Factors That Influence Enrolment and Retention in Ghana' National Health Insurance Scheme

International Journal of Health Policy and Management
Agnes Millicent KotohSjaak Van der Geest

Abstract

The government of Ghana introduced the National Health Insurance Scheme (NHIS) in 2004 with the goal of achieving universal coverage within 5 years. Evidence, however, shows that expanding NHIS coverage and especially retaining members have remained a challenge. A multilevel perspective was employed as a conceptual framework and methodological tool to examine why enrolment and retention in the NHIS remains low. A household survey was conducted after 20 months educational and promotional activities aimed at improving enrolment and retention rates in 15 communities in the Central and Eastern Regions (ERs) of Ghana. Observation, indepth interviews and informal conversations were used to collect qualitative data. Forty key informants (community members, health providers and district health insurance schemes' [DHISs] staff) purposely selected from two casestudy communities in the Central Region (CR) were interviewed. Several community members, health providers and DHISs' staff were also engaged in informal conversations in the other five communities in the region. Also, four staff of the Ministry of Health (MoH), Ghana Health Service (GHS) and National Health Insurance Authority (NHIA) were engaged in in-depth interviews. Descriptiv...Continue Reading

Citations

Feb 20, 2020·International Journal of Environmental Research and Public Health·Huan Liu, Weidong Dai
Sep 11, 2019·Applied Health Economics and Health Policy·Gowokani Chijere ChirwaRodrigo Moreno-Serra
Mar 27, 2019·International Journal for Equity in Health·Joseph Marfo BoahengAnthony Kofi Osei-Fosu
Jun 20, 2018·International Journal for Equity in Health·Fidelia A A Dake
May 6, 2020·BMC Public Health·Lauren SuchmanRita Mwachandi
Jan 2, 2020·International Journal for Equity in Health·Anthony KwartengOsman Sankoh
May 20, 2021·ClinicoEconomics and Outcomes Research : CEOR·Mohammed Hussien, Muluken Azage

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