OXFAM’s report on NHIS, a critical look
Posted by on March 21, 2011 at 3:10 pm in Other Stories
The issues emanating from the fallout between the International Social Development Centre (ISODEC), the Alliance for Reproductive Health (ARH), Essential Platform, the International Aid Agency, Oxfam and the National Health Insurance Scheme (NHIS) is as a result of improper records keeping; perhaps close communication culture or policy and shrew ding of information. In this era of thirst for information to feed the public on a daily basis, any means, no matter how foul or fair it comes, admissibly it will go to bed.
However, it is the person in search of the information, who has to be circumspect in the publication of such materials. But this is purely based on the modesty and discretion of the fellow in whose possession such information falls.
Nonetheless, record keeping in this dear country of ours is nothing to think about. We are still using papers to collect and store information and this is honestly outmoded, yet there seem to be no end to this practice. We need to overhaul this medium through which information can be managed. These will safe many Ghanaians, the pun of struggling to put out information when the need is critical.
Additionally, there is the held view that, there is a second independence which Africa and for that reason Ghana has to fight for.
This is to the effect that, some of these in international organisations are always in the mood and spirit of discrediting efforts of developing countries. In this case, let not the exaggerative mind get into the business of being steep in the imagination to think I have sprang to the defense of a governmental institution, the NHIS. But from the stand point of objective inference, Oxfam of the United Kingdom cannot be correct to quote the patronage of the National Health Insurance Scheme at 18 per cent.
What should be recommended is for Oxfam to make available the methodology used to arrive at the statistic of 18 per cent. This will enable for a replication which is one of the cardinal internal characteristics and control mechanisms of science and research. Again, the size of the sample as well as the population should be made available, for independent minds and bodies to retest the procedures to determine the internal validity of the research. For the reason that, the potency of a test depend to a large extent on the error margin. This has to do with the sample size as compared to the population that is being worked with at a time. Irrespective of the report, the interview or the questionnaire used to collect the information has to also be made available to determine whether or not it was directional. It’s relevant.
Nonetheless, the NHIS authorities can use this opportunity afforded them to let in their subscribers to know what is the true tale of the dust been thrown around, before their eyes are soured. It will also do a lot of service to the image of the authority, should they obtain the full text of the Oxfam report and answer the queries the international organisation came up with. After the thorough study, the report should be published wide enough to insulate the image of the scheme. How true is it that the United Kingdom (UK) wants to back out of the free maternity care offered to Ghanaian mothers?
Subjectivity is with emotions and sentiments, but objectivity has to do with universality, the 18 per cent being quoted by Oxfam is too abysmal.
An aspect the implementers of the scheme has to pay heed to is the increases on the premium annually which has the tendency of pushing out of the National Health Insurance Scheme (NHIS) the many poor households in the country. This is a cogent issue which needs critical attention, because a higher premium increases the possibility of turning away many subscribers to the scheme.
Instructively it will be in the best interest of the managers of the scheme to get hold of the Oxfam report and study it critically to infer from the document, because it is an age old belief that, there is something good in everything bad, and there is something bad in everything good. The Public Relations Department of the NHIS should intermittently scan the environment to identify and deal with or curb these image smirking reports. Though issues of this nature can sometimes be difficult to identify at a stretch, regular scanning would help in this perspective.
In all intent and purposes, the NHIS should by dint of hard work focus on their core mandate, while being mindful of possible detractors.
AUTHOR: PATRICK TWUMA/- patricktwumasi@yahoo.com



