{"id":987501929,"date":"2023-02-03T08:18:54","date_gmt":"2023-02-03T07:18:54","guid":{"rendered":"https:\/\/p4h.world\/country\/ghana\/"},"modified":"2024-10-02T10:15:02","modified_gmt":"2024-10-02T09:15:02","slug":"ghana","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/ghana\/","title":{"rendered":"Ghana"},"content":{"rendered":"

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Since the early 2000s, Ghana has shown significant political, legislative and fiscal commitment to health system reforms aimed at improving access to quality health care and making progress towards universal health coverage (UHC). These efforts, while impactful, still present challenges in health financing and service delivery. Addressing these challenges is crucial for meeting health-related goals like UHC and for enhancing overall societal well-being.<\/span><\/p>\n

[\/et_pb_text][ba_gradient_heading title=”Health care financing structure” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=”HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”28px” title_line_height=”1em” custom_padding=”15px||10px||false|false” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 2 ” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||||false|false” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

Ghana’s current health expenditure<\/a> is lower than that of comparable sub-Saharan African and lower-middle-income countries. However, a significant portion of <\/span>health expenditure<\/span><\/a> (50.7%) comes from public sources, which has positively impacted health system performance. Financial protection is relatively strong, with only <\/span>2%<\/span><\/a> of the population spending more than 10% of their household income on health. However, out-of-pocket (OOP) spending remains steady at <\/span>27.25%<\/span><\/a> of current health expenditure (CHE) in 2021.<\/span><\/p>\n

[\/et_pb_text][ba_gradient_heading title=”Reforms for universal health coverage” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=” HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”28px” title_line_height=”1em” custom_padding=”15px||10px||false|false” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 3″ _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||||false|false” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″]<\/p>\n

National Health Insurance Scheme<\/b>
Established in 2004, the National Health Insurance Scheme (NHIS) is Ghana’s most significant health financing reform in the past two decades. It aims to eliminate user fees at the point of care and enhance access to basic health services. Funded primarily through earmarked taxes and minimal registration fees, the NHIS exempts individuals over 65 and children under 18 from any enrollment fees. Despite these efforts, challenges persist. <\/span>The <\/span>NHIS Authority 2018 Annual Report<\/span><\/i><\/a> states that in that year the NHIS covered only 36% of the population, with the informal sector comprising less than 32% of membership. Since 2011, NHIS has faced sustainability issues, with expenditures surpassing income and OOP spending remaining high at <\/span>27.25%<\/span><\/a> of CHE as of 2021.<\/span><\/p>\n

[\/et_pb_text][ba_gradient_heading title=”Other health systems reforms: Ghana’s 2020\u20132030 UHC road map ” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=” HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”28px” title_line_height=”1em” custom_padding=”15px||10px||false|false” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 4 ” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n

In its <\/span>2020\u20132030 road map for UHC<\/span><\/a>, the government committed to achieve at least 80% coverage of essential health services and launched a comprehensive health sector reform programme. Below are the key reforms proposed.<\/span><\/p>\n

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