Reaching the poor in Ghana's National Health Insurance - an empirical analysis

The Government of Ghana has passed a national Health Insurance Act in 2003 to set up mutual health organizations (MHO) in every district in Ghana, and is thereby the first country in Africa to implement MHO nation-wide. However, community participation is low, especially among the poor. Many barriers to enrolment exist in the interplay between communities, MHO and health provider. Moreover, the poor are formally entitled to premium exemptions but very few actually benefit because of implementation problems. This research program aims to design and evaluate interventions to stimulate MHO enrolment, with special focus on the poor.

This project is funded by an Integrated programme grant by NOW / WOTRO, and runs from 2008-2013.

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