Significant alternative sources of health care financing in Ghana, a case study in the Asante Akim North district

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JUNE, 2019
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The study sought to establish the significant alternative sources of health care financing in thewithin Asante Akim North District. A case study research design was employed to gather data from primary and secondary sources. The Primary data was gathered through structured questionnaire and interview guide from fifteen respondents. Non-probability method of sampling with combination of quota and purposive techniques was used to select the respondents for the study. Qualitative and quantitative analysis was used to establish the finding of the study. Firstly, it was established that the current state of health care financing apart from the funds from the MOH mainly includes internally generated funds and donations from benevolent societies and individuals. Secondly, revenue generated was generally inadequate for most of the years understudy. Thirdly, the challenges the health care financing included unavailability of funds to purchase equipment, delayed reimbursement from the NHIA and high dependency on the NHIS. Lastly, majority of the participants acknowledged that alternative sources of health care financing to include practice of cash and carry, operation of psychotherapy center, extension of accommodation, recreational and health facilities, provision of means of transport to patients and clients, support from NGOs and extension of pharmaceutical and laboratory facilities. Resultantly, it is recommended that, the MOH for that matter should encourage the private sector and other Non-Governmental Organizations to take keen interest in funding both mission and public healthcare institutions to reduce the burden on them. Also, policies governing the NHIS concerning reimbursement should be enforced by the government and ensured by NHIS.
A thesis submitted to the School of Graduate Studies, Kwame Nkrumah University of Science and Technology, Kumasi in partial fulfilment of the requirements for the Award of Master in Public Health Services Planning and Management.
Health care financing, Ghana