1.

Record Nr.

UNINA9910826573903321

Titolo

Health financing in Ghana / / George Schieber ... [and others]

Pubbl/distr/stampa

Washington, D.C. : , : World Bank, , 2012

ISBN

1-283-57526-4

9786613887719

0-8213-9567-X

Descrizione fisica

pages cm

Collana

Directions in development

Altri autori (Persone)

SchieberGeorge

Disciplina

368.42009667

Soggetti

National health insurance - Ghana

Medical care - Finance - Government policy - Ghana

Health services accessibility - Ghana

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Contents; Foreword; Acknowledgments; About the Authors; Abbreviations; Overview; Study Approach; Key Messages; Fiscal Space; Reform Options; Tables; O.1 Options for Reforming Ghana's National Health Insurance Scheme; Chapter 1 Introduction; Underlying Demographics and Epidemiology; Figures; 1.1 Ghana Population Pyramids, 2010 and 2030; Configuration of Ghana's Health System; 1.2 Burden of Disease in Ghana (Actual) and Sub-Saharan Africa (Projected); 1.3 Organization of Ghana's Health System; 1.4 Ghana's Service Delivery System; Functions and Goals of Ghana's Health System and Health Financing

1.5 Components and Objectives of a Health System1.6 Functions and Goals of Health Financing; 1.7 Ghana's Transition to Universal Coverage; Ghana's Health Financing System; 1.1 Features of Ghana's National Health Insurance Scheme; 1.8 Flows of Funds in Ghana's Health System; 1.9 Sources of Ministry of Health Revenues, 2005-09; 1.10 Sources of Ministry of Health Revenues, 2009; 1.11 Funds Generated Internally by Ministry of Health Facilities, 2005-09; Notes; 1.12 Projected Revenues and Expenditures of Ghana's National Health Insurance Scheme, 2008-18; References

Chapter 2 Ghana's Health Financing: A Performance AssessmentHealth



Outcomes, Inputs, and Health Spending; Equity and Financial Protection; 2.1 Coverage of National Health Insurance Scheme, by Gender and Wealth Quintile, 2008; 2.2 Facility Consulted in Ghana in Case of Illness or Injury, 1991-2006; 2.3 Percent of Ill/Injured in Ghana Who Sought Care at a Health Facility, by Wealth Quintile and Insurance Status, 2008; 2.4 Percent of Ill/Injured in Ghana Who Self-Treated or Sought Care at a Nonformal Facility, by Wealth Quintile and Insurance Status, 2008

2.5 Percent of Pregnant Women in Ghana Who Delivered in a Health Facility, 2003 and 20082.6 Percent of Pregnant Women in Ghana Who Sought Assistance During Delivery, 2003 and 2008; 2.7 Percent of Pregnant Women in Ghana Who Sought Assistance During Delivery, by Wealth Quintile and Insurance Status, 2008; 2.8 Percent of Pregnant Women in Ghana Who Delivered in a Health Facility, by Wealth Quintile and Insurance Status, 2008; 2.1 Average Month of Pregnancy During First Prenatal Visit by Women in Ghana, by Wealth Quintile and Insurance Status, 2008

2.2 Share of Spending Devoted to Health Care in Ghana, by Consumption Quintile, 2005/062.9 Catastrophic Expenditure Headcounts in Ghana, by Threshold, 2005/06; 2.3 Per Capita Household Expenditure in Ghana, Gross and Net of Health Spending, 2005/06; 2.10 Poverty Rates in Ghana Before and After Out-of-Pocket Health Expenditures, 2005/2006; Consumer Responsiveness; 2.4 Consumer Satisfaction with Ghana's National Health Insurance System, 2008; 2.5 Consumer Satisfaction with Medical Services in Ghana; Annex 2A. Performance Assessment of Ghana's Health System

2A.1 Under-Five Mortality Rate in Ghana and Selected African Comparators, 1960-2009

Sommario/riassunto

Ghana is one of only several African countries to enact legislation and earmark financing for universal health insurance coverage for its entire population. Seven years into its implementation the Ghana National Health Insurance Scheme (NHIS) has made significant progress in transitioning to universal coverage, but faces significant fiscal and coverage challenges. This study reviews Ghana's health financing system with a special emphasis on its National Health Insurance Scheme. Such an assessment is important because Ghana is often considered a global 'good practice' in terms of earmarking sig