scholarly journals Access to Maternal Healthcare Services under the National Health Insurance Policy in the Upper West Region, Ghana

2019 ◽  
Author(s):  
Ibrahim Abu Abdulai ◽  
Abdul-Moomin Adams
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Healthcare Services ◽  
Insurance Policy ◽  
Maternal Healthcare ◽  
West Region

scholarly journals An Analysis of The National Health Insurance Policy Implementation in 2014 (Presidential Regulation No. 12 And 111/2013 on Health Insurance) from The Regulator’s Position

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Muhammad Arief Hasan ◽  
Puput Oktamianti ◽  
Dumilah Ayuningtyas
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Universal Health Coverage ◽  
Healthcare Services ◽  
Regional Government ◽  
Health Coverage ◽  
Healthcare Facilities ◽  
Road Map ◽  
Universal Health

Abstract. JKN (National Health Insurance) is a government program that aims to provide health assurance for all Indonesian citizens for a healthy, productive, and prosperous life. In the two years after JKN was implemented, various problems occurred. This research used the qualitative approach with the Edward II implementation theory. Results of the research indicated that there were problems in communication, stemming from the lack of socialization and inharmonic regulations, there was also the problem of the lack of healthcare resources. From the disposition side, the policy makers often obstructs the implementation preparation, this is evident from the information on determining the premium size. From the organization structure, all the stakeholders have been well coordinated. We conclude that we are not ready to implement the JKN. We recommend that mass and effective socialization program to be performed using various methods of communication and involve the community. To reduce the disparity of healthcare services, we recommend that the regional government to establish various healthcare facilities to accelerate health development. There should also be regulations that allocates healthcare staff in every corner of the country to achieve Universal Health Coverage in 2019, as stated in the National Health Insurance Road Map. Keywords: policy analysis, national health insurance, universal health coverage

scholarly journals The provision of promotive and preventative healthcare services by private primary care physicians in the era of the national health insurance program

2017 ◽  
Vol 5 (2) ◽  
pp. 140
Author(s):  
Ketut Ary Diana Artha ◽  
Ketut Suarjana ◽  
Pande Putu Januraga
Keyword(s):  
Primary Care ◽  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Primary Care Physicians ◽  
Healthcare Services ◽  
Qualitative Approaches ◽  
Inhibiting Factors ◽  
Preventative Healthcare ◽  
Preventative Services

Background and purpose: In addition to their duties in addressing the curative and rehabilitative needs of the community, private primary care physicians (PCP) play an important role in providing promotive and preventative healthcare services. This study aims to determine the behaviours, enabling and inhibiting factors involved with the provision of promotive and preventative services by PCP in the era of national health insurance (JKN) implementation.Methods: This research is a mix method study using a combination of quantitative and qualitative approaches. Quantitative surveys were conducted with all PCPs already in working collaboration with the Social Security Administering Agency (BPJS) in the Denpasar City area (61 people). Data analysis techniques used descriptive techniques in order to explore the kinds of promotion and preventative services provided by PCPs. Qualitative research was conducted through in-depth interviews of 8 informants selected by purposive sampling and analyzed thematically to discover the enabling and inhibiting factors of the provision of promotive and preventative services by PCPs.Results: The results showed that 91.8% of PCPs did perform promotive and preventative services in their practice site. PCPs who did not carry out promotive and preventative services demonstrate perceptions, beliefs and motivations categorized as low and weak as well as attitudes that do not support the implementation of such services. Enabling factors of promotion and preventative services by PCPs, include among others, quality of facilities and infrastructure, the receipt of awards from BPJS and capitation systems that benefit physicians financially. Inhibiting factors include a low willingness of the patient to carry out doctor's advice, limitations in the PCPs work time and limited funds to perform preventative/promotive services.Conclusions: Promotive and preventative services are not being optimally carried out by PCPs in Denpasar. This is due to the low willingness of the patients, the limited time of the doctor, and the limited allocated funds for promotive and preventative services and low capitation.

South African health plan will prompt more controversy

2019 ◽  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Health Coverage ◽  
Access To Health Services ◽  
Content Type ◽  
Private Healthcare ◽  
Health Rights

Subject National Health Insurance (NHI). Significance The long-awaited National Health Insurance (NHI) Bill has been released and is poised to begin its passage through parliament. The Bill contains the biggest health reforms in post-apartheid South Africa and is the first piece of enabling legislation for realising the government’s ambitions for achieving universal health coverage, called NHI. The Bill signals a sharply diminished role for medical schemes, which 8.9 million people use to pre-fund access to private healthcare services. Impacts Given the apartheid-era legacy of inequitable access to health services, opposition to NHI will be cast as being anti-black and anti-poor. With little scope to raise revenue with further tax hikes without undermining compliance, NHI funding will be a perennial problem. Anxiety about the rates government will be willing to offer private healthcare providers could trigger an exodus of doctors and nurses. The NHI Bill rolls back current health rights for migrants, raising the prospects of a future legal challenge.

Improving Access to Maternal Healthcare Among Female Employees: Quantitative Analysis of the impact of The National Health Insurance Scheme

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Pius U. Angioha ◽  
Thomas A. Omang ◽  
Uduakobong P. Akpabio ◽  
James A. Ogar ◽  
Tersoo Asongo ◽  
...  
Keyword(s):  
Health Insurance ◽  
National Health Insurance ◽  
National Health ◽  
National Health Insurance Scheme ◽  
Health Insurance Scheme ◽  
Maternal Healthcare ◽  
Insurance Scheme ◽  
Cross River ◽  
Cross River State ◽  
Female Employees

This study examines the correlation between the national health insurance scheme and access to national health care among female employees in Federal Institutions in Calabar cross river state, Nigeria. The study specifically examines the extent to which the national health insurance scheme reduces the cost of health and Enrollment in the NHIS relates to access to maternal healthcare. Two hypotheses were raised for the study. The survey research design was adopted in collecting data from 400 samples from a population of 9201 female employees of the federal institutions in Calabar cross river state. The instrument of data collection was the questionnaire. Data collected was analyzed using descriptive and correlation analysis. Results revealed that the national health insurance scheme reduced health cost relates to access to maternal healthcare. Results also indicated that Enrollment in NHIS significantly relates to access to maternal health. Based on this result, the study recommends, amongst others, that there is a need for government to improve on health funding as this will help improve access to various provisions of the scheme as it relates to maternal health

scholarly journals Effectiveness of a free maternal healthcare programme under the National Health Insurance Scheme on skilled care: evidence from a cross-sectional study in two districts in Ghana

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e022614 ◽  
Author(s):  
Peter Twum ◽  
Jing Qi ◽  
Kasangye Kangoy Aurelie ◽  
Lingzhong Xu
Keyword(s):  
Health Insurance ◽  
Antenatal Care ◽  
National Health Insurance ◽  
National Health ◽  
Postnatal Care ◽  
National Health Insurance Scheme ◽  
Maternal Healthcare ◽  
Insurance Scheme ◽  
Cross Sectional ◽  
Healthcare Programme

ObjectivesIn her quest to reduce maternal mortality, Ghana introduced a free maternal healthcare programme under the National Health Insurance Scheme. This study aimed to evaluate if women registered with the insurance had a better chance of accessing maternal healthcare services in two districts in Ghana.SettingWe conducted a cross-sectional quantitative study involving household interviews of all women of the reproductive age group (15–49 years) residing in Kintampo North Municipality and Kintampo South District in Ghana from May to July 2015. Logistics regression analysis at 95% CI was used to determine the independent associations between maternal health insurance and use of antenatal care, facility-based delivery and postnatal care services.ParticipantsWomen who had children aged 3–12 months were selected to take part in the study.ResultsWe observed that women with insurance are 39.5 times more likely to have a maximum of six antenatal care visits and 2.6 times more likely to have an average of four antenatal care visits than those without insurance. Additionally, they are 5.3 times more likely to have facility-based delivery than those without insurance. An association was also found between postnatal care use and insurance as women who do not have insurance are 12.0 (1/0.083) times more likely to receive postnatal care than those with insurance.ConclusionsPregnant women who registered with health insurance had at least four antenatal care visits and delivered in a health facility. However majority of them did not go for postnatal care.

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