Comparing How Ghana and Canada Succeeded in the adoption of the National Health Insurance (NHI): A Multiple Streams Approach

Abstract

This paper examines the development of National Health Insurance (NHI) policy in Ghana and Canada using the multiple streams framework (MSF) as the theoretical lens. It undertakes a diachronic case study by comparing how Ghana and Canada eventually adopted national health insurance as a health care policy reform. The two countries introduced universal health care policy reforms, which, in the case of Ghana, necessitated the advent of the NHI policy in 2003. Though the two countries have different institutional settings, they both succeeded in their health care reforms. The study contends that the multiple streams framework is useful for explaining policy change in both developed and developing countries.

The Complexity of Business-Government Relations in Ghana: Implication for State-Market-Society Nexus

“…Subsequently, a general election was held in 2000 which led to a successful change of government. Though several parties contested in the 2000 elections, it was a two-horse race between the New Patriotic Party (NPP) and the National Democracy Congress (NDC) (Hamid, 2016). Though it was won by the New Patriotic Party, it was a fiercely contested election (Frempong, 2017).…”