title: The challenges to performance and sustaining mutual health organisations/health institutions: an exploratory study in Ghana.
abstract: OBJECTIVE
  The purpose of this paper is to explore challenges to the performance and sustainability of mutual health organisations (MHOs) and health institutions towards enhancing access to quality health care (HC) in Ghana.
  
  
  METHODS
  Data were gathered through interviews and documentary review.
  
  
  RESULTS
  Problems with late release of reimbursement funds for discharging with claims by the central government has impacted heavily on the financial and strategic management and decision-making processes of the MHOs and health institutions.
  
  
  CONCLUSIONS
  The lack of in-depth analysis of the financial viability of the MHOs; and the limited number of schemes selected.
  
  
  CONCLUSIONS
  Recommends the need to ensure prompt release of reimbursement funds by government to enable the MHOs to reimburse claims to health institutions.
  
  
  CONCLUSIONS
  There is a perceived tension between the MHOs and HC institutions due to late release of reimbursement funds by the government.
  
  
  CONCLUSIONS
  Contributes to understanding of how the NHI Act influences the operations of MHOs and health institutions towards increasing access to quality HC and financing.
authors.affiliation: School of Public Health, University of Ghana, Accra, Ghana and Sheffield Business School, Sheffield Hallam University, City Campus, Howard Street, Sheffield, United Kingdom.
authors.forename: Augustine
authors.initials: A
authors.lastname: Adomah-Afari
mesh_terms: D003153:Community Health Services / Q000191:economics / Q000458:organization & administration*; D005260:Female; D005869:Ghana; D006297:Health Services Accessibility; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D011787:Quality of Health Care; D012423:Rural Health
keywords: Effectiveness; Efficiency; Finance/economics; Patient perception; Quality health care; Risk management