A case study of jamaicas health financing system and its. Impact of national health insurance for the poor and the informal sector in low and middleincome countries 16 2. An overview of the national health insurance and its possible. Social health insurance schemes in africa leave out the. Social health insurance schemes in africa leave out the poor. The national health insurance nhi is a financing system that will make sure that all citizens of south africa and legal longterm residents are provided with essential healthcare, regardless of their employment status and ability to make a direct monetary contribution to the nhi fund. Challenges facing the national health insurance scheme. We conclude that in the first years of operation, the national health insurance scheme had a modest impact on the use of antenatal and delivery care. A study on insurance schemes of government of india. Of 49 quantitative studies, about half provide reasonably robust evidence. The national health insurance scheme nhis was established under act 650 of 2003 by the government of ghana to provide basic healthcare services to persons resident in the country through mutual and private health insurance schemes.
The fundamental concept of health insurance is risk sharing and burden bearing. The national health insurance nhi is a health financing system that is designed to pool funds to provide access to quality affordable personal health services for all south africans based on their health needs, irrespective of their socioeconomic status. The effect of the national health insurance scheme nhis. In 2006, the government established the health care reform leading group comprised of 16 ministries, and chaired by vice premier li keqiang, state council. The new system included the accreditation of providers, agreement on contribution rates with the schemes, management of the national health insurance fund and approval of cards for membership. A case study of jamaicas health financing system and its impact on. The vicechairs are the minister of the national development and reform commission ndrc and minister of health. Introduction a great healthcare transformation, in the form of national health insurance nhi in the public and private healthcare sectors, is. The national health insurance is a chance for south africans to. The share of health insurance in total expenditure on insurance schemes by government of india is. Weissman1, lydia dsaneselby5 and robert riviello1 abstract. Aca impact on health insurance health reforms transformation will unfold over many years these provisions will unfold in three phases over the next 5 10 years.
National health insurance scheme and to assess the clients understanding of the operations and cost of national health insurance scheme. Funding mechanisms vary with the particular program and country. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 constitution by the federal government of nigeria to improve the health of all nigerians at an affordable cost. A case study of jamaicas health financing system and its impact on the. Markets involving medical care and health insurance are fraught with information problems. We use a quasiexperimental, longitudinal, mixedmethod study design to examine causal impacts of the intervention on health insurance enrolment. The impact of health insurance in low and middleincome. Pdf assessment of national health insurance schemes nhis.
The implementation of the scheme was accompanied by increased access and use of health care services. Ghanas national health insurance scheme nhis was created by the national health insurance act of august 2003, and is one of very few attempts by a subsaharan african country to implement a nationallevel, universal health insurance program. South africa is in the process of introducing an innovative system of healthcare financing with far reaching consequences on the health of south africans. The national health insurance scheme policy in south africa is fraught with many challenges which threaten its feasibility. Moving away from outofpocket oop payments for healthcare at the time of use to prepayment through health insurance hi is an important step towards averting. This study suggests that having health insurance is associated with reduced psychological distress and hence improved mental health, even though mental illness treatment or prevention were at best only partially covered by the national health insurance scheme in ghana. The selected countries are characterized by large informal sectors, making it difficult for the rolling out of health insurance scheme models that depend on this group. The national health insurance scheme nhis is a body corporate established under act 35 of 1999 constitution by the federal government of nigeria to improve the health of. Impact of national health insurance for the poor and the. A binary probit model is estimated for the determinants of participation in a mutual and a logitlog linear model is used to measure the impact on health care utilization and financial protection.
National health insurance south african government. Several lmic governments have experimented with such social health insurance schemes, some of which include tertiary care coverage. It is funded by premiums, the national health insurance tax, social security and national insurance trust ssnit, government funding, and returns from investment. An overview of the national health insurance and its possible impact on eye healthcare services in south africa read online. Evaluating the impact of the national health insurance scheme of ghana on out of pocket expenditures. Evaluating the impact of the national health insurance scheme. Providing healthcare services to public service workers in nigeria has not been an easy task. After almost 12 years of introducing national health insurance in ghana, less than 40%. When the department released the draft policy in august 2011, the chairperson of council convened a strategic management team consisting of council members and senior officials at the cms. Impact of national health insurance for the poor and the informal sector in low and middleincome countries 5 abstract what do we want to know. With fixed and low income, majority of the public service workers cannot boast of meeting their basic medical needs. We used a detailed protocol to evaluate the robustness of the available evidence on the impact of health insurance in low and middleincome countrieson access, use, financial protection, and health status box 2. Pdf on may 31, 2017, surajudeen abiola abdulrahman and others published an assessment of the level of implementation and impact of the national health insurance scheme nhis on the health care. The impact of health insurance in low and middleincome countries marialuisa escobar charles c.
The pros and cons of national health insurance in south africa article pdf available in international journal of private law 64. Evaluating the impact of the national health insurance. National health insurance in asia and africafinal22may12. National health insurance in south africa policy paper. Pdf an assessment of the level of implementation and. This report introduces the term national hybrid health insurance nhhi to describe such plans that share an aim of removing financial barriers to uhc.
Pdf assessment of national health insurance schemes. The national health insurance authority nhia of ghana is a public sector body established under the national health insurance act in 2003. The new system included the accreditation of providers, agreement on contribution rates with the schemes, management of the national health insurance fund. The impact of health insurance on the access to health. Government believes that if the country can feel and act in unity about football and rugby, surely we can do the same when it comes to matters of life and death, health, and illness. The national heal insurance commonly referred to as nhi will ensure that everyone has accjs.
The scheme therefore focuses heavily on meeting the needs of the poor and providing social health protection based on the principles. Nhias objective is to ensure access to basic healthcare services for all ghanaian residents through the national health insurance scheme nhis. National healthcare insurance programs differ both in how the contributions are collected, and in how the services are provided. The scheme is undermined by limitations ranging from very frequent use of the services more than necessary by enrollees, to cost escalation, poor management. In the backdrop of an overstretched public sector and utilized private sector. Evidence suggests most health facilities are faced with management challenges in the delivery of services.
The effect of ghanas national health insurance scheme on. The act 650, 2003 established a national health insurance authority to regulate the health care system. Strategic plan 2014 2018 national hospital insurance. It may be administered by the public sector, the private sector, or a combination of both. The nsw ministry of health engaged kpmg in late 2017 to conduct an evidencebased qualitative and quantitative assessment of the impact of the ndis on the nsw health system to date. Strategic plan 2014 2018 national hospital insurance fund. The national health insurance is a chance for south africans to join hands in a way that really counts. Nhi is intended to ensure that the use of health services does not result in financial hardship for individuals and their families.
This is the first study to assess the impact of an integrated government programme providing cash transfers combined with a fee waiver for a national health insurance scheme on health insurance uptake. The effects of ghanas national health insurance scheme on. What impact has the ndis design had on the nsw health system. Downloadable documents national health insurance scheme. Insurance expansion under the national health care reform 2. National health insurance nhi, sometimes called statutory health insurance shi, is a system of health insurance that insures a national population against the costs of health care. Impact of national health insurance for the poor and the informal sector in low and middleincome countries. After almost 12 years of introducing national health insurance in ghana, less than 40% of the population are covered by the scheme. In 2004, ghana began implementation of a national health insurance scheme nhis to minimize outofpocket expenditure at the point of use of service. A study on clients satisfaction on the national health. In countries such as canada, payment is made by the government directly from tax revenue and this is known as singlepayer health care. Scan this qr code with your smart phone or mobile device to read online. Pdf the pros and cons of national health insurance in.
This is important for other african countries currently introducing or considering a national health insurance as a means towards universal health coverage. Interim evaluation of the impacts of the national disability. The study is expected to provide vital information on clients satisfaction on nhis services within the staff of usmanu danfodio university sokoto. Impact evaluation of a social protection programme paired. Introduction the national health insurance scheme is form of the national health insurance established by the government of ghana with the aim of providing equitable access and financial coverage for the basic health care services to ghanaian citizens. In december 2004, ghana established a national health insurance scheme nhis1 to enhance the performance of its health system, paying particular attention to the poor. Pdf the pros and cons of national health insurance in south. Learning from case studies of india, colombia, and thailand. The findings were robust to the various estimation methods. The 1995 constitution emphasises that the state shall take all practical measures to ensure the provision of basic medical services.
The main form of insurance in ghana is the national health insurance scheme nhis, which was rolled out in 2003 witter and garshong 2009. National health insurance ramu benin the ilos impact. The is a description of our comprehensive list of mesh terms used to identify all studies on the impact of the national health insurance scheme of ghana on out of pocket expenditures and financial catastrophe. Paul shaw editors o ver the past twenty years, many low and middleincome countries have.
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