Public Accounts Committee criticizes NHIA for GH₵250m Ghana Card allocation

The Public Accounts Committee (PAC) has criticized the National Health Insurance Authority (NHIA) for allocating GH₵250 million to the National Identification Authority (NIA) for the production of Ghana Cards. PAC Chair Abena Osei Asare characterized the expenditure as a misplaced priority, arguing that the substantial sum would be more effectively utilized if redirected toward maternal healthcare initiatives across the country. This criticism comes amid growing concerns over the allocation of health insurance funds toward administrative tasks rather than direct clinical care. During a committee session, members expressed concern over the rising maternal mortality rates in Ghana, noting that institutional deaths remain a significant challenge for the healthcare system. The PAC argued that while identification services are necessary, the NHIA’s primary mandate should focus on life-saving medical services. Statistical data presented during the sitting highlighted an urgent need for improved emergency care and better-equipped delivery facilities to prevent avoidable deaths among expectant mothers. The committee emphasized that the scale of the NIA allocation suggests a disconnect between funding priorities and the urgent needs on the ground. Supporting the call for a shift in funding focus, the Deputy Minister of Health advocated for specific, dedicated funding for maternal health services under the National Health Insurance Scheme (NHIS). The minister emphasized that without targeted financial support, the health sector would struggle to address the gaps in maternal care that contribute to current mortality figures. The committee maintained that if the NHIA possesses the liquidity to provide GH₵250 million for administrative identification purposes, it must prioritize the health needs of vulnerable populations. The PAC's critique underscores a broader legislative push to ensure that NHIS funds directly impact patient outcomes. Moving forward, the NHIA is expected to justify the allocation to the NIA while the Ministry of Health evaluates new strategies to secure sustainable funding for maternal health programs. The outcome of these discussions will likely influence future budget cycles and the prioritization of emergency obstetric care within the national health agenda.