Earmarking in Ghana: Impacts on the Financial Sustainability of the National Health Insurance Scheme
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In 2003, Ghana’s National Health Insurance Scheme (NHIS) was established using a set of unique earmarked funding sources to help move the country toward Universal Health Coverage. This funding provided a critical source of domestic revenue that allowed Ghana to remove its previous “cash and carry” system and implement one of the best-known public insurance schemes in the region.