scholarly journals Inclusion of family planning within the National Health Insurance benefits package in Ghana: A health facility assessment

2021 ◽  
Keyword(s):  
Health Insurance ◽  
Family Planning ◽  
National Health Insurance ◽  
National Health ◽  
Scale Up ◽  
Pilot Project ◽  
Health Facilities ◽  
Insurance Benefits ◽  
Facility Assessment ◽  
Benefits Package

In Ghana, National Health Insurance Act 852 of 2012 ensures that health-care benefits include family planning (FP) services, however people continue to pay for FP services because the policy is yet to be implemented in practice. Under the leadership of the Ministry of Health, the National Health Insurance Authority in collaboration with the Ghana Health Service, Marie Stopes International-Ghana and the Population Council implemented a pilot project to remove FP service out-of-pocket costs. All modern clinical FP methods were added to national health insurance and expensed by health facilities through the national health insurance claims process. The intervention significantly increased the number of new acceptors of FP services and increased uptake of specific methods. According to this report, the pilot also demonstrated that FP can be included in the national health insurance benefits package without setbacks as health facilities were able to process their claims. As stakeholders consider scaling up the intervention of including FP into the national health insurance benefits package, it is important to assess the availability of FP services and readiness of health facilities for the scale-up.

scholarly journals Issues for consideration in the scale-up of the inclusion of family planning in the National Health Insurance benefits package in Ghana

2021 ◽  
Keyword(s):  
Health Insurance ◽  
Family Planning ◽  
National Health Insurance ◽  
National Health ◽  
Scale Up ◽  
Well Being ◽  
Good Health ◽  
Health Coverage ◽  
The Sustainable Development ◽  
Quality Health

Ghana is working toward achieving universal health coverage (UHC). This is driven, in part, by the Sustainable Development Goals (SDGs), specifically SDG 3—Good Health and Well-Being, which seeks to ensure healthy lives and promote well-being for all at all ages. Achieving this feat will improve equity of access as people, especially the poor can access quality health services without financial hardships. Ensuring equitable access to family planning (FP) is essential to securing the well-being of women and supporting the health and development of communities. One pathway to ensuring equity is the inclusion of FP in affordable insurance. While the inclusion of FP in the National Health Insurance Scheme is critical to the equity of FP distribution, the issues identified in this brief would have to be addressed before or in the course of scale-up to achieve the desired results.

scholarly journals The Healthy Indonesia Program and Family Role In Dealing with Covid-19 In Indonesia

2021 ◽  
Vol 15 (3) ◽  
pp. 27-36
Author(s):  
Ismunandar Ismunandar ◽  
Fahmi Hafid ◽  
Taqwin Taqwin ◽  
Zainul Zainul ◽  
Junaidi Junaidi ◽  
...  
Keyword(s):  
Health Insurance ◽  
Family Planning ◽  
Mental Disorders ◽  
National Health Insurance ◽  
National Health ◽  
Exclusive Breastfeeding ◽  
Health Facilities ◽  
Growth Monitoring ◽  
Clean Water ◽  
Family Approach

The Healthy Indonesia Program with a Family Approach (PIS-PK) aims to improve the quality of life of Indonesian citizens from the smallest unit of society, namely the family. This program is the family's main capital in dealing with the COVID-19 pandemic. The purpose of this study was to assess the potential of the Healthy Indonesia program and the role of families in dealing with Covid-19 in Indonesia. Literature review was conducted during 27 July 2021 to 07 August 2021, and literature search used Publish or Perish software for the time period of 2020-2021. Search keywords include: Coronavirus, Vaccines, Covid-19, Healthy Indonesia Program, Family Planning, delivery in health facilities, complete basic immunization, Exclusive Breastfeeding, growth monitoring, pulmonary tuberculosis, hypertension, mental disorders, smoking, National Health Insurance, access to clean water facilities and healthy latrines. Study findings showed that family planning services, delivery in health facilities, complete basic immunization, and growth monitoring could still be implemented by families in Indonesia. Likewise, the treatment of tuberculosis, hypertension, mental disorders is carried out on a limited basis. The behavior of exclusive breastfeeding, no smoking family members, families which have become members of the National Health Insurance and families which have access to clean water facilities are family capital in dealing with the covid-19 pandemic. In conclusion, the more complete the status of a healthy family based on 12 indicators, the more resilient each family will be in dealing the covid-19 pandemic.

DISTRIBUTIONAL ASPECTS OF NATIONAL HEALTH INSURANCE BENEFITS AND FINANCE

1972 ◽  
Vol 25 (4) ◽  
pp. 497-510
Author(s):  
MARTIN FELDSTEIN ◽  
BERNARD FRIEDMAN ◽  
HAROLD LUFT
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Insurance Benefits

scholarly journals DRUG COST ANALYSIS ON NATIONAL HEALTH INSURANCE ERA IN HEALTH SUPPORT FACILITIES

2017 ◽  
Vol 10 (2) ◽  
pp. 119
Author(s):  
Satibi Satibi ◽  
Dewa Ayu Putu Satrya Dewi ◽  
Atika Dalili Akhmad ◽  
Novita Kaswindiarti ◽  
Dyah Ayu Puspandari
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
Drug Cost ◽  
National Health ◽  
Health Facilities ◽  
Drug Costs ◽  
Average Percentage ◽  
Primary Health

Objective: In national health insurance (JKN) era, pharmacy can play roles in the form of behind refer pharmacies, or networking pharmacy and clinic pharmacy pratama. Behind refer pharmacies drug cost can be claimed directly to BPJS, meanwhile for the other type of pharmacy have to negotiation first with the primary health care. Drug cost variations in the JKN era affect the profitability of the business pharmacies. This research aims to the drug percentage charges against capitation and variety of drug costs.Methods: This research is analytic observational cross-sectional. This research uses secondary data from a JKN prescription patient. This research was conducted on 6 affiliated pharmacies, 6 networking pharmacies, and 7 clinical pharmacy pratama in DIY. The sampling in this research is by purposive with 8.430 prescriptions. Data drug costs JKN era was analyzed by descriptive statistics and comparative test (Kruskal Wallis test).Results: The result showed that average percentage of drug costs for capitation fee in the networking pharmacy is 13.58% and primary health care is 15.91%. Pharmacy in JKN era has drug cost variations (p=0.000). Drug cost in JKN era depends on the pattern of play roles with the health facilities and BPJS. The average percentage of drug costs against capitation health facilities in networking pharmacy is lower than clinical pharmacy pratama.Conclusions: Drug costs in an era of JKN depending on the pattern of cooperation with health facilities pharmacies and BPJS. The average percentage of the cost of drugs to the pharmacy capitation health facilities in networking lower than clinic pharmacy pratama. Differences in drug costs JKN era influenced by the long days of drug administration, the number of prescription sheets, margin.Keywords: Drug cost analysis, National health insurance (JKN), Pharmacy, Primary health care, Capitation.

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