National Health Insurance Scheme of Ejisu-Juaben and Matters Arising

Abstract

The Ejisu-Juaben Health Insurance Scheme (EJHIS), a municipal health insurance scheme in the Asante Region, provides insurance cards to subscribers in the municipality to access affordable health care from accredited health facilities. The study was carried out to find out the extent to which health care is accessible and affordable to the people and to determine the sustainability of the scheme. Ten communities in the municipality were purposively selected. These communities cut across the entire municipality; these include both urban and rural settlements. The study adopted the descriptive survey design using the case study approach focusing on accessibility, affordability and sustainability of the health insurance scheme. In all 120 participants were selected for the study which includes managers, health service providers and subscribers comprising opinion leaders, community leaders and community members. Data was collected using semi-structured interview and interview guide. Responses were coded and analyzed. Findings showed that the government and the administrators at Ejisu-Juaben are committed to the implementation of health insurance policy and provide improved health care in the municipality. The study recommends a strong collaboration based on understanding among the scheme management, the health service providers and subscribers in Order to achieve a successful, affordable, accessible and sustainable health care. Scheme managers are urged to make the insurance more attractive, and create enhanced communication channels to promote transparency in their operations.