Full Text Available
Note: Clicking the button above will open the full text document at the original institutional repository in a new window.
Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana
Includes bibliographical references (leaves 83-92).
Saved in:
| Main Author: | |
|---|---|
| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Economics Unit
2014
|
| Subjects: | |
| Tags: |
No Tags, Be the first to tag this record!
|
| _version_ | 1867613785064210432 |
|---|---|
| access_status_str | Open Access |
| author | Danso, Collins Akuamoah |
| author2 | McIntyre, Di |
| author_browse | Danso, Collins Akuamoah McIntyre, Di |
| author_facet | McIntyre, Di Danso, Collins Akuamoah |
| author_sort | Danso, Collins Akuamoah |
| collection | Thesis |
| description | Includes bibliographical references (leaves 83-92). |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/9343 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:41:39.782Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/9343 Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana Danso, Collins Akuamoah McIntyre, Di Public Health Includes bibliographical references (leaves 83-92). One major challenge facing the international development community is how to finance and provide health care for the large informal sector in low and middle income countries. This is as a result of the inability of the traditional tax systems in most of these countries to generate the needed revenue to help meet the health needs of the citizens. In recent times, many countries in developing countries are increasingly depending on Community Based Insurance Schemes (CBHIS) as an alternative health care financing mechanism. In Ghana. the universal tax funded system of health care introduced in 1957 soon alter independence could not be sustained because of economic recession in the 1970's and 1980's forcing the government to introduce user fees in all public health institutions. User fees resulted in a decline in utilization of health services especially the poor and vulnerable group. This situation forced many communities to set up CBHIS meant to cover user fees charged at the health facilities. The success of some of these schemes and the fact that many Ghanaians do not have insurance cover led the government to introduce a National Health Insurance Scheme (NHIS) which is mandatory for all citizens. The law mandates all formal sector workers to contribute part of their social security contribution to the National Health Insurance Fund as premium, thus making it compulsory for them. Those in the informal sector are however required to voluntarily pay directly into their district schemes. Also, even though a proposal has been made to exempt the poor, no mechanism has been determined to identify poor households for subsidy. This study sought to undertake a critical evaluation of the role of CBHIS under the NHIS in extending health care coverage to the large informal sector (who are about 70% of the active labour force) in Ghana. Specifically, the study sought to determine factors that affect enrolment, to determine a practical mechanism to identify the poor and to gain an understanding of how other countries have increased health insurance coverage. 2014-11-08T08:02:56Z 2014-11-08T08:02:56Z 2006 Master Thesis Masters MMed http://hdl.handle.net/11427/9343 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health Danso, Collins Akuamoah Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana |
| thesis_degree_str | Master's |
| title | Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana |
| title_full | Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana |
| title_fullStr | Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana |
| title_full_unstemmed | Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana |
| title_short | Critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in Ghana |
| title_sort | critical evaluation of the role of community based health insurance schemes in extending health care coverage to the informal sector in ghana |
| topic | Public Health |
| url | http://hdl.handle.net/11427/9343 |
| work_keys_str_mv | AT dansocollinsakuamoah criticalevaluationoftheroleofcommunitybasedhealthinsuranceschemesinextendinghealthcarecoveragetotheinformalsectoringhana |