Health Care Financing module, 6-15 November 2019 Group work: Ghana’s pathway to achieve universal health coverage Reinhard Busse* Peter Agyei Bafour** * Department of Health Care Management (WHO Collaborating Centre for Health Systems Research and Management), Technische Universität Berlin, Germany & European Observatory on Health Systems and Policies ** School of Public Health, KNUST, Kumasi, Ghana Group Work First 90 min (8:00-10:00): • Same groups as on Friday • 90 minutes group work – Discuss Ghana‘s pathway to UHC Second 90 min (10:30-12:30): • Present Ghanas pathway to UHC – 10 min presentation per group + 5 min discussion – 15 min general discussion and wrap-up 12 November 2019 Group work: pathways to UHC 2 Group task 1. Identify the most important challenges for the Ghana health system to reach UHC 2. Discuss the content of the lectures of the first week: what options are available to achieve UHC? And how can they be implemented (revenue generation, actors, functions, financial flow)? 3. Prepare a presentation (max. 10 slides): – Main challenges for UHC in Ghana: <3 slides – Options to achieve UHC: 2-3 slides – A pathway to achieve UHC: 3-4 slides – Conclusions: 1 slide 12 November 2019 Group work: pathways to UHC 3 The Ghana health system at a glance Collector of resources Third-party payer MoF MoH Development partners NHIA NHIA 2.5% of VAT (NHI levy), Contracts with formal sector: 2.5% SNIT accredited providers contribution, Small premiums (€1-7) MoH Population Provider NHIS members: 35-40% Choice of contracted providers 57% government (GHS), Uninsured (majority) 33% private, Out-of-pocket payments VHI (few) 7% non-for-profit 11 November 2019 From fragmented systems to UHC (CHAG, Muslim)4 NHIS revenue composition 11 November 2019 From fragmented systems to UHC 5 NHIS membership composition 11 November 2019 From fragmented systems to UHC 6 Road to UHC in Ghana – targets for 2030 11 November 2019 From fragmented systems to UHC 7.