Researchers from University of Washington Report on Findings in Health Planning and Management (A Framework Policy Analysis of National Health Insurance Policymaking In Sub-saharan Africa): Health and Medicine – Health Planning and Management

Health & Medicine Business Daily

2021 OCT 15 (NewsRx) -- By a News Reporter-Staff News Editor at Health & Medicine Business Daily -- Fresh data on Health and Medicine - Health Planning and Management are presented in a new report. According to news reporting out of Seattle, Washington, by NewsRx editors, research stated, “National health insurance (NHI) is a financing mechanism established by a national government with the goal of covering all or almost all of its citizens. A number of low- and middle-income countries have established NHIs as part of a strategy to progress towards universal health coverage.”

Our news journalists obtained a quote from the research from the University of Washington, “The establishment of an NHI presents a potentially significant shift in national health sector governance, but little is available in the literature regarding how policymaking authority and health governance is shared between NHIs and ministries of health (MOHs). To answer this question, we conducted a descriptive, qualitative comparative analysis of policies, including legislation, guidelines and webpages, from four sub-Saharan African countries that have established or are in the process of establishing an NHI scheme as of 2019 (Ghana, Kenya, Zambia and South Africa). We developed a novel conceptual framework comprising 16 NHI policy domains and conducted a deductive review of relevant policies. We then extracted and indexed policy elements according to this framework to facilitate comparative analysis. We found substantial variation across countries in the types of policies developed and the decision-making authority around those policies. MOHs in all four countries retained at least some decision-making power over the NHIs through regulations and appointment of board members. However, NHIs were often delegated policymaking authority in key areas including financing mechanisms, provider payments, member payments, benefit schemes, accreditation and relationships with private health insurance schemes. The results of this analysis illustrate many aspects of health regulatory power and oversight that will need to be defined as part of establishing NHIs.”

According to the news editors, the research concluded: “The approaches from these four countries and the conceptual framework presented in this manuscript may be helpful for other countries in evaluating differing approaches to shared health governance between NHIs and MOHs.”

This research has been peer-reviewed.

For more information on this research see: A Framework Policy Analysis of National Health Insurance Policymaking In Sub-saharan Africa. Health Policy and Planning, 2021;36(8):1246-1256. Health Policy and Planning can be contacted at: Oxford Univ Press, Great Clarendon St, Oxford OX2 6DP, England. (Oxford University Press - http://www.oup.com/; Health Policy and Planning - heapol.oxfordjournals.org)

Our news journalists report that additional information may be obtained by contacting Amy Roll, University of Washington, Dept. of Global Health, Hans Rosling Ctr, Global Hlth, Uw Box 351620, Seattle, WA 98195, United States. Additional authors for this research include Jeff Lane and Aaron Katz.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1093/heapol/czaa160. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.