An examination of hospital governance in Ghana

Abor, Patience Aseweh; Abekah‐Nkrumah, Gordon; Abor, Joshua Yindenaba

doi:10.1108/17511870810845905

Cited by 41 publications

(22 citation statements)

References 18 publications

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“…A facility-based cross-sectional survey was conducted among women seeking family planning services across selected health facilities in the administrative regions of Ghana from December 2017 to January 2018. The country has an estimated population of 30 million and operates a 3-tier health system, being the tertiary, secondary and primary levels [35,36]. Tertiary levels are the teaching hospitals whereas the regional and district hospitals belong to the secondary level, whiles all other service delivery points (SDPs) below the above mentioned are classified as primary level.…”

Section: Methodsmentioning

confidence: 99%

In search of universal health coverage: the hidden cost of family planning to women in Ghana

et al. 2020

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Objective: This study aims to estimate the cost of accessing FP services in Ghana. A cross-sectional design, involving quantitative methods were used to recruit 1194 women who accessed FP services in 336 primary health facilities, selected through a two-stage sampling. Descriptive statistics were used to estimate the cost, using STATA 13. Results: The average age of the women was 29 ± 6.87. Most women had basic education. The sources of payment for FP services were self-finance, family and sponsorship. The average direct cost of accessing FP services was GHS 7.

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Section: Methodsmentioning

confidence: 99%

In search of universal health coverage: the hidden cost of family planning to women in Ghana

et al. 2020

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“…Ghana has a decentralised public health system structure with healthcare facilities in all districts of the country [ 42 , 43 ]. The healthcare facilities range from Community-Based Health Planning and Services (CHPS) compound to hospitals.…”

Section: Methodsmentioning

confidence: 99%

“…The healthcare facilities range from Community-Based Health Planning and Services (CHPS) compound to hospitals. Private and faith-based healthcare facilities complement the public healthcare facilities by providing about 40% of healthcare services to the population [ 42 ]. The private facilities are mainly located in the urban areas and largely patronised by the rich due to the perceived good quality of service and relatively high fees [ 43 ].…”

Section: Methodsmentioning

confidence: 99%

Trends and characteristics of enrolment in the National Health Insurance Scheme in Ghana: a quantitative analysis of longitudinal data

Nsiah-Boateng

2018

glob health res policy

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BackgroundIn 2004, Ghana started experimenting a National Health Insurance Scheme (NHIS) to reduce out-of-pocket payment for healthcare. Like many other social health insurance schemes in Africa, the NHIS is striving for universal health coverage (UHC). This paper examines trends and characteristics of enrolment in the scheme to inform policy decisions on attainment of UHC.MethodsWe conducted trend analysis of longitudinal enrolment data of the NHIS for the period, 2010–2017. Descriptive statistics were used to examine trends and characteristics of enrolment by geographical region and member groups.ResultsOver the 8-year period, the population enrolled in the scheme increased from 33% (8.2 million) to 41% (11.3 million) between 2010 and 2015 and dropped to 35% (10.3 million) in 2017. Members who renewed their membership increased from 44% to 75.4% between 2010 and 2013 and then dropped to 73% in 2017. On average, the urban regions had significantly higher number of new enrolments than the rural ones. Similarly, the urban and peri-urban regions recorded significantly higher number of renewals than the other regions. In addition, persons below the age of 18 years and the informal sector workers had significantly higher number of enrolment than any other member group.ConclusionsEnrolment in the NHIS is declining and there are significant differences among geographical regions and member groups. Managers of the NHIS need to enforce the mandatory enrolment provision in the Act governing the scheme, employ innovative strategies such as mobile phone application for registration and renewals and address delays in healthcare provider claims to improve enrolment.Electronic supplementary materialThe online version of this article (10.1186/s41256-018-0087-6) contains supplementary material, which is available to authorized users.

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“…Like many health systems around the globe, Ghana’s health system is hierarchical with the Ministry of Health (MoH) as apex body mandated to formulate policies to improve health of the population 14. The MoH has about 12 agencies, comprising the public, quasi-government and private health facilities, as well health education institutions.…”

Section: Introductionmentioning

confidence: 99%

Is enrolment in the national health insurance scheme in Ghana pro-poor? Evidence from the Ghana Living Standards Survey

2019

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ObjectivesThis article examines equity in enrolment in the Ghana National Health Insurance Scheme (NHIS) to inform policy decisions on progress towards realisation of universal health coverage (UHC).DesignSecondary analysis of data from the sixth round of the Ghana Living Standards Survey (GLSS 6).SettingHousehold based.ParticipantsA total of 16 774 household heads participated in the GLSS 6 which was conducted between 18 October 2012 and 17 October 2013.AnalysisEquity in enrolment was assessed using concentration curves and bivariate and multivariate analyses to determine associated factors.Main outcome measureEquity in NHIS enrolment.ResultsSurvey participants had a mean age of 46 years and mean household size of four persons. About 71% of households interviewed had at least one person enrolled in the NHIS. Households in the poorest wealth quintile (73%) had enrolled significantly (p<0.001) more than those in the richest quintile (67%). The concentration curves further showed that enrolment was slightly disproportionally concentrated among poor households, particularly those headed by males. However, multivariate logistic analyses showed that the likelihood of NHIS enrolment increased from poorer to richest quintile, low to high level of education and young adults to older adults. Other factors including sex, household size, household setting and geographic region were significantly associated with enrolment.ConclusionsFrom 2012 to 2013, enrolment in the NHIS was higher among poor households, particularly male-headed households, although multivariate analyses demonstrated that the likelihood of NHIS enrolment increased from poorer to richest quintile and from low to high level of education. Policy-makers need to ensure equity within and across gender as they strive to achieve UHC.

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An examination of hospital governance in Ghana

Cited by 41 publications

References 18 publications

In search of universal health coverage: the hidden cost of family planning to women in Ghana

In search of universal health coverage: the hidden cost of family planning to women in Ghana

Trends and characteristics of enrolment in the National Health Insurance Scheme in Ghana: a quantitative analysis of longitudinal data

Is enrolment in the national health insurance scheme in Ghana pro-poor? Evidence from the Ghana Living Standards Survey

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