Private healthcare provider experiences with social health insurance schemes: Findings from a qualitative study in Ghana and Kenya

PloS One
Maia SieverdingLauren Suchman

Abstract

Incorporating private healthcare providers into social health insurance schemes is an important means towards achieving universal health coverage in low and middle income countries. However, little research has been conducted about why private providers choose to participate in social health insurance systems in such contexts, or their experiences with these systems. We explored private providers' perceptions of and experiences with participation in two different social health insurance schemes in Sub-Saharan Africa-the National Health Insurance Scheme (NHIS) in Ghana and the National Hospital Insurance Fund (NHIF) in Kenya. In-depth interviews were held with providers working at 79 facilities of varying sizes in three regions of Kenya (N = 52) and three regions of Ghana (N = 27). Most providers were members of a social franchise network. Interviews covered providers' reasons for (non) enrollment in the health insurance system, their experiences with the accreditation process, and benefits and challenges with the system. Interviews were coded in Atlas.ti using an open coding approach and analyzed thematically. Most providers in Ghana were NHIS-accredited and perceived accreditation to be essential to their businesses, despite c...Continue Reading

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Citations

Jul 10, 2018·The International Journal of Health Planning and Management·Jacob S KazunguJane Chuma
Nov 15, 2018·The International Journal of Health Planning and Management·Melvin ObadhaEdwine Barasa
Jun 16, 2018·Health Policy and Planning·Lauren SuchmanDominic Montagu
Jun 17, 2020·Health Policy and Planning·Melvin ObadhaEdwine Barasa
May 6, 2020·BMC Public Health·Lauren SuchmanRita Mwachandi
Feb 18, 2021·Journal of Pharmaceutical Policy and Practice·Martha EmbreyTamara Hafner
Apr 30, 2021·Frontiers in Medicine·Dominic Montagu, Nirali Chakraborty

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Software Mentioned

BlueStar
AHME
ti
Atlas

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