Health News of Fri, 7 Sep 20185

Ghana’s health sector review shows ‘stagnating performance’

Director of Policy Planning Monitoring and Evaluation (PPME), Ministry of Health, Dr Emmanuel Odame, has revealed that a holistic assessment of the health sector over past three years (2014, 2015 and 2016) shows a stagnating performance.

The National Health Insurance Scheme (NHIS) was cited in the non-performing health sector interventions.

Dr Odame, however, noted that generally, the health sector has seen some remarkable improvement in terms of performance such as an increase in government allocation, improved performance in child health and increased coverage of the NHIS.

Dr Emmanuel Odame made the revelations when he officially launched the annual Health Sector Policy Dialogue series on Thursday, expressed his gratitude to all the stakeholders for their sustained contributions over the years.

He, therefore, called for a more integrated approach to the development of health care financing systems, to immediately rectify the current challenges being faced under the NHIS if Ghana was to make strides in the Sustainable Development Goal-3, which aimed to “ensure healthy lives and promote well-being for all at all ages”.

Stakeholders in Ghana’s health sector are meeting at a three-day National Policy Dialogue in Accra, to rethink through the systems of health care purchasing, and how to balance needs quality and financial sustainability.


He said the Ministry recognises the importance of policy dialogue as an effective mechanism for engaging and taking decisions with key stakeholders on critical health systems issues.

The Policy dialogue, which was a collaborative project between the academia from the University of Technology in Belin, Germany, and the Kwame Nkrumah University of Science and Technology (KNUST), would therefore facilitate an exchange of information, and build consensus between the public, private and Civil Society Organisations (CSOs) through leaders who could forge alliances, make decisions, or strongly influence the trajectory of a possible solution to a challenging issue such as healthcare financing.

It would further ensure their examination of opportunities and constraints of topical issues concerning the health sector, saying, the timing was ideal considering the fact that the National Health Insurance Scheme (NHIS) was currently undergoing review to make it much better.

Dr Odame said the NHIS was currently faced with challenges including increased coverage without a corresponding increase in resources or premiums, which had created a significant financial burden on the scheme.

Review reports showed that the Scheme was threatened by an inadequate fund, which had resulted in indebtedness to service providers, and “as a result, some service providers are asking patients to pay out-of-pocket and in some cases, NHIS cardholders who are unable to pay are denied health care services”, he said.

He noted that as policymakers focused attention towards achieving health policy goals of quality, efficiency and access, they were faced with increasing cost of healthcare partly due to inefficiencies in the financing arrangements.

He said globally 400 million people did not have access to essential health services, and six per cent of these, living in low and middle-income countries were being pushed further into extreme poverty because of weaknesses in health financing system, hence, they did not have access to effective and affordable drugs, surgeries and other interventions.

He, however, warned that while reforms in provider payment systems may help address such inefficiencies, it could also affect the quality of care and patients’ trust in health care providers, citing the introduction of the capitation payment of primary care in 2012, with the view of containing escalating claims expenditure.

He encouraged CSOs, the academia and all relevant stakeholders to continue engaging the Ministry through such dialogues to address some of the challenges facing the health sector.

Prof. Anthony Kwaku Edusei, the Vice Dean, School of Public Health (KNUST) and the Coordinator of the collaborative project, said going forward, it was important that health purchasing be based on needs, sustainability, as well as who should be the agents to be engaged so as to minimise the challenges.

Prof. Reinard Busse, the Project Leader, Capacity Building in Health Systems Research and Management and Head of the Department of Health Care Management, University of Technology Berlin, said a good purchasing strategy could among other things bridge the gap between planning and budgetary allocation, and improve information systems so that they are mandated to collect and make available meaningful information for effective use by all stakeholders.

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