Challenges Facing the National Health Insurance Scheme: Implication on Quality Healthcare Delivery in Ghana

Imoro Razak Jaha, Thomas Tamag


The problem of quality healthcare is much more daunting in the case of developing countries including Ghana. Issues of poor access, longer waiting time and delays are persistent challenges confronting health care in developing countries. These challenges in the provision of quality health care have prompted the government of Ghana to institute the National Health Insurance Scheme to provide accessible and cost effective health care to its citizens. The vision of government in instituting the National Health Insurance Scheme in the country is to ensure universal access to health by all citizens. Given the persistent challenges of NHIS within the country this paper focused on the peculiar challenges at the University of Cape Coast Hospital. A total sample of 136 respondents was reached comprising students, University staff, as well as scheme managers. The results showed the challenges faced by the scheme include: non availability of medicines or drugs for patients, increase in out-patients’ department attendance. The study recommended that the operations of the scheme should be re-organised to focus on providing access, affordable and effective healthcare delivery through the provision of adequate drugs and better care for NHIS holders.

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