Practitioner Perspectives Blog Series: Earmarking in Ghana
In 2003, Ghana’s National Health Insurance Scheme (NHIS) was established using a set of unique earmarked funding sources to help move the country toward Universal Health Coverage. This funding provided a critical source of domestic revenue that allowed Ghana to remove its previous “cash and carry” system of paying for health services and implement one of the best-known public insurance schemes in the region. This blog post details the structure of the NHIS, multiple DRM reform stages, and the impacts thereof.
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There are many global resources, including datasets, visualizations, and various forms of analysis that can be used to help make the case for DRM for health. However, policymakers also need to know what policy options have or have not worked, under what conditions, and the key drivers for success. Additionally, a deeper understanding of whether efforts around DRM for health were enduring, consequential, and additional over time- as well as impacts on equity, efficiency, and access- is critical to determining whether they are worth pursuing.
Targeted Technical Support: JLN Country Core Group and the Decentralization of Nigeria’s Social Health Insurance
Health financing reform environment in Nigeria. Decades of health system underperformance driven largely by low public expenditure (Table 1) fueled momentum for the 2014 passage of the National Health Act (NHAct)—a legal framework to allocate additional resources for the health sector and define roles and responsibilities of stakeholders involved in achieving universal health coverage (UHC).
Launched over a decade ago, the Joint Learning Network for Universal Health Coverage (JLN) has grown to be a community of practitioners and policymakers from 34 countries around the world who engage in practitioner-to-practitioner learning. Through the network, countries find practical solutions to their shared challenges in achieving universal health coverage.