The role of government and community in the scaling up and sustainability of mutual health organisations: An exploratory study in Ghana.

ADOMAH-AFARI, Augustine and CHANDLER, Jim (2018). The role of government and community in the scaling up and sustainability of mutual health organisations: An exploratory study in Ghana. Social Science & Medicine, 207, 25-37.

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Official URL: https://www.sciencedirect.com/science/article/pii/...
Link to published version:: https://doi.org/10.1016/j.socscimed.2018.04.044
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    Abstract

    Governments of many developing countries, including those in Sub-Saharan Africa have embraced the community-based health insurance schemes phenomenon under the health sector reforms with optimism. Ghana has introduced a National Health Insurance Scheme, which is amalgamated with social health insurance and community-based health insurance schemes. The aim of this study was to explore the role of the Ghana government and community in the scaling-up and sustainability of mutual health organisations. Four district mutual health insurance schemes were selected using geographical locations, among other criteria, as case studies. Data were gathered through interviews and documentary/literature review. The findings of the empirical study were analysed and interpreted using social policy and community field theories. The findings of the paper suggest that in order to ensure their effective scaling up and maintain overall sustainability, there is the need for some form of government regulation and subsidy. However, since government regulation cannot work without the acceptance of the community, there is the need to integrate these actors in policy formulation. [Abstract copyright: Copyright © 2018. Published by Elsevier Ltd.]

    Item Type: Article
    Additional Information: ** From PubMed via Jisc Publications Router. ** History: received 28-06-2016; revised 08-04-2018; accepted 24-04-2018.
    Uncontrolled Keywords: Community leadership, Community members, Financing, Government, Mutual health organisations, Regulation
    Identification Number: https://doi.org/10.1016/j.socscimed.2018.04.044
    Page Range: 25-37
    SWORD Depositor: Margaret Boot
    Depositing User: Margaret Boot
    Date Deposited: 17 May 2018 14:42
    Last Modified: 17 May 2018 14:42
    URI: http://shura.shu.ac.uk/id/eprint/21240

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