Is the NHIS bridging or widening Health Inequity Gap?
By AHSAG Posted date: 13th October 2009
One of the key components of the poverty reduction strategy adopted by the Government to deal with poverty in Ghana is reducing inequalities in access to health, reproduction and nutrition services, and health outcomes. In line with this policy strategy, the government of Ghana has made an impressive effort to introduce National Health Insurance Scheme (NHIS) to finance affordable and quality healthcare to all residents of Ghana without out-of-pocket payment requirement at the point of service.
While the NHIS is generally described as a pro-poor strategy for Ghana health sector, there has been an open question as to whether conditions are in place for the scheme to respond to the health needs of the poor in rural areas. There is widespread belief that given the situation in the rural areas in Ghana where the use of health services is impeded by other factors such as non-availability of health facilities and personnel, poor quality of services etc, a substantial proportion of the NHIS spending goes to the relatively better-off who reside in the urban areas. This seems to suggest that the NHIS is rather reinforcing the health inequity gap between the relatively better-off who resides in the urban centres and the poor in the remote areas.
Your view on the issues raised!