title: Resistance and change: a multiple streams approach to understanding health policy making in Ghana.
abstract: Although much has been written on health policy making in developed countries, the same cannot be said of less developed countries, especially in Africa. Drawing largely on available historical and government records, newspaper publications, parliamentary Hansards, and published books and articles, this article uses John W. Kingdon's multiple streams framework to explain how the problem, politics, and policy streams converged for Ghana's National Health Insurance Scheme (NHIS) to be passed into law in 2003. The article contends that a change in government in the 2000 general election opened a "policy window" for eventual policy change from "cash-and-carry" to the NHIS.
authors.forename: Owuraku
authors.initials: O
authors.lastname: Kusi-Ampofo
authors.affiliation: University of Alberta.
authors.forename: John
authors.initials: J
authors.lastname: Church
authors.forename: Charles
authors.initials: C
authors.lastname: Conteh
authors.affiliation: Brock University.
authors.forename: B Timothy
authors.initials: BT
authors.lastname: Heinmiller
mesh_terms: D005869:Ghana; D006291:Health Policy; D006801:Humans; D009313:National Health Programs / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D011050:Policy Making; D011057:Politics; D019472:Universal Health Insurance / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*
keywords: Ghana; agenda setting; health politics; multiple streams framework