL SECURITY SOCIAL WELFARE SURGERY SUSTAINABLE DEVELOPMENT TEACHING HOSPITALS TREATMENTS URBAN AREAS USER FEES VISITS WORKERS |
| spellingShingle |
ACCESS TO SERVICES AGED ANTENATAL VISITS CANCER CAPITATION CAPITATION PAYMENT CATASTROPHIC HEALTH SPENDING CHILDBIRTH CITIES CLINICS COMMUNITY HEALTH COMPETENCIES COMPLICATIONS COST SHARING DELIVERY OF HEALTH CARE DELIVERY SYSTEM DEMOCRACY DEVELOPMENT GOALS DIAGNOSIS DIET EMERGENCY CARE ENROLLEES ENTITLEMENT EPIDEMIOLOGY ESSENTIAL MEDICINES EXPENDITURES FEE FOR SERVICE FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FEE-FOR-SERVICE SYSTEM FINANCIAL MANAGEMENT FINANCIAL PROTECTION GOVERNMENT PROGRAMS GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CENTERS HEALTH CONDITIONS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INSURANCE HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH POLICY HEALTH RESOURCES HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE MANAGEMENT HEALTH SERVICE PROVIDERS HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIV HIV/AIDS HOSPITAL HOSPITAL BEDS HOSPITAL INPATIENT HOSPITALS HUMAN RESOURCES ILLNESS INCOME INEQUITIES INFORMAL PAYMENTS INFORMAL SECTOR INPATIENT CARE INSURANCE COVERAGE INSURANCE SYSTEM INTEGRATION LARGE CITIES LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH MALARIA MANDATES MATERNAL HEALTH MATERNITY CARE MEDICAL PERSONNEL MEDICAL SPECIALTIES MEDICINES MENTAL DISORDERS MIDWIFE MIDWIVES MIGRATION MINISTRY OF HEALTH NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL LEVEL NATIONAL POLICY NEWBORN NUMBER OF PEOPLE NURSE NURSES NUTRITION ORAL HEALTH OUTPATIENT SERVICES PATIENT PEACE PHARMACEUTICAL SPENDING PHYSICIANS PILOT PROJECTS PLACE OF RESIDENCE POCKET PAYMENTS POLICY DECISIONS POLICY DEVELOPMENT POLICY FRAMEWORK POOR HEALTH POPULAR SUPPORT POPULATION GROUPS PREGNANT WOMEN PRENATAL CARE PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROGRESS PROVIDER PAYMENT PSYCHIATRIC HOSPITALS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR PURCHASING POWER PURCHASING POWER PARITY QUALITY OF CARE QUALITY SERVICES REFERRAL SYSTEM RURAL AREAS SERVICE DELIVERY SERVICE PROVISION SOCIAL POLICY SOCIAL SCIENCE SOCIAL SECURITY SOCIAL WELFARE SURGERY SUSTAINABLE DEVELOPMENT TEACHING HOSPITALS TREATMENTS URBAN AREAS USER FEES VISITS WORKERS Otoo, Nathaniel Awittor, Evelyn Marquez, Patricio Saleh, Karima Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana |
| geographic_facet |
Africa Ghana |
| description |
Ghana is a country in West Africa with a
population of about 25 million. The country is a stable
democracy and achieved lower middle-income status in 2011
with a per capita gross national income (GNI) of $1,410. The
prevalence of human immunodeficiency virus (HIV) and
acquired immunodeficiency syndrome (AIDS) in Ghana is among
the lowest in the Sub-Saharan Africa region, and this too
makes its status related to life expectancy relatively
better. The government made a commitment to universal health
coverage when it passed the national health insurance scheme
(NHIS) law, act 650, at the end of 2003. The law was revised
in 2012 (act 852) to bring the district insurance schemes
into a single pooled fund, thus eliminating fragmentation.
Act 650 established the national health insurance authority
(NHIA) to implement the NHIS and mandates that all residents
of Ghana enroll in one of the accredited insurance schemes.
The law does not specify consequences for failing to enroll,
nor are residents automatically enrolled, so until now the
NHIS has been operating as a de facto voluntary scheme. With
the 2003 NHIS law, the health financing system in Ghana is
now a combination of supply-side subsidies for public and
faith-based providers directly through the government
budget, entitlement-based insurance coverage financed
through a combination of earmarked taxes and individual-paid
premiums, and direct out-of-pocket payments. The report is
divided into two parts: part one gives universal coverage -
status and sequencing; and part two present lessons to be shared. |
| format |
Publications & Research :: Working Paper |
| author |
Otoo, Nathaniel Awittor, Evelyn Marquez, Patricio Saleh, Karima |
| author_facet |
Otoo, Nathaniel Awittor, Evelyn Marquez, Patricio Saleh, Karima |
| author_sort |
Otoo, Nathaniel |
| title |
Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana |
| title_short |
Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana |
| title_full |
Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana |
| title_fullStr |
Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana |
| title_full_unstemmed |
Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana |
| title_sort |
universal health coverage for inclusive and sustainable development : country summary report for ghana |
| publisher |
World Bank Group, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2014/09/20274427/universal-health-coverage-inclusive-sustainable-development-country-summary-report-ghana http://hdl.handle.net/10986/20730 |
| _version_ |
1764445895336656896 |
| spelling |
okr-10986-207302021-04-23T14:03:57Z Universal Health Coverage for Inclusive and Sustainable Development : Country Summary Report for Ghana Otoo, Nathaniel Awittor, Evelyn Marquez, Patricio Saleh, Karima ACCESS TO SERVICES AGED ANTENATAL VISITS CANCER CAPITATION CAPITATION PAYMENT CATASTROPHIC HEALTH SPENDING CHILDBIRTH CITIES CLINICS COMMUNITY HEALTH COMPETENCIES COMPLICATIONS COST SHARING DELIVERY OF HEALTH CARE DELIVERY SYSTEM DEMOCRACY DEVELOPMENT GOALS DIAGNOSIS DIET EMERGENCY CARE ENROLLEES ENTITLEMENT EPIDEMIOLOGY ESSENTIAL MEDICINES EXPENDITURES FEE FOR SERVICE FEE-FOR-SERVICE FEE-FOR-SERVICE PAYMENT FEE-FOR-SERVICE SYSTEM FINANCIAL MANAGEMENT FINANCIAL PROTECTION GOVERNMENT PROGRAMS GROSS DOMESTIC PRODUCT GROSS NATIONAL INCOME HEALTH CARE FINANCING HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CENTERS HEALTH CONDITIONS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH FACILITIES HEALTH FINANCING HEALTH FINANCING SYSTEM HEALTH INSURANCE HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH POLICY HEALTH RESOURCES HEALTH RISKS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE MANAGEMENT HEALTH SERVICE PROVIDERS HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH SPECIALIST HEALTH SPENDING HEALTH SYSTEM HEALTH WORKERS HEALTH WORKFORCE HIV HIV/AIDS HOSPITAL HOSPITAL BEDS HOSPITAL INPATIENT HOSPITALS HUMAN RESOURCES ILLNESS INCOME INEQUITIES INFORMAL PAYMENTS INFORMAL SECTOR INPATIENT CARE INSURANCE COVERAGE INSURANCE SYSTEM INTEGRATION LARGE CITIES LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH MALARIA MANDATES MATERNAL HEALTH MATERNITY CARE MEDICAL PERSONNEL MEDICAL SPECIALTIES MEDICINES MENTAL DISORDERS MIDWIFE MIDWIVES MIGRATION MINISTRY OF HEALTH NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL LEVEL NATIONAL POLICY NEWBORN NUMBER OF PEOPLE NURSE NURSES NUTRITION ORAL HEALTH OUTPATIENT SERVICES PATIENT PEACE PHARMACEUTICAL SPENDING PHYSICIANS PILOT PROJECTS PLACE OF RESIDENCE POCKET PAYMENTS POLICY DECISIONS POLICY DEVELOPMENT POLICY FRAMEWORK POOR HEALTH POPULAR SUPPORT POPULATION GROUPS PREGNANT WOMEN PRENATAL CARE PRIMARY CARE PRIMARY HEALTH CARE PRIVATE SECTOR PROGRESS PROVIDER PAYMENT PSYCHIATRIC HOSPITALS PUBLIC EXPENDITURE PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR PURCHASING POWER PURCHASING POWER PARITY QUALITY OF CARE QUALITY SERVICES REFERRAL SYSTEM RURAL AREAS SERVICE DELIVERY SERVICE PROVISION SOCIAL POLICY SOCIAL SCIENCE SOCIAL SECURITY SOCIAL WELFARE SURGERY SUSTAINABLE DEVELOPMENT TEACHING HOSPITALS TREATMENTS URBAN AREAS USER FEES VISITS WORKERS Ghana is a country in West Africa with a population of about 25 million. The country is a stable democracy and achieved lower middle-income status in 2011 with a per capita gross national income (GNI) of $1,410. The prevalence of human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) in Ghana is among the lowest in the Sub-Saharan Africa region, and this too makes its status related to life expectancy relatively better. The government made a commitment to universal health coverage when it passed the national health insurance scheme (NHIS) law, act 650, at the end of 2003. The law was revised in 2012 (act 852) to bring the district insurance schemes into a single pooled fund, thus eliminating fragmentation. Act 650 established the national health insurance authority (NHIA) to implement the NHIS and mandates that all residents of Ghana enroll in one of the accredited insurance schemes. The law does not specify consequences for failing to enroll, nor are residents automatically enrolled, so until now the NHIS has been operating as a de facto voluntary scheme. With the 2003 NHIS law, the health financing system in Ghana is now a combination of supply-side subsidies for public and faith-based providers directly through the government budget, entitlement-based insurance coverage financed through a combination of earmarked taxes and individual-paid premiums, and direct out-of-pocket payments. The report is divided into two parts: part one gives universal coverage - status and sequencing; and part two present lessons to be shared. 2014-12-16T19:46:09Z 2014-12-16T19:46:09Z 2014-09 http://documents.worldbank.org/curated/en/2014/09/20274427/universal-health-coverage-inclusive-sustainable-development-country-summary-report-ghana http://hdl.handle.net/10986/20730 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Group, Washington, DC Publications & Research :: Working Paper Publications & Research Africa Ghana |