“ “Towards a client-oriented health insurance

Transcript:“ “Towards a client-oriented health insurance:
“ “Towards a client-oriented health insurance system in Ghana” Some key findings NHIS 10th Anniversary Conference 5th November, 2013 Accra, Ghana Edward Nketiah-Amponsah Stephen Duku Christine Fenenga Robert Kaba Alhassan Tobias Rinke de Wit, Inge Hutter, Menno Pradhan, Daniel Arhinful 1 NHIS 10th Anniversary Conference Background Key question of this project derived from NHIS: 2010 enrolment about 64% , active membership 34% Retention problem => what are the barriers? Anecdotal information and growing empirical evidence showing differences in enrolment rate among the population (Asante & Aikins, 2008) This RCT project is a joint initiative between NHIA, GHS, CHAG and other health partners and the University of Ghana and 3 Universities in The Netherlands with an initiation workshop in 2011 Funded by the Global Health Policy and Health Systems Research Fund 2010 of the Dutch Scientific Organization NWO-WOTRO 2 NHIS 10th Anniversary Conference Main Objective and Research Question Main Objective: To enhance and sustain health insurance participation in Ghana through improved client-oriented quality of care Main research questions: What are the main perceived barriers of health care clients to (re-)enroll in the NHIS? Which are effective interventions that address these barriers? 3 NHIS 10th Anniversary Conference Client-Provider-Insurer Tripod Framework Perspectives of the 3 key stakeholder groups, allowing comparison and triangulation of data Client-Oriented NHIS System Client Insurer Provider 4 NHIS 10th Anniversary Conference Set up of research Selected Regions: GAR and WR 5 NHIS 10th Anniversary Conference Sampling Strategy 6 NHIS 10th Anniversary Conference Remaining content of this presentation Health insurance perspectives by Stephen Duku Client perspectives by Christine Fenenga Healthcare provider perspectives by Robert K. Alhassan NHIS 10th Anniversary Conference 7 Tripod with Focus on the Insurer Client-Oriented NHIS System Client Provider Insurer 8 NHIS 10th Anniversary Conference Qualitative Research Methodology Location: Greater Accra and Western Regions In-depth Interviews (n=16) 8 interviews in 4 NHIA districts offices (Dangme West, Ga West, Ahanta West and Mpohor Wassa), 2 interviews per district 4 interviews, 2 each at the NHIA Regional offices of the Greater Accra and Western regions 4 interview at the NHIA Headquarters in Accra Interviewees NHIA District Office – District Scheme Managers and Claims Officers NHIA Regional Office – Regional Managers and M&E Officers NHIA Headquarters – Divisional Directors and Senior Officers Data management Topic guides for all the interviews All interviews were recorded and transcribed verbatim Interviews were Coded, Categorized and conceptualized Findings were validated in a feedback workshop