Health Care Financing and Sustainability in Health Care Delivery in the Sunyani Municipality, Ghana.
DOI:
https://doi.org/10.31150/ajebm.v2i3.78Keywords:
Health Care, Sustainability, Health Care Delivery, Sunyani MunicipalAbstract
The study was to examine how public health facilities are financed in Ghana and its sustainability in the Sunyani municipality. The study used a descriptive survey design of the concurrent type of mixed approach. Stratified sampling technique was used to select 285 respondents while purposive sampling was used to select 14 key stakeholders in Sunyani Municipal of which questionnaires and interview guide were administered to them respectively. The data were analysed descriptively while thematic analysis was done for the qualitative data. The study found out that sources for funding Ghana health care delivery included: government subventions, National Health Insurance, Internally Generated Fund, out-of-pocket payment, taxation as well as private insurance. Also, clients were not willing to pay for improved health care delivery in Sunyani Municipal due to low income and education. Moreover, delay in payment of NHIS subventions by the government, misappropriation of funds, weak supervision, monitoring and evaluation of health care and political interferences were the challenges of funding health care delivery. It is therefore, recommended that the government should release the subvention for NHIS service providers and health care facilities on time and increasing the premiums and tariffs of NHIS yearly.
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References
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Asare, M., & Danquah, S. A. (2015). The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescents. Child and adolescent psychiatry and mental health, 9(1), 11.
Alhassan, R. K., Nketiah-Amponsah, E., & Arhinful, D. K. (2016). A review of the National Health Insurance Scheme in Ghana: what are the sustainability threats and prospects?. PloS one, 11(11), e0165151.
Alhassan, R. K., Nketiah-Amponsah, E., Spieker, N., Arhinful, D. K., & de Wit, T. F. R. (2016). Perspectives of frontline health workers on Ghana’s National Health Insurance Scheme before and after community engagement interventions. BMC health services research, 16(1), 192.
Adei, D., Kwadwo, V. O., Diko, S. K., & An, S. (2012). An Assessment of the Kwabre District Mutual Health Insurance Scheme in Ghana. Current Research Journal of Social Sciences, 4(5), 372-382.
Asare, M., & Danquah, S. A. (2015). The relationship between physical activity, sedentary behaviour and mental health in Ghanaian adolescents. Child and adolescent psychiatry and mental health, 9(1), 11.
Addae-Korankye, A. (2013). Challenges of financing health care in Ghana: the case of national health insurance scheme (NHIS). International Journal of Asian Social Science, 3(2), 511-522.
Adisah-Atta, I. (2017). Financing health care in Ghana: are Ghanaians willing to pay higher taxes for better health care? Findings from Afrobarometer. Social Sciences, 6(3), 90.
Ataguba, J., & McIntyre, D. (2009). Financing and benefit incidence in the South African health system: Preliminary results. University of Cape Town. Health Economics Unit..
Akazili, J., Gyapong, J., & McIntyre, D. (2011). Who pays for health care in Ghana?. International journal for equity in health, 10(1), 26.
Bani, F., Nyavor, P., Agbemafle, I., Takramah, W., Agboli, E., Tarkang, E., & Kweku, M. (2017). Prevalence and awareness of hypertension and prehypertension among traders in Hohoe Municipality. Journal of Scientific Research and Studies, 4(1), 22-30.
Babbie, E. (2010). The Practice of Social Research-12. Belmont: Wadsworth.
Bhattacherjee, A. (2012). Social science research: Principles, methods, and practices.
Bilger, M. (2008). Progressivity, horizontal inequality and reranking caused by health system financing: A decomposition analysis for Switzerland. Journal of Health Economics, 27(6), 1582-1593.
Bird, R. M., Martinez-Vazquez, J., & Torgler, B. (2008). Tax effort in developing countries and high-income countries: The impact of corruption, voice and accountability. Economic analysis and policy, 38(1), 55-71.
Creswell, J. W., & Clark, V. L. P. (2017). Designing and conducting mixed methods research. Sage publications.
Dierks, T., & Allen, C. (1999). The TLS protocol version 1.0.
Fusheini, A., Marnoch, G., & Gray, A. M. (2012, April). The Implementation of the National Health Insurance Programme in Ghana–an Institutional Approach. In PSA Annual Conference (pp. 1-20).
Gottret, P., & Schieber, G. (2006). Health financing revisited: a practitioner's guide. The World Bank.
Häger Glenngård, A., & Anell, A. (2017). Introducing quasi-markets in primary care: the Swedish experience. Routledge Critical Studies in Public Management, 193-208.
Hobbes, T. (1980). Leviathan (1651). Glasgow 1974.
Healy, D. (2012). Pharmageddon. Univ of California Press.
Hemraj, V., Diksha, S., & Avneet, G. (2013). A review on commonly used biochemical test for bacteria. Innovare J Life Sci, 1(1), 1-7.
John, R. A. W. L. S. (1971). A theory of justice. Cambridge, MA: p, University.
Lane, C., & Glassman, A. (2007). Bigger and better? Scaling up and innovation in health aid. Health Affairs, 26(4), 935-948.
Leedy, P. D., & Ormrod, J. E. (2005). Practical research. Pearson Custom.
Mensah, J. K., Domfeh, K. A., Ahenkan, A., & Bawole, J. N. (2013). Policy and institutional perspectives on local economic development in Africa: The Ghanaian perspective. Journal of African Studies and Development, 5(7), 163-170.
Martinez-Vazquez, J. (2008). The impact of budgets on the poor: Tax and expenditure benefit incidence analysis. Public finance for poverty reduction: Concepts and case studies from Africa and Latin America, 113-62.
Moreno-Serra, R., & Smith, P. C. (2012). Does progress towards universal health coverage improve population health?. The Lancet, 380(9845), 917-923.
Maslow, W. (1954). Fair Procedure in Congressional Investigations: A Proposed Code. Colum. L. Rev., 54, 839.
Musango, L., Elovainio, R., Nabyonga, J., & Toure, B. (2013). The state of health financing in the African Region. Health Monitor, 9.
Owusu-Sekyere, A., Kontturi, J., Hajiboland, R., Rahmat, S., Aliasgharzad, N., Hartikainen, H., & Seppänen, M. M. (2013). Influence of selenium (Se) on carbohydrate metabolism, nodulation and growth in alfalfa (Medicago sativa L.). Plant and soil, 373(1-2), 541-552.
O'Connor, P., & Kleyner, A. (2012). Practical reliability engineering. John Wiley & Sons.
Osuala, E. C. (2001). Introduction to research methods. Onitsha African FEP publishers.
Rogers, R. (2010). Structured interview of reported symptoms. The Corsini Encyclopedia of Psychology, 1-2.
Robson, P. (2002). The economics of international integration. Routledge.
Sarafino, E. P., & Smith, T. W. (2014). Health psychology: Biopsychosocial interactions. John Wiley & Sons.
Sunstein, C. R. (2012). The Office of Information and Regulatory Affairs: myths and realities. Harv. L. Rev., 126, 1838.
Saunders, M. L., & Lewis, P. & Thornhill, A. (2009). Research methods for business students, 4.
Schieber, G. J. (1997). Innovations in health care financing: Pproceedings of a World Bank conference, March 10-11, 1997. The World Bank.
Schieber, G., Cashin, C., Saleh, K., & Lavado, R. (2012). Health financing in Ghana. The World Bank.
Uzochukwu, B. S. C., Ughasoro, M. D., Etiaba, E., Okwuosa, C., Envuladu, E., & Onwujekwe, O. E. (2015). Health care financing in Nigeria: Implications for achieving universal health coverage. Nigerian Journal of Clinical Practice, 18(4), 437-444.
Viorel, L., Aurel, M., Virgil, M. C., & Stefania, P. R. (2009). Employees motivation theories developed at an international level. Annals of the University of Oradea, Economic Science Series, 18(4), 324-328.
World Health Organization. Department of Mental Health, Substance Abuse, Mental Health Evidence, & Research Team. (2005). Mental health atlas 2005. World Health Organization.
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Published
2019-11-10
How to Cite
Agyemang Opoku, O., & Kwame Appiah Junior, R. (2019). Health Care Financing and Sustainability in Health Care Delivery in the Sunyani Municipality, Ghana. American Journal of Economics and Business Management, 2(3), 103–123. https://doi.org/10.31150/ajebm.v2i3.78
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