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The Ghanaian government implemented the National Health Insurance Scheme in 2004 and the aim of this study is to evaluate its early effects on maternal and infant healthcare use. The authors conclude that in the first years of operation, the National Health Insurance Scheme had a modest impact on the use of antenatal and delivery care. This is important for other African countries currently introducing or considering a national health insurance as a means towards universal health coverage.


  1. Doorslaer E, O'Donnell O, Rannan-Eliya R, Somanathan A, Adhikari S, Garg C, et al. Catastrophic payments for health care in Asia. Health Econ 2007;16(11):1159–1184. doi: 10.1002/hec.1209. pmid:17311356

  2. Wagstaff A, van Doorslaer E. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998. Health Econ 2003 Nov;12(11):921–934. doi: 10.1002/hec.776. pmid:14601155

  3. Grepin K, Dionne K. Democratization and universal health coverage: a case comparison of Ghana, Kenya and Senegal. Global Health Governance 2013;6(2):1–27.