Out-of-pocket payment for primary healthcare in the era of national health insurance: Evidence from northern Ghana.

ABSTRACT:

Background

Ghana introduced a national health insurance program in 2005 with the goal of removing user fees, popularly called "cash and carry", along with their associated catastrophic and impoverishment effects on the population and ensuring access to equitable health care. However, after a decade of implementation, the impact of this program on user fees and out-of-pocket payment (OOP) is not properly documented. This paper contributes to understanding the impact of Ghana's health insurance program on out-of-pocket healthcare payments and the factors associated with the level of out-of-pocket payments for primary healthcare in a predominantly rural region of Ghana.

Methods

Using a five-year panel data of revenues accruing to public primary health facilities in seven distri

SUBMITTER: Kanmiki EW 

PROVIDER: S-EPMC6701750 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature