Private Health Sector Assessment in Ghana

Private Health Sector Assessment in Ghana

Most countries in Sub-Saharan Africa confront serious health challenges; however, Ghana has done beer than many of its neighbors. Ghana's life expectancy at birth is 60 years (versus 53 for all of Sub-Saharan Africa), the infant mortality rate...

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Bibliographic Details
Main Authors:	Makinen, Marty, Sealy, Stephanie, Bitrán, Ricardo A., Adjei, Sam, Muñoz, Rodrigo
Format:	Publication
Language:	English
Published:	World Bank 2012
Subjects:	ABILITY TO PAY ACCESS TO HEALTH CARE ACCESS TO HEALTH SERVICES ACCESS TO INFORMATION ADMINISTRATIVE MANAGEMENT APPLICABLE LAW AVAILABILITY OF DRUGS BIRTH CONTROL CANCER CARE DURING PREGNANCY CARE FOR CHILDREN CENTER FOR HEALTH CHILD MORTALITY CHOICE OF PROVIDER CITIES CLINICS COMMUNITY HEALTH CONTROL OVER RESOURCES DEATHS DEBT DECISION MAKING DELIVERY OF HEALTH CARE DELIVERY OF HEALTH SERVICES DEMAND FOR HEALTH DEMAND FOR HEALTH SERVICES DEMOCRACY DEVELOPMENT OBJECTIVES DIABETES DIAGNOSIS DIAGNOSTIC STUDY DISSEMINATION DOCTORS DRUGS EARLY CHILDHOOD EARLY CHILDHOOD MORTALITY ECONOMIC GROWTH ECONOMIC POLICY EMERGENCY CARE EQUITABLE ACCESS EXCHANGE OF INFORMATION FAMILY PLANNING FERTILITY RATE FEWER WOMEN FINANCIAL BARRIERS FINANCIAL MANAGEMENT FOCUS GROUP DISCUSSIONS FORECASTS GOOD GOVERNANCE GOVERNMENT POLICIES GOVERNMENT SUPPORT GROSS NATIONAL INCOME HEALTH CARE HEALTH CARE DEMAND HEALTH CARE FACILITIES HEALTH CARE PROFESSIONALS HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SYSTEM HEALTH CARE UTILIZATION HEALTH CARE WORKERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INDUSTRY HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH INSURANCE COVERAGE HEALTH INSURANCE SCHEME HEALTH INSURANCE SCHEMES HEALTH MARKET HEALTH ORGANIZATION HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH POLICY HEALTH PROBLEMS HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH REGULATIONS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE MANAGEMENT HEALTH SERVICE PROVIDER HEALTH SERVICE PROVIDERS HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH TRAINING HEALTH WORKERS HIGH FERTILITY HOSPITAL HOSPITAL ASSOCIATION HOSPITAL BEDS HOSPITAL CARE HOSPITALS HOUSEHOLD INCOME HOUSEHOLD SURVEYS HUMAN RESOURCES ILLNESS ILLNESSES IMPORTANT POLICY INCOME INCOME GROUPS INEQUITY IN HEALTH INFANT INFANT MORTALITY INFANT MORTALITY RATE INFORMAL SECTOR INFORMATION SYSTEMS INSURANCE SCHEMES LABORATORY SERVICES LACK OF INFORMATION LEGAL FRAMEWORK LEGAL STATUS LIFE EXPECTANCY LIFE EXPECTANCY AT BIRTH LIMITED RESOURCES LIVE BIRTHS LIVING STANDARDS LOW FERTILITY LOW INCOME MACROECONOMIC STABILITY MALARIA MANDATES MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH OUTCOMES MATERNAL MORTALITY MATERNAL MORTALITY RATIO MEDICAL CONTACTS MEDICAL EQUIPMENT MEDICAL EQUIPMENT SUPPLIERS MEDICAL SYSTEM MIDWIFERY MIDWIVES MINISTRIES OF HEALTH MINISTRY OF HEALTH MORTALITY NATIONAL HEALTH NATIONAL HEALTH INSURANCE NATIONAL HEALTH SYSTEM NATIONAL LEVEL NATIONAL STRATEGY NUMBER OF CHILDREN NURSING OLDER WOMEN PARASITIC DISEASES PATIENT PATIENT SATISFACTION PATIENTS PHARMACEUTICAL INDUSTRY PHARMACEUTICAL SUPPLY PHARMACIES PHARMACY PLACE OF RESIDENCE POLICY ANALYSIS POLICY CHANGE POLICY DIALOGUE POLICY FORMULATION POLICY MAKERS POLITICAL CLIMATE POLITICAL PARTY POPULATION GROUPS PRACTITIONERS PREGNANCY PREGNANT WOMAN PREGNANT WOMEN PRENATAL CARE PREVENTIVE CARE PRIVATE HOSPITALS PRIVATE SECTOR PRIVATE SECTORS PROBABILITY PROFESSIONAL ASSOCIATIONS PROGRESS PUBLIC POLICY PUBLIC PROVIDERS PUBLIC PROVISION PUBLIC SECTOR PURCHASING POWER QUALITY CONTROL QUALITY OF CARE QUALITY SERVICES REGULATORY AGENCIES RESEARCH EFFORTS RETAIL PHARMACIES RURAL AREAS RURAL RESIDENCE RURAL RESIDENTS SERVICE DELIVERY SERVICE PROVIDER SERVICE PROVISION SEX SKILLED PERSONNEL SOCIAL SERVICES SOCIOECONOMIC STATUS SUPPLY CHAINS TRADITIONAL HEALERS TRAINING OF HEALTH PROFESSIONALS TRANSPORTATION URBAN AREAS URBAN POPULATIONS USE OF HEALTH SERVICES USER FEES VACCINATION VISITS VULNERABLE POPULATIONS WORKERS WORLD HEALTH ORGANIZATION
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000386194_20110425032503 http://hdl.handle.net/10986/2294 http://hdl.handle.net/10986/5956

Description
Summary:	Most countries in Sub-Saharan Africa confront serious health challenges; however, Ghana has done beer than many of its neighbors. Ghana's life expectancy at birth is 60 years (versus 53 for all of Sub-Saharan Africa), the infant mortality rate is 73 per thousand (versus 79), and the maternal mortality ratio is 562 per 100,000 (versus 832) (World Bank 2009b). Ghana has worked hard to achieve the gains it has made, and it has benefited from substantial assistance from external development partners. Ghana has separated policy making the Ministry of Health, (MOH) from provision Ghana Health Service (GHS) in the public sector and decentralized health service management to the district level. In 2004, Ghana instituted its National Health Insurance Scheme (NHIS) to ease consumers' need to mobilize payment at the time of illness. The private health sector in Ghana is a large and important factor in the market for health-related goods and services. The size and configuration of private providers and their contribution to health sector outcomes. With beer information about the size, scope, distribution, and constraints of private actors, Ghana's public policy makers could engage more effectively with the private sector. Through dialogue and the use of regulatory mechanisms and other tools, public policy could influence the practices and development of the private role in health so that it beer serves national health goals and objectives. The research team employed a supply and demand approach to identify market, policy, and institutional failures or weaknesses that could be addressed through policy change and action. The specific analyses conducted included the following: secondary analysis of nationally representative household surveys in Ghana; mapping of the private health sector and short-form questionnaire with all formal health service providers public and private in Ghana; focus group discussions with a subset of private providers in the mapping sample; patient exit polls at a subset of facilities in the mapping sample; population focus groups with women and men in the mapped districts; and national-level key informant interviews.

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