Public Social Policy Efficacy Assessment: Operational Challenges of the Health Insurance Scheme in Ghana
Journal of Public Policy and Administration
Volume 2, Issue 4, December 2018, Pages: 71-83
Received: Nov. 7, 2018; Accepted: Nov. 26, 2018; Published: Dec. 25, 2018
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Vincent Ekow Arkorful, School of Public Affairs, University of Science and Technology of China, Hefei, China
Ibrahim Basiru, School of Public Affairs, University of Science and Technology of China, Hefei, China
Latif Amadu, School of Public Affairs, University of Science and Technology of China, Hefei, China
Anastasia Hammond, Department of Psychology and Home Science, University of Ghana, Accra, Ghana
Sarah Pokuaah, Department of Nursing, Stark State Community College, Stark County, USA
Eric Kwadwo Agyei, Agricultural Extension Department, University of Ghana, Accra, Ghana
Nurudeen Abdul-Rahaman, School of Public Affairs, University of Science and Technology of China, Hefei, China
Edward Arthur, Department of Economics and Entrepreneurial Studies, University for Development Studies, Wa, Ghana
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Maintaining the health and wealth of a nation largely depends on the state of health care and policies guaranteeing citizens access to health care. It is the policy that creates the enabling operational environment for the health institutions. The purpose of this paper is to examine the current state of the public social policy program delivery, as well as challenges and prospects in three (3) purposefully selected districts each in the selected case study areas of the three (3) Northern regions of Ghana; The Northern Region, Upper East Region and the Upper West Region. The study employed the case study method. Interviews were conducted in communities in the selected districts in the regions using a semi-structured interview guide. The study relied on primary sources of data. Primary data were obtained through interview schedule and interview guide. The study identified reimbursement delays, widespread poverty among denizens of the study area, human resource constraints, infrastructural challenges and unethical conduct of health professionals. Others include: limited drug coverage under the scheme, logistical constraints, fraud and abuse, and delays in documents processing. The study therefore recommended among others things that, stakeholders, as part of concerted efforts to sustain the policy in the Northern, Upper East and the Upper West Region should integrate social justice, and vulnerability considerations into the policy to favour the poor and the socially marginalized.
Public Social Policy, National Health Insurance Scheme, Operational Challenges, Northern Region, Ghana
To cite this article
Vincent Ekow Arkorful, Ibrahim Basiru, Latif Amadu, Anastasia Hammond, Sarah Pokuaah, Eric Kwadwo Agyei, Nurudeen Abdul-Rahaman, Edward Arthur, Public Social Policy Efficacy Assessment: Operational Challenges of the Health Insurance Scheme in Ghana, Journal of Public Policy and Administration. Vol. 2, No. 4, 2018, pp. 71-83. doi: 10.11648/j.jppa.20180204.15
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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