“It is commendable to add family planning to the NHIS benefit program” – Dr Antwi

Dr Maxwell Antwi urged NHIA to expand its benefits package

He said family planning should be included

He noted that malaria is not the main cost driver of NHIS

Dr Maxwell Antwi, country director of the PharmAccess Foundation in Ghana, urged the National Health Insurance Authority to add family planning to the National Health Insurance Scheme (NHIS) benefit program.

According to him, the main cost factor for NHIS is not malaria but pregnancy and childbirth.

Speaking at the celebration of NHIS week dubbed “NHIA Data Day,” Dr Antwi stressed the importance of data, especially in the functioning of the NHIA.

He said the PharmAccess Foundation will continue to partner with the National Health Insurance Authority to continue its digitization efforts.

Dr Antwi noted that one of the main challenges for the National Health Authority has been corruption and inefficiency, fueled over the years by a lack of data and the use of innovation in payment. complaints provided by its service providers.

He explained, “Data is the new gold of the world. If you don’t look at your data, you are no different from someone who doesn’t have data. Every decision that NHIS makes in the future must be data driven to achieve financial sustainability.

“Now we know that the main cost driver for NHIS is not malaria, but pregnancy and childbirth. So it makes economic sense for Ghana to add family planning to the NHIS package, ”said Dr Maxwell Antwi.

Over the years, the NHIA has been in debt to its service providers, with several allegations of corruption as well.

While the National Health Insurance Authority, under its new leadership, has made progress in shedding this poor self-image and improving its past, there is still a lot of work to be done to bring it to the fore. level of global standards.

A major factor to fuel this new development will be data and digitization. The Authority has one of the largest datasets in the country with at least 80% of the Ghanaian population enrolled in its National Health Insurance Scheme (NHIS), although a number of them are not not active.

PharmAccess Foundation is an international non-profit organization with a digital agenda dedicated to connecting more people in sub-Saharan Africa to better healthcare. By using public-private partnerships, they leverage contributions from donors, which they believe will pave the way for private investment, thereby contributing to a healthier population and to social and economic development.

The National Health Insurance Authority (NHIA) partners with PharmAccess for data analytics to build NHIA capacity and boost its ambition as a data-driven health insurer.

Challenges for the NHIA include financial sustainability, operational difficulties, including late processing of claims and compensation, as well as inadequate coverage of the population.

This is why the partnership and support of PharmAccess at NHIS are essential in its digitization process. PharmAccess provides technical assistance to make NHIA a data-driven insurer and knowledge institute that capitalizes on the disruptive potential of technology to create value from its own data.

PharmAccess will provide technical assistance (e.g. capacity building, advice and data analysis) to make NHIA a data-driven insurer and knowledge institute that capitalizes on the disruptive potential of technology to create value at from its own data.


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