Variable Mark-Ups Resulting In High Prices

The introduction of Ghana's National Health Insurance Scheme (NHIS) during 2003-2004 was intended to give more autonomy to drug purchases across the country. As of 2003, public health facilities have to purchase medicines from the public healthcare sector and use a 10% fixed mark-up to account for costs incurred in regional medical stores (RMS) and service delivery points (SDPs). In practice, however, this is not always adhered to and mark ups have been reported to be significantly higher than 10%, increasing consumer prices and restricting sales.

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