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The National Health
Insurance Authority (NHIA) has hosted a feasibility team from the Republic of
South Korea as part of preparations for the next phase of its collaboration
with the Korea Foundation for International Healthcare (KOFIH). The proposed
project aims to strengthen governance of health insurance data management in
Ghana, supporting the country’s drive toward Universal Health Coverage (UHC).
The KOFIH delegation
visited Ghana to engage key stakeholders and conduct a feasibility study for
the upcoming phase of the NHIA–KOFIH partnership. Their mission focused on
assessing how the project could enhance policy development, research, data
integration, and membership mobilization to accelerate Ghana’s progress toward
UHC.
During their visit,
the team met with the Ministry of Health, followed by a detailed working
session with the NHIA. They also interacted with major NHIA Directorates
expected to play central roles in the project, including Research, Policy,
Monitoring and Evaluation (RPME); Management Information Systems (MIS); Claims;
Finance; Quality Assurance; and Membership & Regional Operations (MRO).
As part of the
feasibility assessment, the delegation toured NHIA’s ICT infrastructure at the
Head Office to gain insights into the Authority’s digital innovations and
operational systems. They also visited the Claims Processing Centre (CPC) to
observe firsthand the Claim-IT platform and engage staff involved in claims
management.
A visit to the MRO Directorate provided an overview of the
membership dashboard and enrollment performance indicators.
To further understand
data flow at the operational level, the team visited the Osu Klottey District
Office, where they observed membership registration processes and data capture
mechanisms. These site visits offered a clear picture of how data is currently
generated and stored across siloed systems. NHIA staff from the various
Directorates emphasized the need for a more integrated and efficient data
management system.
The proposed project
is structured around four key components:
• Evidence-based
policy and research
• Community engagement
• Integrated data
management system
• Knowledge exchange
and capacity building
During the debriefing
session, the KOFIH team commended NHIA for its robust systems and innovations
while acknowledging the challenges that make data integration both necessary
and timely.
The Deputy Chief
Executive for Operations expressed appreciation to KOFIH for its continuous
support and conveyed confidence that the project’s next phase will receive
approval for implementation by 2027.
Together, NHIA and
KOFIH reaffirm their commitment to strengthening health insurance governance
and advancing Ghana’s mission to achieve Universal Health Coverage.
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