Nationwide Healthcare Coverage – AM Business on JoyNews (15-5-19)



welcome back it's time for am business are according to the World Health Organization twelve percent of the world's population spends more than ten percent of their incomes on health expenses this is a situation that they deem unacceptable now as we warm up to our health and wellness event let's take a look at one of the nation's social interventions for the health sector of course I'm talking about the National Health Insurance Scheme and its effectiveness in attaining health care for low-income earners joyed businesses Karen dudu visited old Fatima it's a slum here in Accra and she went there to access the effectiveness assess sorry the effectiveness of the national health insurance its way to four-year-old Porter and mother of one pansy Abubakar has been living in a crack at all for Dhamma for about six months now from several liberal in the morphing region Hansie came with her one-year-old baby to end a living her main aim is to gather money to continue a senior high school education after she dropped out when her mother died because is no better than she's not successful in saving some money to fulfill their dream of becoming a lawyer someday she now spends on the income on accommodation food and healthcare as long as now when two cities they're babies no suit maybe it's going to be a small school nothing so he would take today yesterday you may continue to do this because oh stop your wife so he's on a good day she earns as much as 20 cities and nothing at all when business is slow unfortunately similar young women like homsy I in the head Wharton business all struggling to make a headway I wondered why she does not depend on a national health insurance card in her pequeno situation for him drops about a counter are cheaper and she prefers to obtain them herself Changez but then same into the changes my interaction with many other Porter's revered most of them either did not have a valid insurance card or were just a concern about its autumn not even much about the scheme like homsy they mostly depend on pharmacies are non licensed drug vendors who they temp markets doctors I decided to visit the nearest health facility in the area to find out more about how residents pronounced dear health star aid clinic is a thriving facility comprising of a consultation room pharmacy and laboratory physician assistants John sippy dog says within a day they said about 80 OPD cases and sometimes – AG cases a lot of challenges the commonest conditions we normally treat she is malaria typhoid fever hepatitis sometimes HIV we refer then the most dangerous one is the assault as well cases for coming in every day with wings on their faces their body so those we can handle we will treat with suture sometimes we will fail and sometimes we manage them here they are finally discharged less it cost how much do you think I was spent it depends on the type of malaria okay so what we do is that might account we malaria test sometimes we do a DT or sometimes we do malaria parasite female now I use the mic to see the type of material you have and then the test is not even the problem you are physical presentation sometimes without the the prescriber or the doctor that is complicated malaria F is just common malaria the treat the cause may be participe to participate on my most residents in the slum community have neglected the NH is John explained the default services rendered under the insurance scheme when not quality consonant and let's not have insurance people don't like it because when you go to hospitals the doctors end up to scrap in the drug for them to go and buy especially those that are expensive for example a motor club it's a little bit expensive to the doctors they were right way and by then they will come home and so some we say that if I go to a hospital with insurance and then you prescribe drugs for me to be and by then it's better I go today promises or the chemical source and buy my drugs and the most serious one is seven-day the pregnant women you know in Ghana we are saying that free maternal treatment if they go to hospital almost all the antenatal drugs are being prescribed for them to their body although the scheme was established in 2003 to provide equitable access and financial coverage for basic health care services achieving its aim has been difficult as it has been shrouded by challenges including the lack of funds to support the program the scheme is largely funded by the national health insurance levy which is currently 2.5 percent levy on routes and services collected under the value-added tax and 2.5 percent points of social security and national insurance trusts net contribution the Authority says is woefully inadequate the authority is currently made of about 13 billion CDs to provide quality health care services versus translated into poor quality service rendered as most health care providers under the scheme are not paid yondu claims but some threatening to withdraw the services the latest as private health providers in the upper east region dr. Francis asana is the regional chairman of the association of private health care providers in the Upper East region some private facilities in the region have been unable to pay salaries for the past three to four months in still accountant this is because private health care providers realized soul or reinvestment from the national authority to pay salaries and to procure other logistics for the operations the situation we expect should inform the authority that our government to consider making a regular mental payments to facilities did you make this one a topmost priority to enable us meet our day-to-day operational needs especially payment of salaries this will go a long way to ensure is smooth and constant provision of uncompromised quality health care services and prevent the frequent labor education and strike threats that are faced by managers of these private health care providers according to the World Health Organization more than 800 million people roughly 12% of the world's population spend more than 10% of the income on health expenses in most cases to care for sick children or family members most Ghanians are compelled to fall within this bracket as complains about ineffectiveness of the scheme javi Ted some people from in Wulin national chairman of the coalition of non-governmental organizations and health doctor gay Robin aku explained that the national health insurance can only be effective if government's appraise the health insurance scheme as a business man is that even I insure ourselves which they are supposed to keep and invest to get more returns rather than increased quality of care because of political interference those monies are delete in being released and therefore service providers who are giving services to government and because of delays they also pick money from the bank they are going to charge more interest on their services they offer to Ghana so the visual cycle continues that's what I'm saying until we amend that part of the law to allow the master Hammon to be independent regulated by a commission that is the surest way we can have the fully flesh National Health Insurance Scheme that will be operated like a business model until we we we have that attitude operating the national health insurer a regional model we are going to have this crisis every four years or every eight years he our data once the Authority is able to make returns much more investments will be made into the types of drugs under the scheme deliberately we have compromised quality the person is insured he said he needs that time it is not at a facility somebody must move to the original capital to be able to create an opportunity to get the drug for the person to be treated that's a typical example the same facility within the region a child was having an Emmy condition and I had over because of Ahlan tears within their distress so we visited we try to a mystery survey we try to find out I see we are part of the family we try to find out at that time they finish their tests the medical assistant there was no doctor there even though he said this to the hospital was supposed to be a doctor no doctor the MA supported the process and recommended that we buy such drugs we went to the district pharmacy no drug but when we move less than five minutes closer by to their facility is a pharmacy shop and we got a drug there so the person isn't sure but he cannot get those drugs there we have to get it outside so people claim that the national health insurance working practically is not working Joseph's video of star 8 clinic shares the same opinion yeah they are doing much but a problem is they did a type of drugs that are covered by insurance ok the insurance drugs sometimes I can see that there are less putting drugs they are potent but they they they the most expensive one is not covered by insurance or they go to the hospital you see they in certain drugs lists the drugs a day some some people away or some can read very well they even have the list they go to the hospital then prescribed by the hospital pharmacy will tell you they don't have went by Oliver is a known fact that's make health care truly in a vessel it requires a shift from designing health systems around diseases and institutions towards health services designed around and for people the country still seems to be facing challenges with the image is as an intervention so our government is doing much to improve local drug production like even wanting to create a farmer Park for local producers looks like these of course in the pharmaceutical industry I'm not having a trickling down effect for the main beneficiaries and who are these their low income earners like these well I'll do the World Health Organization has a plan of achieving worldwide health coverage by 2030 Ghana as a part of the World Health Organization might not be able to make this possible reporting for joy business from here in Accra Attica khumba markets carry news

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