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Maternal Health in Ghana: Investigating the Impact of the National Health Insurance Scheme on Maternal Health Indicators

To address economic barriers to skilled delivery care, policymakers have begun experimenting with health financing interventions such as vouchers and health insurance. Ghana, for example, has passed legislation to establish a National Health Insurance Scheme (NHIS) which provides free antenatal and facility-based delivery care to insured women. The Ghana example serves as a useful case study for safe motherhood financing interventions. This policy brief reviews data from a pre-post evaluation and investigates the impact of implementing the Ghana NHIS on utilization of antenatal and delivery care services, and on measures of financial protection.

Author: Laurel Hatt, Slavea Chankova, and Sara Sulzbach
Published: Apr 1 2009