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- W2226975094 abstract "Ghana’s Social Health Insurance scheme, introduced in 2003, aims to remove financial barriers to health care access and bridge the inequality gaps in health care. The scheme has been praised for its coverage, associated legal reforms, clinical audit mechanisms and for serving as a hub for knowledge sharing and learning within the context of South-South Cooperation. However, gaps and challenges have emerged in the implementation process and issues of universality, inadequate medical facilities and health care professionals, cost escalation and reimbursement of providers threaten the sustainability of the scheme. The paper reports on a study of implementation in two local government areas in Southern and Northern Ghana. The research design has been informed by new institutional theory to help understand the roles played by the various actors in the formulation and implementation of the policy. The focus is on the institutional field, which has developed around the implementation of the programme. The paper will profile key actors, and draw on interview data with them in terms of their history, values and belief systems and examine whether these have been challenged by the insurance programme and analyse organizational processes in which actors engage." @default.
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- W2226975094 date "2012-04-01" @default.
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- W2226975094 title "The Implementation of the National Health Insurance Programme in Ghana – an Institutional Approach." @default.
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