**Table 4.**

*Key demographic, health and economic indicators - Nigeria, Ghana and OECD mean 2000–2010.*

opposite [4, 5, 31, 52]. All these benefits offered by Ghana NHIS have contributed to expanding equity in access and provision of healthcare. Recently, Ghana is proposing a one-time payment for healthcare services known as the "One-time Premium Payment Policy" to mainly serve those in the informal sector [14, 15]. This step has the potential of boosting NHIS coverage and in turn, reducing OOP.
