Does the NHIS cover the poor?

Presenter: Andreas Bjerrum, Health Center Advisory Office


The goals of the NHIS were to expand coverage of the poor while increasing resources to the health sector. The NHIS provides exemptions to the indigent, the elderly, pregnant women and children of insured enrolees. A number of studies have been conducted to assess whether or not the NHIS has been able to effectively target these exempt groups. This presentation reviews the research on the impact of the NHIS on distribution of insurance membership by socio-economic and geographic characteristics. Based on household surveys and government-collected data, the NHIS has resulted in increased insurance coverage as well as utilisation amongst all income levels. But the elderly and those in higher socio-economic groups disproportionately register in the NHIS. It also describes the characteristics of those who intend to renew their NHIS membership. Overall, this analysis provides insight into how to improve the functioning and particularly the targeting of the NHIS.

Authors: Andreas Bjerrum, Felix Asante

Session: Ghana's National Health Insurance Scheme- the way forward for Sub-Saharan Africa or a hazardous experiment?
Time: Mon 4:30 p.m.-5:30 p.m.
Room: 310