In a forthcoming paper, NGO Oxfam will criticise the national health insurance scheme in Ghana, which has received technical assistance from the World Bank, for failing to deliver equitable health care. Oxfam’s Anna Marriott said: “while substantial progress has been made in health financing in the country over the last decade, the current system remains seriously inequitable and punishes the poorest. Only 29 per cent of the poorest Ghanaians are enrolled compared to 64 per cent of the richest.” Oxfam points out that the system mainly receives its funding from a value-added tax; hence every Ghanaian contributes financially but in reality less than half of the population benefits.