Why did Ghana's national health insurance capitation payment model fall off the policy agenda? A regional level policy analysis.

ABSTRACT: Provider payment reforms, such as capitation, are very contentious. Such reforms can drop off the policy agenda due to political and contextual resistance. Using the Shiffman and Smith (Generation of political priority for global health initiatives: a framework and case study of maternal mortality. Lancet 2007; 370 1370-9) framework, this study explains why Ghana's National Health Insurance capitation payment policy that rose onto the policy agenda in 2012, dropped off the agenda in 2017 during its pilot implementation in the Ashanti region. We conducted a retrospective qualitative policy analysis by collecting field data in December 2019 in the Ashanti region through 18 interviews with regional and district level policy actors and four focus group discussions with community-level policy b

SUBMITTER: Abiiro GA 

PROVIDER: S-EPMC8227458 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature