Publication:
Public Health Expenditure for Universal Health Coverage in Ghana

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dc.contributor.authorAgyekum, Enoch Oti
dc.contributor.authorNgetich, Elisha
dc.contributor.authorSmith, Owen
dc.contributor.authorWang Sonne, Soazic Elise
dc.contributor.authorChen, Dorothee
dc.contributor.authorCorral Rodas, Paul Andres
dc.date.accessioned2024-03-04T20:14:28Z
dc.date.available2024-03-04T20:14:28Z
dc.date.issued2024-03-04
dc.description.abstractGhana has made substantial progress toward universal health coverage (UHC) andcompares relatively well in health outcomes among its economic peers. Internationalcomparisons of government current health expenditure suggest that Ghana spends less than the sub-Saharan African norm for its income level. That notwithstanding, Ghana compares favorably with its peers in key health outcomes with a mixed pattern of equity in health service utilization. The trajectory indicates that better health outcomes could be achieved if health spending increases. Public funding through the Ministry of Health’s (MoH’s) budget and the National Health Insurance Scheme (NHIS) constitute the major sources of financing for the health sector in Ghana.. Total government health spending in Ghana almost tripled in nominal terms in 2015-20, but it rose by a modest 12 percent in real terms, and nearly all the increased spending was channeled through MoH instead of through NHIA. On average, 80 percent of the government budget is channeled through the MoH budget, while the share of NHIS spending has declined over the same period from 24 percent to 12 percent. There are preliminary signs that past achievements in financial protection largely attributable to the impact of the NHIS are being eroded. Although the social contract underpinning the establishment of the National Health Insurance Levy is not in question, the recently introduced Statutory Funds Capping Law further threatens the sustainability of the NHIS. There is a need to improve efficiency in the functional allocation of domestic health resources and upscale the use of public financial management (PFM) tools at the national and subnational levels to enhance budget credibility and expenditure tracking. To ensure no one is left behind, deliberate efforts should be made to improve equity in health care utilization and outcomes along income and regional dimensions.en
dc.identifierhttp://documents.worldbank.org/curated/en/099928302092432757/IDU169cd1ed01585614b481be7b1bd94d105e459
dc.identifier.doi10.1596/41148
dc.identifier.urihttps://hdl.handle.net/10986/41148
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC: World Bank
dc.rightsCC BY-NC 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/igo
dc.subjectPUBLIC EXPENDITURE
dc.subjectUHC
dc.subjectFINANCIAL PROTECTION
dc.subjectACCESS
dc.subjectPRIMARY HEALTH CARE
dc.titlePublic Health Expenditure for Universal Health Coverage in Ghanaen
dc.typeWorking Paper
dspace.entity.typePublication
okr.crossref.titlePublic Health Expenditure for Universal Health Coverage in Ghana
okr.date.disclosure2024-03-04
okr.date.lastmodified2024-02-29T00:00:00Zen
okr.doctypePublications & Research
okr.doctypePublications & Research::Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/099928302092432757/IDU169cd1ed01585614b481be7b1bd94d105e459
okr.guid099928302092432757
okr.identifier.docmidIDU-69cd1ed0-5856-4b48-be7b-bd94d105e459
okr.identifier.doihttps://doi.org/10.1596/41148
okr.identifier.externaldocumentum34255399
okr.identifier.internaldocumentum34255399
okr.identifier.report187649
okr.import.id3342
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099928302092432757/pdf/IDU169cd1ed01585614b481be7b1bd94d105e459.pdfen
okr.region.administrativeAfrica Western and Central (AFW)
okr.region.countryGhana
okr.topicHealth, Nutrition and Population::Health Insurance
okr.unitHNP Global (HHNGE)
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