By Randolph Quaye

Balancing private and non-private well-being Care Systems looks at a well timed second, given frequent present dialogue approximately fairness in fit care and the position of the country in healthcare making plans. according to the area financial institution advice that the main of price restoration be incorporated in healthcare financing ideas, African nations embraced the main of public-private partnerships in healthcare. It was once argued then, and nonetheless now, approach out in their healthiness conundrum is for governments to play a smaller position in healthcare. the current e-book explores the several financing preparations in Ghana, Tanzania, and Uganda. It introduces new scholarship on post-colonial healthcare recommendations in Africa, specifically in the course of a decade of market-oriented healthcare reform. Drawing upon present examine and case reports, in addition to fresh paintings through the writer himself on African healthcare structures, this booklet units out to research the consequences of some of the techniques for the way forward for healthcare financing in Africa.

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Extra resources for Balancing Public and Private Health Care Systems: The Sub-Saharan African Experience

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5. What do most Tanzanians expect the scheme to cover? METHOD AND DATA COLLECTION To explore current views of Tanzanians, the term “social health insurance” and what it means for Tanzanians were explored, notably: • What they expected social insurance to provide by way of health services; • Who they felt should contribute to SHI financing and what specific contributions they are willing to make; • Their understanding of what social health insurance meant to them; and • Problems they associate with the current health insurance scheme and how such problems can be solved.

To assess the role of such schemes in Ghana and to assess the perceptions of users and non- users, a large scale survey was undertaken in the summer of 2007. Health Care Financing in Ghana 45 The study addresses the following questions: 1. Is the current NHI scheme meeting the health needs of Ghanaians in terms of coverage, risk protection and benefit management? 2. How well informed is the general population on the benefits and drawbacks of such a scheme? 3. Are Ghanaians, those not currently enrolled, eager and willing to join?

Perhaps, a larger study, comparing the perspectives of current participants will yield useful information for assessing whether Tanzania is ready for further expansion of the SHI program. As we better understand the role of SHI as a health care financing strategy in Africa, the Tanzanian experience provides a window on how to expand a SHI scheme. In the next chapter, I explore the nature of health care financing in Ghana with a discussion on the introduction of the National Health Insurance Scheme.

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