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.