Relevant bibliographies by topics / National Health Insurance Scheme (NHIS)

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'National Health Insurance Scheme (NHIS)'

Author: Grafiati
Published: 4 June 2021
Last updated: 13 February 2022

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Journal articles on the topic "National Health Insurance Scheme (NHIS)"

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Kipo-Sunyehzi, Amogre Ayanore, Dzidzonu, and Ayalsuma Yakubu. "Ghana’s Journey towards Universal Health Coverage: The Role of the National Health Insurance Scheme." European Journal of Investigation in Health, Psychology and Education 10, no. 1 (October 1, 2019): 94–109. http://dx.doi.org/10.3390/ejihpe10010009.

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: Background: the main aim of the study is to find if the National Health Insurance Scheme (NHIS) in Ghana is achieving universal health coverage (UHC) or not. The study gives the trajectories of health policies in Ghana and their implications on long term health financing. NHIS in Ghana was implemented in 2004, with the aim of increasing subscribers’ access to health care services and reduce financial barriers to health care. On equity access to healthcare, it addresses two core concerns: (1) enrolling particular groups (persons exempted from annual premium payments) and (2) achieving UHC for all citizens and persons with legal residence. It utilizes a multifactor approach to the conceptualization of UHC. The research question: is Ghana’s NHIS on course to deliver or achieve universal health coverage? Methods: we used qualitative methods. In doing so, the study engaged participants in in-depth interviews, focus group discussions and direct observations of participants in their natural settings, like hospitals, clinics, offices and homes, with purposive and snowball techniques. This data triangulation approach aims to increase the reliability and validity of findings. Results: the empirical evidence shows NHIS performed relatively well in enrolling more exempt groups (particular groups) than enrolling all persons in Ghana (UHC). The biggest challenge for the implementation of NHIS from the perspectives of health insurance officials is inadequate funding. The health insurance beneficiaries complained of delays during registrations and renewals. They also complained of poor attitude of some health insurance officials and health workers at facilities. Conclusions: both health insurance officials and beneficiaries emphasized the need for increased public education and for implementers to adopt a friendly attitude towards clients. To move towards achieving UHC, there is a need to redesign the policy, to move it from current voluntary contributions, to adopt a broad tax-based approach to cover all citizens and persons with legal residence in Ghana. Also, to adopt a flexible premium payment system (specifically ‘payments by installation’ or ‘part payments’) and widen the scope of exempt groups as a way of enrolling more into the NHIS.
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Kodom, Michael, Adobea Yaa Owusu, and Perpetual Nancy Baidoo Kodom. "Quality Healthcare Service Assessment under Ghana’s National Health Insurance Scheme." Journal of Asian and African Studies 54, no. 4 (February 26, 2019): 569–87. http://dx.doi.org/10.1177/0021909619827331.

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Ghana implemented the National Health Insurance Scheme (NHIS) in 2005 with the intention of providing residents with quality affordable healthcare. Over the past few years, concerns have been raised about the quality of healthcare clients receive. This study assesses the experiences of NHIS subscribers with the quality of care they receive under the scheme by both private and public hospitals. The results from the 56 interviews show that the majority of the subscribers were dissatisfied with the overall quality of healthcare they received in both private and public hospital because of the long waiting hours, the poor attitude of nurses and the demand for payment of additional money. Even though clients who visited the private hospital paid for all services, excluding consultation, their level of satisfaction with the quality of healthcare was relatively higher than those who visited the public hospital. The paper concludes that NHIS clients do not receive the quality of healthcare the scheme promised, and this has implications for premium renewals and health-seeking behaviour.
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Aboagye, Da Costa, Jane South, and Hafiz T. A. Khan. "Evaluation of Community Perspectives on National Health Insurance Policy to Health Service Delivery in Ghana." Illness, Crisis & Loss 29, no. 1 (February 12, 2018): 3–18. http://dx.doi.org/10.1177/1054137318756270.

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This article aims to examine the National Health Insurance Scheme (NHIS) policy from the perspective of local communities. Qualitative data from 9 key informant interviews and 72 community respondents in 9 focus group discussions were analyzed using a thematic network approach. The focus-group discussions took place in seven different communities in seven regions of Ghana. The findings noted a disconnection between NHIS policy and community life. More so, the findings showed an explicit link between equity and access with its impacts on health outcomes. The qualitative results indicated lack of voice and understanding as the features limiting people from accessing the NHIS facilities. Understanding of equity as a key theme revealed, first, lack of stakeholder engagement and consultation or participation in the NHIS decision-making process. Second, it was established that while the policy indicated a will to include all the core poor for an equitable NHIS, there is lack of willingness to implement this aim fully. Finally, despite being a pro-poor intervention by name, practical management of the NHIS is transmitted down vertical silos from the national level, with the lack of joined-up government at the center undermining local partnerships. Thus, not only are national expectations being dashed locally, local expectations are dashed nationally. This article proposes that community viewpoints should be given higher priority given that NHIS has since its inception been associated with medical treatments and biomedical paradigm. Promoting community participation, understanding, and voices should be recognized to shape the future NHIS policy and practice.
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Marvel, Ehiosun O. "An Appraisal of Clients’ Utilization of National Health Insurance Scheme (NHIS) Services at the Kubwa General Hospital." International Letters of Social and Humanistic Sciences 84 (October 2018): 35–46. http://dx.doi.org/10.18052/www.scipress.com/ilshs.84.35.

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NHIS was launched officially on 6th of June 2005. The Scheme is designed to provide comprehensive health care at affordable costs, covering employees of the formal sector, self-employed, as well as rural communities, the poor and the vulnerable groups. However, client satisfaction of services rendered continues to be a major concern for the improvement of NHIS. This study is designed to determine the level and causes of dissatisfaction of clients accessing NHIS clinic at the Kubwa General Hospital, Kubwa, FCT, Abuja. This study employed a descriptive cross sectional survey. 279 NHIS enrollees were recruited for this study at the Kubwa General Hospital. Questionnaires were administered and the level of dissatisfaction and satisfaction of NHIS services were analyzed. The satisfaction rate was 69.2% while the dissatisfaction rate was 22.9%. The respondents were satisfied with the attitude of health workers in NHIS clinic, Kubwa. However, they were dissatisfied with waiting time, attitude of record officers and those in pharmacy department. This study found that the level of dissatisfaction with NHIS services is high despite a high satisfaction level. The Attitude of health workers may influence the dissatisfaction of enrollees. NHIS is still limited to the formal sector.
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Angioha, Pius U., Thomas A. Omang, Uduakobong P. Akpabio, James A. Ogar, Tersoo Asongo, and Francis Ibioro. "Improving Access to Maternal Healthcare Among Female Employees: Quantitative Analysis of the impact of The National Health Insurance Scheme." SAINSMAT: Journal of Applied Sciences, Mathematics, and Its Education 10, no. 1 (March 31, 2021): 35–42. http://dx.doi.org/10.35877/sainsmat1012112021.

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This study examines the correlation between the national health insurance scheme and access to national health care among female employees in Federal Institutions in Calabar cross river state, Nigeria. The study specifically examines the extent to which the national health insurance scheme reduces the cost of health and Enrollment in the NHIS relates to access to maternal healthcare. Two hypotheses were raised for the study. The survey research design was adopted in collecting data from 400 samples from a population of 9201 female employees of the federal institutions in Calabar cross river state. The instrument of data collection was the questionnaire. Data collected was analyzed using descriptive and correlation analysis. Results revealed that the national health insurance scheme reduced health cost relates to access to maternal healthcare. Results also indicated that Enrollment in NHIS significantly relates to access to maternal health. Based on this result, the study recommends, amongst others, that there is a need for government to improve on health funding as this will help improve access to various provisions of the scheme as it relates to maternal health
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Haw, Nel Jason L. "Utilization of the Ghana National Health Insurance Scheme and its association with patient perceptions on healthcare quality." International Journal for Quality in Health Care 31, no. 6 (August 25, 2018): 485–91. http://dx.doi.org/10.1093/intqhc/mzy185.

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Abstract Objective To determine the association between the utilization of the Ghana National Health Insurance Scheme (NHIS) and patient perceptions of quality of care. Methods Ghana Demographic and Health Survey (GDHS) 2014 had 19 questions on perceptions of quality of care received during the last reported health visit (n = 4332). These questions were summarized into an overall 100-point perception score using item response theory (IRT). Patients were divided into three utilization categories: those paying with their NHIS card fully, those paying with their card and out-of-pocket (OOP), and those paying fully OOP. A multiple linear regression model was used to measure the association between NHIS utilization and overall perception. Results In general, NHIS utilization was negatively associated with overall perception, and the difference across utilization categories was higher among private facility users than public facility users. Among private facilities, those who paid fully with NHIS reported five points lower than those who paid fully OOP (P = 0.005). Among public facilities, the difference is only 1.7 (P = 0.4342). Conclusion NHIS utilization was a negative predictor for patient perceptions, but the differences are more nuanced according to type of facility. Future GDHS rounds should continue measuring perceptions in aid of policy to improve service delivery under the NHIS.
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Aikins, Moses, Philip Teg-Nefaah Tabong, Paola Salari, Fabrizio Tediosi, Francis M. Asenso-Boadi, and Patricia Akweongo. "Positioning the National Health Insurance for financial sustainability and Universal Health Coverage in Ghana: A qualitative study among key stakeholders." PLOS ONE 16, no. 6 (June 15, 2021): e0253109. http://dx.doi.org/10.1371/journal.pone.0253109.

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Introduction The National Health Insurance Scheme (NHIS) was introduced in 2003 to reduce “out-of-pocket” payments for health care in Ghana. Over a decade of its implementation, issues about the financial sustainability of this pro-poor policy remains a crippling fact despite its critical role to go towards Universal Health Coverage. We therefore conducted this study to elicit stakeholders’ views on ways to improve the financial sustainability of the operations of NHIS. Methods Twenty (20) stakeholders were identified from Ministry of Health, Ghana Health Services, health workers groups, private medical practitioners, civil society organizations and developmental partners. They were interviewed using an interview guide developed from a NHIS policy review and analysis. All interviews were recorded and transcribed verbatim. The data were analysed thematically with the aid of NVivo 12 software. Results Stakeholders admitted that the NHIS is currently unable to meet its financial obligations. The stakeholders suggested first the adoption of capitation as a provider payment mechanism to minimize the risk of providers’ fraud and protection from political interference. Secondly, they indicated that rapid releases of specific statutory deductions and taxes for NHIS providers could reduce delays in claims’ reimbursement which is one of the main challenges faced by healthcare providers. Aligning the NHIS with the Community-based Health Planning and Services and including preventive and promotive health is necessary to position the Scheme for Universal Health Coverage. Conclusion The Scheme will potentially achieve UHC if protected from political interference to improve the governance and transparency that affects the finances of the scheme and the expansion of services to include preventive and promotive services and cancers.
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Amos Paul Bassi, Ebenezer Chinomnso Anthony, Bukunmi Tejumade Adediran, Jemima Abner, Solomon Mallum Anyakwai Thliza, and Chris Anyanechi. "Knowledge, attitude and practice of adults to the national health insurance scheme (NHIS) in Unguwar Soya, Kabong Ward of Jos North LGA, Plateau State-Nigeria." GSC Biological and Pharmaceutical Sciences 16, no. 1 (July 30, 2021): 239–50. http://dx.doi.org/10.30574/gscbps.2021.16.1.0209.

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Health, according to the World Health Organization is defined as a state of complete physical, mental, social and spiritual wellbeing, and not merely the absence of disease or infirmity. This was a cross sectional community based descriptive study using a multi stage sampling technique in Unguwar Soya Community, Kabong, Jos North LGA, Plateau State, Nigeria with the aim of assessing and establishing the knowledge, attitude and practice of the residents to NHIS. An interviewer administered structured questionnaire was utilized and a total of 252 questionnaires were administered to the eligible members of the community. Majority of the Respondents are aged 20-29 years (33.7%). Majority of the respondents were females (63.5%), largely married (54.0%), most have attended secondary level of education (47.2%) and are mostly Artisans (32.1%) with majority earning above 30,000 naira (25.8%).59.5% of the respondents had heard about NHIIS; family and friends were the most common sources of NHIS awareness (25.5%). Majority of the respondents (49.3%) had heard about NHIS more than five years ago. Majority of the respondents (70.7%) had good attitude towards NHIS. Only 13.3% of the respondents are registered with NHIS. 88.5% of the respondents fund their health expenditures through Out-of-pocket payment. Results depicted that the index population has inadequate awareness and knowledge of the National Health Insurance Scheme. Resulting in the small portion of the population participating in the scheme. The government can come to the aid of this community and other communities by providing adequate awareness, knowledge and privilege to participate in the scheme to better their health.
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Emmanuel, Amangbey, Gandiibu A. Julius, and Gbaran Gbolo. "Sustaining the National Health Insurance Scheme in Ghana: Perceptions and Experiences of Health Care Providers and Subscribers." International Journal of Social Science Research 6, no. 1 (December 29, 2017): 29. http://dx.doi.org/10.5296/ijssr.v6i1.11633.

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The establishment of the National Health Insurance Scheme was as a consequence of government effort at adopting a sustainable health care financing system with the aim of achieving universal health coverage. This study therefore explored the perceptions and experiences of health care providers and subscribers regarding the sustenance of the NHIS in Ghana. The study employed a mixed method design using survey questionnaires and in-depth face-to-face interviews. The study revealed that NHIS had contributed to the revenue base of service providers and increased healthcare utilisation at provider centres. The inability of health care providers to provide essential medicines and perceived poor quality of health care were identified as challenges to subscribers. The study concludes that the NHIS has the potential of ensuring universal health coverage provided stakeholders make deliberate efforts at addressing the obvious sustainable threats identified.
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Thapa, Sailendra, Puspa Acharya, and Durga Khadka Mishra. "Perception towards national health insurance scheme among enrollees of central Terai: a qualitative study." International Journal of Scientific Reports 7, no. 2 (January 22, 2021): 80. http://dx.doi.org/10.18203/issn.2454-2156.intjscirep20210090.

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<p class="abstract"><strong>Background:</strong> Out of Pocket Expenditure has always been a primary means of financing health care service in Nepal. National Health Insurance Scheme ensures universal health coverage by addressing the unregulated out-of-pocket spending and providing quality of health service.</p><p class="abstract"><strong>Methods:</strong> A descriptive cross-sectional study was conducted among the enrollees of the National Health Insurance Scheme (NHIS) in Bharatpur Metropolitan City of Chitwan district. Focused Group Discussions were conducted among enrollees to assess the perception towards National Health Insurance Scheme. The qualitative data were analyzed as thematic analysis technique. </p><p class="abstract"><strong>Results:</strong> Perception towards National Health Insurance Scheme was categorized as perceived quality of care, perceived benefit and provider’s behavior. Respondents were fully satisfied with the premium charge. Availability of drugs was improved but the waiting time and the process of registration was lengthy and full of jargons. Most of the participants perceived that due to less number of service providers or due to inability of allocating separate provider for ensured persons, the consultation time was very less which further affects the quality of care. Enrollment Assistants were considered as primary source of information regarding the NHIS.</p><p class="abstract"><strong>Conclusions:</strong> Long waiting time, difficulty during registration and less number of service providers remain challenge to receive quality of care under NHIS. Participants perceived that the benefit package under affordable premium charge is in favor of them. Addressing these factors in expansion of this program in other district might leads for success of this scheme.</p><p align="center"> </p>
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Dissertations / Theses on the topic "National Health Insurance Scheme (NHIS)"

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Owusu-Asamoah, Kwasi. "Modelling an information management system for the National Health Insurance Scheme in Ghana." Thesis, Loughborough University, 2014. https://dspace.lboro.ac.uk/2134/16415.

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The National Health Insurance Scheme (NHIS) in Ghana was introduced to alleviate the problem of citizens having to pay for healthcare at the point of delivery, given that many did not have the financial resources needed to do so, and as such were unable to adequately access healthcare services. The scheme is managed from the national headquarters in the capital Accra, through satellite offices located in districts right across the length and breadth of the country. It is the job of these offices to oversee the operations of the scheme within that particular district. Current literature however shows us that there is a digital divide that exists between the rural and urban areas of the country which has led to differences in the management of information within urban-based and rural-based districts. This thesis reviews the variables affecting the management of information within the scheme, and proposes an information management model to eliminate identified bottlenecks in the current information management model. The thesis begins by reviewing the theory of health insurance, information management and then finally the rural-urban digital divide. In addition to semi-structured interviews with key personnel within the scheme and observation, a survey questionnaire was also handed out to staff in nine different district schemes to obtain the raw data for this study. In identifying any issues with the current information management system, a comparative analysis was made between the current information management model and the real-world system in place to determine the changes needed to improve the current information management system in the NHIS. The changes discovered formed an input into developing the proposed information management system with the assistance of Natural Conceptual Modelling Language (NCML). The use of a mixed methodology in conducting the study, in addition to the employment of NCML was an innovation, and is the first of its kind in studying the NHIS in Ghana. This study is also the first to look at the differences in information management within the NHIS given the rural-urban digital divide.
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Ofori-Birikorang, Andrews. "Promoting a New Health Policy in the Ghanaian Media: Newspaper Framing of the National Health Insurance Scheme from 2005-2007." Ohio : Ohio University, 2009. http://www.ohiolink.edu/etd/view.cgi?ohiou1249077245.

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Teddy, Gina. "From policy to process : an insider perspective of implementing the national health insurance scheme (NHIS) at the Districts in Ghana." Thesis, University of York, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.542808.

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James, Candice. "The impact and constitutionality of the proposed National Health Insurance scheme with regard to the provision of health services by subnational governments." University of Western Cape, 2020. http://hdl.handle.net/11394/7345.

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Magister Legum - LLM
In South Africa, there are two health systems through which health services are delivered,1 namely private and public. These two systems were inherited from the apartheid regime.2 With South Africa’s political change from a system of parliamentary sovereignty to a constitutionally supreme system in 1996, huge changes were bound to come including changes to the health sector.3 This meant the overhauling of health legislation, as the right of access to health care services became guaranteed in the Constitution of the Republic of South Africa, 1996.4 In 1997, the White Paper on the Transformation of the Health System (White Paper on Health)5 was introduced with the aim of developing a national health system.6 There has been a lot of progress made in reforming the health sector, however there are still many cracks that the national government aims to remedy through the realisation of universal health coverage (UHC).
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Mathekgane, Justice Mpho. "The laws regulating National Health Insurance scheme :prospects and challenges." Thesis, University of Limpopo, 2013. http://hdl.handle.net/10386/2542.

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Mack, Zonique Lewore. "A critical analysis of the suitability of a national health insurance scheme in South Africa." Thesis, Cape Peninsula University of Technology, 2011. http://hdl.handle.net/20.500.11838/1657.

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Thesis (MTech (Public Management)--Cape Peninsula University of Technology, 2011
In South Africa’s two-tiered health system, some enjoy health care based on ability to pay and others utilize services in an under-funded sector. The rift in the two, public and private sectors, primarily exists because income categories either curb or allow the necessary contributions. This thesis reports on the various contributing mechanisms, through which health care can be ensured universally, without causing impoverishment. The framework or criteria selected for this study includes feasibility, equity, efficiency and sustainability of a contributing mechanism. Furthermore, the contributing mechanisms – tax-funded, NHI, voluntary health insurance and out-ofpocket – are resident within four health care models namely, Beveridge, Bismarck, NHI and Out-of-pocket. These models are discussed as well as relevant country examples are provided. In the pursuit of answering whether the NHI scheme is suitable for South Africa, the study shows that government or tax-funding and NHI provides the contributing mechanisms that are applicable to the South African situation within the context of different challenges. It is recommended that, in the government’s discussions about health care reform, prepayment, universalism and health care expenditure, amongst others, be considered.
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Khetrapal, S. "Public-private partnerships in the health sector : the case of a national health insurance scheme in India." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2016. http://researchonline.lshtm.ac.uk/3141184/.

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Public-Private Partnerships (PPPs) in the health sector are essential in light of the challenges the public sector is facing in healthcare finance, provision and management. Recognizing the need to provide insurance coverage to those below the poverty line (BPL), Rashtriya Swasthya Bima Yojana (RSBY) was introduced in 2008 by the Ministry of Labour and Employment in India. RSBY is a social health insurance scheme for the informal sector, where health care delivery and management involves a multitude of stakeholders from both public and private sectors who are governed by contractual agreements. A family of up to five pays INR 30/- (£0.30) annually for enrolment for a coverage of INR 30,000/- (£302). The balance of the premium is subsidized and shared by the Central (75%) and the State (25%) governments. This research aims to evaluate the availability, provision and management of health services under RSBY Public-Private Partnership contracts and factors that might influence them in order to inform policy makers on how to improve scheme implementation for the BPL beneficiary. The study was conducted in the districts of Patiala and Yamunanagar, in the States of Punjab and Haryana respectively. The study has both qualitative and quantitative components using primary and secondary data. The results of the study can be broadly categorized under the main pillars of scheme design and implementation. These include political, regulatory and institutional capacity; stakeholder contracting; enrolment of beneficiaries; empanelment of health facilities; and finally provision and utilization of services. RSBY has clearly attempted to address the existing gaps in the provision of health services by offering a balanced Public-Private Partnership model that provides some degree of financial protection to the end user. Despite the weaknesses identified, it is a robust and evolving model that needs to be continuously developed, on the basis of lessons learnt from implementation of the scheme.
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Alhassan, Yussif Nagumse. "The role of the National Health Insurance Scheme in shaping equity of access to healthcare in Ghana." Thesis, London Metropolitan University, 2014. http://repository.londonmet.ac.uk/1080/.

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In light of recent emphasis on achieving Universal Health Coverage through social health insurance in low income countries, this thesis examined how the National Health Insurance Scheme in Ghana impacts on equity of access to healthcare in Tamale District of northern Ghana. Using mainly a qualitative approach, the thesis specifically examined whether the NHIS promotes equity in health insurance coverage and whether insured members are able to access healthcare equitably. Against this background, four broad findings were identified. Firstly, even though the NHIS improved insurance coverage in the Tamale District, enrolment was largely inequitable because most socially disadvantaged groups/individuals were less able to insure. This was mainly because such groups were predisposed to developing low willingness and low ability to enrol in the NHIS as a result of their individual and community characteristics as well as NHIS and healthcare system factors. Secondly, the NHIS improved the affordability of healthcare services and reduced the risk of catastrophic healthcare expenditure among insured members, particularly insured low income households. Thirdly, while the NHIS improved the financial resources of healthcare providers and the availability of medicines and medical supplies, it adversely impacted on the general quality of healthcare services mainly because the supply of healthcare resources failed to keep up with a high demand for healthcare services by insured members. Fourthly, the NHIS also improved the use of formal care, particularly among insured low income households due to their greater healthcare needs and previous inability to afford the cost of healthcare services. However, due to long waiting times associated with accessing NHIS healthcare, the improvement in financial access to healthcare by the NHIS failed to eradicate the use of ‘informal’ forms of care (e.g. drugstore, herbal/traditional medicine) among insured members. Based on these findings, this thesis concludes that the NHIS could enhance equity in access to care if there are opportunities created to enable socially disadvantaged groups to enrol in the scheme as well as improve the availability and quality of healthcare services for insured members.
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Lloyd, Bridget. "Stakeholder perceptions of human resource requirements for health services based on primary health care and implemented through a national health insurance scheme." Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7813_1363786823.

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In 2007, at its 52nd Conference in Polokwane, the African National Congress (ANC) called for the implementation of a National Health Insurance (NHI) scheme. The announcement resulted in much debate, with critics voicing concerns about the state of the public health system, lack of consultation and the expense of a NHI scheme. However, little attention has been paid to the 
human resource (HR) needs, despite the fact that 57% of recurrent expenditure on health1 is on HR. This research aimed to identify the HR requirements to support the implementation of an effective and equitable health system funded by a NHI in South Africa. An overview of the current burden of disease and distribution of HR is provided. Through interviewing key stakeholders the study attempted to elicit information about factors which will hamper or assist in developing such a health system, specifically looking at the HR situation and needs. The research explores HR 
odels and proposes key HR requirements for implementation of a health system funded by a NHI in South Africa, including skills mix and projected numbers of health workers and 
proposes ways to improve the deficient HR situation. Exploratory qualitative research methods were used comprising in-depth individual interviews, with a purposive sample of key informants, including: public health professionals and health managers (working in rural and urban areas)
researchers
academics and NGO managers. The contents of the interviews were analysed to identify common responses about and suggestions for HR requirements within the framework of a NHI. 1 Personal communication Dr Mark Blecher, Director Social Services (Health), National Treasury, 17 July 2009 The literature review includes policy documents, position papers and articles from journals and bulletins. Key informants were asked to identify literature and research material to support recommendations. The research findings indicate that despite the South African Government&rsquo
s expressed commitment to Primary Health Care (PHC), the National Department of Health has continued to support and sustain a clinical model of health service delivery (Motsoaledi, 2010), primarily utilising doctors and nurses. The clinic based services are limited in their ability to reach community level, and, being focused on curative aspects, are often inadequate with regard to prevention, health promotion and rehabilitation services. While the curricula of health professionals have been through some changes, the training has continued to be curative in focus and the clinical training sites have not been significantly expanded to include peripheral sites. While there are many Community Health Workers in the country, they remain disorganised and peripheral to the public health system. The mid level worker category 
has not been fully explored. Finally there are no clear strategies for recruitment and retention of health workers in rural and under-resourced areas. In addition to the continued use of a clinical model, transformation of the health system hasbeen hampered by inadequate numbers of health workers, particularly in the rural and periurban townships and informal settlements. There is no clear strategy for addressing the critical 
health worker shortage in under-resourced areas, particularly rural areas. The last section makes recommendations, which will be submitted to the relevant task teams working on the NHI. It is intended that recommendations arising out of the research will influence the process and decisions about HRH within a NHI funded health system.

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Kim, Hunjin. "An analysis of the policy-making process of the National Health Insurance scheme in the Republic of Korea." Thesis, University of Edinburgh, 2003. http://hdl.handle.net/1842/24776.

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This thesis focuses on the policy-making process of the National Health Insurance scheme (NHI) in the Republic of Korea (Korea). The analysis of the policy process of the Korean NHI scheme also makes it possible to observe the development of social policy in Korea. Health care in Korea was basically provided through the market until the implementation of the NHI scheme in 1977. The health care programme was initially introduced for a restricted section of the workforce, but gradually the programme was expanded to cover the entire population. The study addresses the questions of why and how has the NHI scheme developed. The policy-making process of the NHI scheme in Korea can be explained better by socio-political elements than by economic factors. Policy-making in the 1960s and 1970s was carried out by a limited number of policy-makers within a confined policy-making institution. At the beginning of the 1980s, however, the government pursued a more explicit strategy of reform. Since then, the range of the participants embedded in the policy-making arena has gradually become diverse and complex. As democratic processes became stronger, the policy-making structure became dynamically transformed, and power in the process was distributed among various social actors in the society. The economic crisis at the end of the 1990s had a significant impact on the style and structure of policy-making. There was a greater involvement of civic and interest groups in the policy-making process, and the government was less able to take any unilateral policy decisions. The policy-making process of the NHI scheme over the past four decades led to the development of the reformist and anti-reformist groups, and these groups contributed to building ideological foundations not only for the NHI development but also for social policy development in Korea. Two distinctive features were identified as one of the many by-products created by the NHI policy process. First, the policy-making style in the health care policy developed from 'authoritarian leadership' to 'pluralist and corporatist styles'; second, citizenship has been developed in the society and has influenced the policy-making process.
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Books on the topic "National Health Insurance Scheme (NHIS)"

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Robert, Arasa, and Nguli Mary N, eds. Social health insurance scheme for all Kenyans: Opportunities and sustainability potential. Nairobi, Kenya: Institute of Policy Analysis and Research, 2004.

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Christian Health Association of Kenya, ed. National Social Health Insurance Scheme: A report of NSHIS Sensitisation Workshop for Church Leaders and Managers of Mission Hospitals, 23-24 June 2004. Nairobi, Kenya: Christian Health Association of Kenya, 2004.

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Jens, Holst, Brandrup-Lukanow Assia, International Labour Organisation, Deutsche Gesellschaft für Technische Zusammenarbeit, and World Health Organization, eds. Extending social protection in health: Developing countries' experiences, lessons learnt, and recommendations. Eschborn, Germany: GTZ, 2007.

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Liu, Dan. China's New Rural Cooperative Medical Scheme: Evolution, Design and Impacts. Lang Publishing, Incorporated, Peter, 2014.

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Liu, Dan. China's New Rural Cooperative Medical Scheme: Evolution, Design and Impacts. Lang GmbH, Internationaler Verlag der Wissenschaften, Peter, 2014.

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Wang, Huihui, Nathaniel Otoo, and Lydia Dsane-Selby. Ghana National Health Insurance Scheme: Improving Financial Sustainability Based on Expenditure Review. Washington, DC: World Bank, 2017. http://dx.doi.org/10.1596/978-1-4648-1117-3.

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Health Financing In Ghana. World Bank Publications, 2012.

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Crisp, Nigel. HIV/AIDS and National Health Insurance in South Africa. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780198703327.003.0018.

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Chapter 18 describes how Dr Motsoaledi, the South African Health Minister, set about leading the fight on HIV/AIDS in South Africa, and introducing a national health insurance scheme in order to offer healthcare to every person in the country, by building on the work that was already underway. It describes his complex story, with many confusing cross-currents and elements of conflict and intrigue, and how a large part of the Minister’s role involved trying to cut through the confusion, offer a clear pathway for the future, and communicate
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Nyonator, Frank. Coverage of the poor—innovative health financing in Ghana. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780198703327.003.0019.

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Chapter 19 describes the journey that Ghana has been on since 2003 as it sought to bring together existing community based health insurance schemes of many sorts within a single national framework, which offered a package of care to all its citizens—however poor and from whatever background. It covers the challenges in integrating the existing schemes, in applying different aspects of the policy, in funding, and in reaching the poorest. It also discusses how the government has changed and with it some aspects of policy, and how, after 10 years, around a third of the population are active members of the National Health Insurance Scheme and there is a foundation in place for continuing the journey to ensure that health services are available to everyone as the country continues to grow and prosper.
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Asiskovitch, Sharon. Bureaucrats, Politicians, and the Politics of Bureaucratic Autonomy. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198793021.003.0008.

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Bureaucratic actors are located at the center of social policymaking. The chapter illustrates the relevance of conflicts of interests between fiscal bureaucrats and social bureaucrats and politicians, showing that where these conflicts are intense neoliberal reforms may be blocked or muted, at least for a time. The two case studies were selected to illustrate variation in the roles played by state bureaucracies and to cover key domains of social policymaking. The child allowances scheme demonstrates that the level of social policy politicization is influenced by changes in a program’s rules of entitlement, and that in turn the level of politicization determines whether and how bureaucrats are involved in policymaking. The National Health Insurance Law shows how bureaucratic actors may respond to a highly politicized change in the institutional arrangement of a social policy field by shifting the locus of decision-making to the bureaucratic arena, where powerful bureaucracies dominate policymaking.
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Book chapters on the topic "National Health Insurance Scheme (NHIS)"

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Thompson, Ian. "The National Disability Insurance Scheme and Health Care." In The National Disability Insurance Scheme, 193–204. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-2244-1_10.

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Williams, Theresa, and Geoffrey Smith. "Mental Health and the NDIS: Making It Work for People with Psychosocial Disability." In The National Disability Insurance Scheme, 161–91. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-16-2244-1_9.

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Kelkar, Sanjeev. "Health Insurance, National Health Protection Scheme, Public—Private Partnership." In India’s Private Health Care Delivery, 275–332. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-9778-7_9.

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Ayisi, Emmanuel Kofi, Emmanuel Yeboah-Assiamah, and Justice Nyigmah Bawole. "Politics of Public Policy Implementation: Case of Ghana National Health Insurance Scheme." In Global Encyclopedia of Public Administration, Public Policy, and Governance, 1–7. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-31816-5_3395-1.

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Sanyare, Francis Nangbeviel, and Justine Guguneni Tuolong. "Administrative Efficiency and Policy Failure: The National Health Insurance Scheme of Ghana in Perspective." In Global Encyclopedia of Public Administration, Public Policy, and Governance, 1–9. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-31816-5_3307-1.

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Sanyare, Francis Nangbeviel, and Justine Guguneni Tuolong. "Administrative Efficiency and Policy Failure: The National Health Insurance Scheme of Ghana in Perspective." In Global Encyclopedia of Public Administration, Public Policy, and Governance, 184–93. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-20928-9_3307.

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Edward Odunyemi, Adelakun. "The Implications of Health Financing for Health Access and Equity in Nigeria." In Healthcare Access [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.98565.

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The Nigeria health system has performed woefully against all vital health indices, trailing behind many African countries despite its enormous potentials. The reason for this is mainly due to the financial risk Nigerians face in accessing health care. This study addresses the implications of the current health care financing in Nigeria on access and equity. It shows the imperativeness of an alternative health care financing in line with best practices, from comparable Low- and Middle-Income Countries (LMICs), apart from the current National Health Insurance Scheme (NHIS). The findings from this study recommend that the NHIS should be strengthened through the policy reform to embrace fund pooling/risk-sharing, subsidisation for the poor and the vulnerable, mandatory enrolment, and fragmentation of NHIS. Other considerations include increasing domestic fiscal space for health and utilising a tax-based financing mechanism that has been progressive in all LMICs, thereby preventing the need for unsustainable reliance on external funding. A comprehensive package of health at the point of care is also necessary. However, all these recommendations require the government to show a commitment to improve the country’s healthcare system through its health spending.
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Roberts, Marc J., and Michael R. Reich. "Drug Coverage in Ghana’s National Health Insurance Scheme." In Pharmaceutical Reform, 301–13. The World Bank, 2011. http://dx.doi.org/10.1596/9780821387603_j.

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Nancarrow, Susan, and Alan Borthwick. "Post-professionalism and allied health." In The Allied Health Professions, 173–90. Policy Press, 2021. http://dx.doi.org/10.1332/policypress/9781447345367.003.0008.

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This chapter explores post-professional roles in detail, and the implications of these roles for the allied health professions generally. One relatively unique feature of the allied health professions is the extent of interdisciplinary and transdisciplinary working across the continuum of professionalisation. These trans- and interdisciplinary relationships can be negotiated at a team or institutional level; however, they are also formalised into recognised training structures and professional hierarchies, particularly in the fields of diabetes education, mental health and in generic assessment and case management roles, such as with the National Disability Insurance Scheme in Australia and with intermediate and transitional care for older people in the UK.
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Shin, Cheolmin, and Changsu Han. "South Korea." In Dementia Care: International Perspectives, 85–92. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0012.

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In 2008, the first Dementia Management Plan was launched to focus on prevention and early diagnosis, the development of infrastructures and management, and raising awareness. In 2012, the Dementia Management Act was enacted. In addition, in 2008, Korea launched the Long-Term Care Insurance (LTCI) scheme, a social insurance scheme for elderly care and whose beneficiaries also include patients with mild dementia but who still need care. The third Plan launched in 2016 for the next 5 years (i.e. 2016–2020) focuses on investing in dementia research, setting up a robust dementia delivery system, and standardizing a dementia care pathway. The Korean healthcare system for dementia patients has universal health insurance coverage through the national health insurance. The national dementia policy in South Korea was announced as ‘Dementia Comprehensive Management Measures’ in September 2008, of which one of the primary measures is to provide early diagnosis of dementia through the establishment of dementia counselling centres in public health-improving centres.
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Conference papers on the topic "National Health Insurance Scheme (NHIS)"

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Salamah, Siti Nafi‟atus, Didik Tamtomo, and Endang Sutisna Sulaeman. "Equity in the use Of Hemodialysis within the National Health Insurance Scheme: Evidence Jember East Java." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.04.25.

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Olonade, Paul Olanrewaju, and Sulaimon Olanrewaju Adebiyi. "Using Analytic Hierarchy Process (AHP) for Assessment of National Health Insurance Scheme Service Delivery in Nigeria." In International Symposium on the Analytic Hierarchy Process. Creative Decisions Foundation, 2014. http://dx.doi.org/10.13033/isahp.y2014.177.

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Eskawati, Maria Yeny, Bhisma Murti, and Didik Gunawan Tamtomo. "IMPLEMENTATION OF THE REFERRAL SYSTEM POLICY IN THE NATIONAL HEALTH INSURANCE SCHEME AT COMMUNITY HEALTH CENTERS, NGAWI DISTRICT, EAST JAVA." In THE 2ND INTERNATIONAL CONFERENCE ON PUBLIC HEALTH. Masters Program in Public Health, Sebelas Maret University, 2017. http://dx.doi.org/10.26911/theicph.2017.141.

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Prakoso, Anom Dwi, Endang Sutisna Sulaeman, and Arief Suryono. "Factors Associated with Participation in the National Health Insurance Program: A Path Analysis Evidence From Kudus, Central Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.37.

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ABSTRACT Background: Government of Republic of Indonesia provides the national health insurance program since January 1st 2014. The payment scheme requires hospitals to provide the service first and then make a claim to BPJS on the service by using the tariff package called Indonesia Case Based Groups (INA CBGs). The purpose of this study was to examine factors associated with participation in the national health insurance program using path analysis model. Subjects and Method: This was a case control study. The study was conducted at 5 sub-districts in Kudus, Central Java, from September to October 2019. A sample of 200 informal workers was selected by purposive sampling. The dependent variable was participation in national health insurance. The independent variables were education, income, knowledge, perceived susceptibility, perceived seriousness, perceived benefit, family support, self-efficacy, and social environment. The data were collected by questionnaire and analyzed by path analysis run on stata 13. Results: Participation in the national health insurance program was directly and positively affected by high perceived susceptibility (b= 2.14; 95% CI= -0.09 to 4.38; p= 0.060), high perceived seriousness (b= 4.71; 95% CI= 2.15 to 7.28; p<0.001), high perceived benefit (b= 2.45; 95% CI= 0.07 to 4.83; p= 0.044), strong family support (b= 6.31; 95% CI= 3.20 to 9.41; p<0.001), strong self-efficacy (b= 3.55; 95% CI= 1.02 to 6.07; p= 0.006), and supportive social environment (b= 3.39; 95% CI= 1.24 to 5.55; p= 0.002). Participation in the national health insurance program was indirectly affected by education, income, and knowledge. Conclusion: Participation in the national health insurance program is directly and positively affected by high perceived susceptibility, high perceived seriousness, high perceived benefit, strong family support, strong self-efficacy, and supportive social environment. Participation in the national health insurance program is indirectly affected by education, income, and knowledge. Keywords: national health insurance, Health Belief Model, Social Cognitive Theory Correspondence: Anom Dwi Prakoso. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Centra Java, Indonesia. Email: anomdwiprakoso@-gmail.com. Mobile: +62895363054393. DOI: https://doi.org/10.26911/the7thicph.04.37
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Rahayuningrum, Indriyati Oktaviano, Didik Gunawan Tamtomo, and Arief Suryono. "COMPARISON BETWEEN HOSPITAL INPATIENT COST AND INACBGS TARIFF OF INPATIENT CARE IN THE NATIONAL HEALTH INSURANCE SCHEME IN SOLO, BOYOLALI AND KARANGANYAR DISTRICTS, CENTRAL JAVA." In THE 2ND INTERNATIONAL CONFERENCE ON PUBLIC HEALTH. Masters Program in Public Health, Sebelas Maret University, 2017. http://dx.doi.org/10.26911/theicph.2017.138.

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Dokurugu, Yussif, Perry Brown, Tyra Dark, and Baffour Awuah. "Abstract A87: The epidemiology of breast and cervical cancer: Pre-and post-National Health Insurance Scheme in Ashanti region of Ghana." In Abstracts: AACR International Conference on the Science of Cancer Health Disparities‐‐ Sep 30-Oct 3, 2010; Miami, FL. American Association for Cancer Research, 2010. http://dx.doi.org/10.1158/1055-9965.disp-10-a87.

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Eskawati, Maria Yeny. "Resources Availability of Non-Specialistic Reference Policies in the Era of National Health Assurance to Ngawi East Java Public Health Centre." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.16.

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ABSTRACT Background: The availability of resources is important in running a program. The implementation of the Non-Specialist Referral Policy has experienced many obstacles due to the lack of resource availability. This study aims to determine the availability of resources for the implementation of the Non-Specialist Outpatient Referral Policy in the National Health Insurance Era at the Public health center in Ngawi Regency, East Java. Subjects and Method: This study was a descriptive qualitative study conducted at Public Health Center in 2017, A total of 31 sources was selected by mapping and purposive sampling. The data were collected by means of triangulation of sources and in-depth interviews, observation, secondary document study. The data were analyzed by reduction, presentation and verification. Result: Obstacles stems from the absence of a recruitment decree from the regent and no funding from Public health center to recruit under the BLUD scheme. Health equipment available is only 43% to 60% of the need. The main obstacle is the regent approves the high price of equipment and not all budget estimates. Good medicine, if certain conditions are less spent than capitation funds. Finance is sufficient because the sources of funds vary, from capitation, DAK, DAU, BK, BOK, etc. Conclusion: The availability of medicine and finance is sufficient, but human resources and equipment are still lacking. It requires commitment and policies from Ngawi District Government, public health center policies and public health center commitments to realize the BLUD scheme to overcome resource shortages. Keywords: Resources, Non-Specialistic Referral, JKN, Public health center Correspondence: Maria Yeny Eskawati. Institute of Science and Health Technology Insan Cendekia Medika, Jombang, Jawa Timur. Email: mariayenyeskawati@gmail.com. Mobile: +6289796348186 DOI: https://doi.org/10.26911/the7thicph.04.16
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Reports on the topic "National Health Insurance Scheme (NHIS)"

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Mozumdar, Arupendra, Kumudha Aruldas, Aparna Jain, Laura Reichenbach, Robin Keeley, and M. E. Khan. Understanding demand for family planning and reproductive health services through the Indian National Health Insurance Scheme in Uttar Pradesh. Population Council, 2016. http://dx.doi.org/10.31899/rh8.1064.

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Mozumdar, Arupendra, Kumudha Aruldas, Aparna Jain, Laura Reichenbach, Robin Keeley, and M. E. Khan. Addressing supply side factors to improve family planning and reproductive health services in the Indian National Health Insurance Scheme in Uttar Pradesh. Population Council, 2016. http://dx.doi.org/10.31899/rh8.1051.

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