Literature DB >> 20022657

Efficiency, equity and feasibility of strategies to identify the poor: an application to premium exemptions under National Health Insurance in Ghana.

Caroline Jehu-Appiah1, Genevieve Aryeetey, Ernst Spaan, Irene Agyepong, Rob Baltussen.   

Abstract

OBJECTIVES: This paper outlines the potential strategies to identify the poor, and assesses their feasibility, efficiency and equity. Analyses are illustrated for the case of premium exemptions under National Health Insurance (NHI) in Ghana.
METHODS: A literature search in Medline search was performed to identify strategies to identify the poor. Models were developed including information on demography and poverty, and costs and errors of in- and exclusion of these strategies in two regions in Ghana.
RESULTS: Proxy means testing (PMT), participatory welfare ranking (PWR), and geographic targeting (GT) are potentially useful strategies to identify the poor, and vary in terms of their efficiency, equity and feasibility. Costs to exempt one poor individual range between US$11.63 and US$66.67, and strategies may exclude up to 25% of the poor. Feasibility of strategies is dependent on their aptness in rural/urban settings, and administrative capacity to implement. A decision framework summarizes the above information to guide policy making.
CONCLUSIONS: We recommend PMT as an optimal strategy in relative low poverty incidence urbanized settings, PWR as an optimal strategy in relative low poverty incidence rural settings, and GT as an optimal strategy in high incidence poverty settings. This paper holds important lessons not only for NHI in Ghana but also for other countries implementing exemption policies. Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.

Mesh:

Year:  2009        PMID: 20022657     DOI: 10.1016/j.healthpol.2009.11.017

Source DB:  PubMed          Journal:  Health Policy        ISSN: 0168-8510            Impact factor:   2.980


  18 in total

1.  Low coverage but few inclusion errors in Burkina Faso: a community-based targeting approach to exempt the indigent from user fees.

Authors:  Valéry Ridde; Slim Haddad; Béatrice Nikiema; Moctar Ouedraogo; Yamba Kafando; Abel Bicaba
Journal:  BMC Public Health       Date:  2010-10-21       Impact factor: 3.295

2.  Community-based evaluation of PMTCT uptake in Nyanza Province, Kenya.

Authors:  Pamela K Kohler; John Okanda; John Kinuthia; Lisa A Mills; George Olilo; Frank Odhiambo; Kayla F Laserson; Brenda Zierler; Joachim Voss; Grace John-Stewart
Journal:  PLoS One       Date:  2014-10-31       Impact factor: 3.240

3.  Is the process for selecting indigents to receive free care in Burkina Faso equitable?

Authors:  Nicole Atchessi; Valéry Ridde; Maria-Victoria Zunzunégui
Journal:  BMC Public Health       Date:  2014-11-07       Impact factor: 3.295

4.  An exploration of moral hazard behaviors under the national health insurance scheme in Northern Ghana: a qualitative study.

Authors:  Cornelius Debpuur; Maxwell Ayindenaba Dalaba; Samuel Chatio; Martin Adjuik; Patricia Akweongo
Journal:  BMC Health Serv Res       Date:  2015-10-15       Impact factor: 2.655

5.  Effects of spatial location and household wealth on health insurance subscription among women in Ghana.

Authors:  Akwasi Kumi-Kyereme; Joshua Amo-Adjei
Journal:  BMC Health Serv Res       Date:  2013-06-17       Impact factor: 2.655

6.  Impact of free delivery care on health facility delivery and insurance coverage in Ghana's Brong Ahafo Region.

Authors:  Susie Dzakpasu; Seyi Soremekun; Alexander Manu; Guus Ten Asbroek; Charlotte Tawiah; Lisa Hurt; Justin Fenty; Seth Owusu-Agyei; Zelee Hill; Oona M R Campbell; Betty R Kirkwood
Journal:  PLoS One       Date:  2012-11-16       Impact factor: 3.240

Review 7.  Lack of access to health care for African indigents: a social exclusion perspective.

Authors:  Werner Soors; Fahdi Dkhimi; Bart Criel
Journal:  Int J Equity Health       Date:  2013-11-15

8.  Is Ghana's pro-poor health insurance scheme really for the poor? Evidence from Northern Ghana.

Authors:  James Akazili; Paul Welaga; Ayaga Bawah; Fabian S Achana; Abraham Oduro; John Koku Awoonor-Williams; John E Williams; Moses Aikins; James F Phillips
Journal:  BMC Health Serv Res       Date:  2014-12-14       Impact factor: 2.655

9.  Elderly demand for family-based care and support: evidence from a social intervention strategy.

Authors:  Emmanuel Aboagye; Otuo Serebour Agyemang; Trond Tjerbo
Journal:  Glob J Health Sci       Date:  2013-12-06

Review 10.  A systematic review of factors that affect uptake of community-based health insurance in low-income and middle-income countries.

Authors:  Esther F Adebayo; Olalekan A Uthman; Charles S Wiysonge; Erin A Stern; Kim T Lamont; John E Ataguba
Journal:  BMC Health Serv Res       Date:  2015-12-08       Impact factor: 2.655

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