Ce Scheme. Preparatory efforts were made by commissioning an actuarial study

Having said that, not a lot was performed in actualising the dream in the time of handing over for the New Patriotic Celebration (NPP) led Government in 2001. The Division was abolished plus the business was liquidated. The regional secretariat having said that remained but with no clear responsibilities. The NPP manifesto gave an indication of abolishing "Cash and Carry" and replaced by a national well being insurance scheme when elected into office in 2001. This was actualised by linking it for the primary policy strategy of Government to cut down poverty contained in the Ghana Poverty Reduction Technique I document plus the Overall health Purpose of Wellness for All. Therefore, the focus was to make sure that the poor and vulnerable in society have access to healthcare. A Multi-Agency Technical Committee led by the Ministry of Health was set-up in 2001 comprising crucial stakeholders to formulate a policy and design the structure and type of the National Overall health Insurance Scheme. In drafting the policy, the committee had to conduct a critical evaluation of eight (eight) alternative scheme designs which includes the Kenyan and Tanzanian models and finally selected the decentralised method; the District Mutual Well being Insurance coverage approach which was a cross between the Dangbe West District and Atiwa model. Whilst operating in the policy, the Ministry initiated a pilot of the design and style at Ejisu-Juaben District in Ashanti region and subsequently at Kpeshie within the Greater Accra region. The concept was to test how the design and style will play out in each rural and urban settings. Being satisfied with the initial outcome, the Ministry decided to improve the number of schemes from about 10 to 45 so as to have a regional spread and learning knowledge in establishing the systems without access to added benefits as yet. This was before the final policy was completed and also the law passed. There was political commitment and clarity of direction in the political leadership and; funds were readily MedChemExpress H-89 (dihydrochloride) available from the Extremely Indebted Poor Countries relief fund. Wellness insurance was among the overall performance measures signed in to the Minister of Health's letter of appointment by the President. But there were also detractions from those whopreferred a civil service approach of policy approval ahead of action. This led to numerous fall outs inside the committee with some members walking out and other folks contemplating the movers as traitors or ruling government sympathisers. The motivation having said that was simply to have things rolling just before the enthusiasm gets paralysed by excessive analysis and technical detail. On hind sight, this proved to be a good method as the rancour that accompanied the policy and legal improvement procedure discussed later within this paper may have truncated the complete exercise. By January, 2002, a draft policy title= fnins.2015.00094 had been formulated which was put prior to stakeholders across the nation grouped in 4 zones and a national forum. Subsequently, there were presentations made to distinct stakeholder group, which include the Ghana Employers Association, the National Home of Chiefs along with the Trade Union Congress. The final draft was tabled by the Minister of Health at cabinet in May perhaps, 2002. Aside from the scheme style, the policy proposed a variety of sources of funding on the scheme includ.