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Access to Maternal Healthcare Services Under the National Health Insurance Policy in the Upper West Region, Ghana Ibrahim Abu Abdulai and Abdul-Moomin Adams
Chapter Access to Maternal Healthcare Services under the National Health Insurance Policy in the Upper West Region, Ghana Ibrahim Abu Abdulai and Abdul-Moomin Adams Abstract Health insurance coverage provides the spring board for pregnant women to access and utilise maternal healthcare services. Yet, studies on health insurance coverage, access and utilisation of maternal healthcare are a handful. Consequently, this study examines women’s access and utilisation of maternal healthcare services under the free maternal health policy in two districts in northern Ghana. The study adopted the mixed research approach with the aid of the cross-sectional design involving 212 respondents. An interview schedule was utilised in the collection of data. Percentages, Chi-square test for independence and Mann-Whitney U test as well as thematic analysis were used to analyse the data. The study revealed that 93.9% of the respondents had enrolled unto the national health insurance scheme and 98.6% of them went for antennal care. Majority (66.5%) of them had facility- based delivery. However, 79.7% of them incur cost in seeking delivery care. In brief, health insurance coverage appears to contribute to improved access and utilisation of maternal healthcare services in the two districts. Nonetheless, the government should provide the basic items that are needed for delivery to lessen the cost burden associated with facility-based delivery. Keywords: healthcare, health, insurance, maternal, Ghana 1. Introduction Access to healthcare including maternal healthcare services drives public health policies across the globe [1–3]. According to Ribot [4], access connotes the ability to make use of a resource. -
Wa East District Assembly Funsi Annual Progress
MNISTRY OF LOCAL GOVERNMENT AND RURAL DEVELOPMENT WA EAST DISTRICT ASSEMBLY FUNSI ANNUAL PROGRESS REPORT ON THE IMPLEMENTATION OF 2016 ANNUAL ACTION PLAN FEBRUARY, 2017 District Location and Size The Wa East district was carved out of the former Wa District and made a district by L.I 1746 in July 2004. The district is located in the south eastern part of the Upper West region. Funsi, the district capital is about 115km away from Wa which is the regional capital. The district shares boundaries with West Mamprusi to the northwest, West Gonja to southeast, Wa Municipality to the Southwest, Nadowli to the North east and the Sissala East districts to the north. The districts’ closeness to West Mamprusi and West Gonja in the Northern region could promote inter regional trade when well linked by road. It has a landmass of about 3,196.4km², which is located between latitudes 9º 55”n and 10º 25”n and longitude 1º 10”w and 2º 5”w. The district occupies 17.3% of the total landmass of the region (18,478.4Km2). The remoteness of the district relative to other districts of the region has deprived it of the needed investment from the private sector which has led to woefully, inadequate basic social and economic infrastructure and services. Topography and Drainage The topography of the district could be described as gently undulating. Generally, the district is located about 180 meters above sea level with a few isolated hills. The relative plain topography is suitable for road construction, distribution of utility lines and general construction works. -
HAYTAFORD Harnessing Youthful Talents for Rural Development
HAYTAFORD Harnessing Youthful Talents for Rural Development PROPOSAL IN SUPPORT OF A PROJECT VEHICLE FOR COMMUNITY DEVELOPMENT WORK IN UPPER WEST REGION OF GHANA Introduction This proposal seeks assistance for a project vehicle in order to increase HAYTAFORD’s outreach support to improve the community and education lives of poor people in Wa East district and other inaccessible communities in the Upper West Region of Ghana. Focus of HAYTAFORD HAYTAFORD is a youth led local NGO which has been working closely with local based structures at the community level. HAYTAFORD complements the efforts of government in the provision of quality basic education for all children especially those at the basic level. HAYTAFORD's work is based on the conviction that providing school infrastructure, recruiting teachers and sending children to school alone will not ensure quality basic education for all. There is the need to empower and involve all stakeholders particularly Parent Teacher Associations (PTAs), School Management Committees (SMCs), Chiefs and Assembly persons at the grassroots in school planning, decision making local education policy formulation, implementation and monitoring of the benefits. The intervention of HAYTAFORD as a civil society organization is progressively increasing particularly in the Upper West Region. From a humble beginning of one district (Nadowli) we now reach out to four districts namely Nadowli/Kaleo, Daffiamah /Bussie /Issah, Wa municipal and Wa East). HAYTAFORD has a broad based constituents who are mostly very committed and people interested in their development though they are poor. We represent some of the most vulnerable groups notably over 1,000 Persons With Disabilities (PWDs) in Nadowli District alone, children and poor girls. -
Challenges to Citizens' Participation in Local Governance in Ghana
CHALLENGES TO CITIZENS’ PARTICIPATION IN LOCAL GOVERNANCE IN GHANA: THE CASE OF LAWRA MUNICIPAL A publication produced under the project “Enhancing public participation and demand for accountability in local governance in Ghana” being implemented in eight municipalities and districts across four (4) regions in Ghana Supported by: 1 Table of Content Introduction ………………………………………...…...……………………….3 The Local Government System in Ghana………………...…...……........................5 i. Structure of the Local Government………..................................................5 ii. The Assemblies System in Ghana...……..…......………………………..5 iii. The Sub-Structures of the Assembly…….……...……..….........................6 Profile of Lawra Municipal Assembly………….…………...……..…......................7 i. Demographic ……………………….…………...……..…......................7 ii. Political Administration ….. ………...…………...……..…......................8 Methodology ………. ……………………...……..….................................................9 Key Findings ………. ……………………...……..…...............................................10 Recommendations………. ……………………...……..…......................................12 Bibliography………. ……………………...……..….................................................13 2 Introduction In Ghana, citizens’ right to access information, participate in, and demand for transparency and accountability in the provision of goods and services are largely guaranteed under the 1992 constitution. When the country adopted the decentralised system of governance, it was to ensure that more citizens -
British Journal of Pharmacology
KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY COLLEGE OF HEALTH SCIENCES SCHOOL OF MEDICAL SCIENCES DEPARTMENT OF COMMUNITY HEALTH DISTRICT INEQUITIES IN HOUSEHOLD CHILD SURVIVAL PRACTICES IN THE UPPER WEST REGION OF GHANA EASMON OTUPIRI FEBRUARY 2012 DISTRICT INEQUITIES IN HOUSEHOLD CHILD SURVIVAL PRACTICES IN THE UPPER WEST REGION OF GHANA By Easmon Otupiri A thesis submitted to the Department of Community Health, Kwame Nkrumah University of Science and Technology in partial fulfillment of the requirements for the award of the degree DOCTOR OF PHILOSOPHY (COMMUNITY HEALTH) School of Medical Sciences College of Health Sciences FEBRUARY 2012 i DECLARATION The work described in this thesis was carried out at the Department of Community Health, KNUST-School of Medical Sciences. I declare that, except for references to other people’s work, which I have duly acknowledged, this thesis is original to me. This work has not been submitted either completely or in part for the award of any other degree in this or any other university. ……………………….. …………………………………. Easmon Otupiri Date …………………………. ……………………………….. Prof. Michelle J Hindin Date (Supervisor) …………………………… ………………………………. Rev. (Dr.) ENL Browne Date (Supervisor) ………………………….. ……………………………… Dr P Agyei-Baaffour Date (Head of Department) ii DEDICATION I dedicate this thesis to my parents (Mr William Otupiri and Mrs Comfort Otupiri), my wife (Joana) and children (Kwabena, Abena and Akosua) for all the encouragement you gave me to get this thesis completed. I love you very much. iii ACKNOWLEDEMENT I am very grateful to the Lord God Almighty who through His abundant mercy, endless grace and everlasting love made this work possible. My sincere thanks go to my supervisors: Prof. -
Procurement Plan-Goods
Pack Lot Pre-or On-line Procurement Plan-GoodsSubmissio Opening Estimated Procurem Prior or Plan Prep & Bid Bid Plan Contract Date Date Arrival Inspection age Nu Post No-objection UNDB n No-objection of Description* Amount in US ent Post vs. Submission Invitation Closing- vs. Amount in Contract Contract of Final Num mb Qualificat Date Gateway Bid Eval Date Let of $'000 Method Review Actual by Ex Agency Date Opening Actual US$'000 Award Signature Goods Acceptance ber er ion Nat Press Rpt Credit Norm Duration of Proc If Prequalification Plan 4 - 7 wks 1 - 1.5 wks 1.5 - 2 wks 6 to 12 wks 1.5 - 3 wks 1 - 1.5 wks Plan 1 wk 1.5-3 wks Steps add 7-13 wks Actual Actual Public Disclosure Authorized List of Contracts Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized 754270v60PROP00t0Plan00020130Update.xls 1 of 22 2/21/2013 2:56 AM Dates of Bank Approval of Procurement Plan For Goods Initial Approval Update Procurement Plan-Works Country/Organisation: GHANA/ Community Water and Sanitation Agency Project/Programme:P120026 - Sustainable Rural Water and Sanitation Project Draft Bid Documents, If Post-Review, No-objection Dates are not needed Spec Proc including specs and Credit #: 4789 GH Basic Data Notice Bidding Period Bid Evaluation Contract Finalization Contract Implementation quantities, draft SPN Lum Prior Advert Packa Procur Pre-or On-line Lot psum Estimated or Plan Prep & Plan Contract Date Date Mobilization ge ement Post No-objection UNDB Bid Invitation Bid Closing- Submission No-objection Substantial Final Final Description* Num or Amount in Post vs. -
The Case of Wa West District
CHALLENGES TO CITIZENS’ PARTICIPATION IN LOCAL GOVERNANCE IN GHANA: THE CASE OF WA WEST DISTRICT A publication produced under the project “Enhancing public participation and demand for accountability in local governance in Ghana” being implemented in eight municipalities and districts across four (4) regions in Ghana Supported by: 1 Table of Content Introduction ………………………………………...…...……………………….3 The Local Government System in Ghana………………...…...……........................5 i. Structure of the Local Government………..................................................5 ii. The Assemblies System in Ghana...……..…......………………………..5 iii. The Sub-Structures of the Assembly…….……...……..….........................6 Profile of Wa West District Assembly ……….……………………........................7 i. Demographic ……………………….…………...……..…......................7 ii. Social and Cultural Structure ………. …………...……..…......................8 iii. Political Administration ….. ………...…………...……..…......................8 Methodology ………. ……………………...……..….................................................9 Key Findings ………. ……………………...……..…...............................................10 Recommendations………. ……………………...……..…......................................12 Bibliography………. ……………………...……..….................................................13 2 Introduction In Ghana, citizens’ right to access information, participate in, and demand for transparency and accountability in the provision of goods and services are largely guaranteed under the 1992 constitution. When the country adopted -
Review of Meningitis Surveillance Data, Upper West Region, Ghana 2009-2013
Supplement article Research Review of meningitis surveillance data, upper West Region, Ghana 2009-2013 Robert Domo Nuoh1,2,&, Kofi Mensah Nyarko1,2, Priscilla Nortey1, Samuel Oko Sackey1, Noora Charles Lwanga1,2, Donne Kofi Am- eme1, Culbert Nuolabong1, Marijanatu Abdulai1,2, Fredrick Wurapa1, Edwin Afari1 1Ghana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Legon, Accra, 2Ghana Health Service &Corresponding author: Robert Domo Nuoh, Ghana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Legon, Accra Cite this: The Pan African Medical Journal. 2016;25 (Supp 1):9. DOI: 10.11604/pamj.supp.2016.25.1.6180 Received: 23/01/2015 - Accepted: 10/05/2016 - Published: 01/10/2016 Key words: Meningitis, surveillance, data, Ghana © Robert Domo Nuoh et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Corresponding author: Robert Domo Nuoh, Ghana Field Epidemiology and Laboratory Training Program, School of Public Health, University of Ghana, Legon, Accra ([email protected]) This article is published as part of the supplement “Strengthening Surveillance, Outbreak Investigation and Response: the Role of Ghana FELTP” sponsored by GHANA Field Epidemiology and Laboratory Training Program Guest editors: Donne Kofi Ameme, Kofi Mensah Nyarko Available online at: http://www.panafrican-med-journal.com/content/series/25/1/9/full Abstract Introduction: the Upper West region of Ghana is within the meningitis belt. -
Manufacturing Capabilities in Ghana's Districts
Manufacturing capabilities in Ghana’s districts A guidebook for “One District One Factory” James Dzansi David Lagakos Isaac Otoo Henry Telli Cynthia Zindam May 2018 When citing this publication please use the title and the following reference number: F-33420-GHA-1 About the Authors James Dzansi is a Country Economist at the International Growth Centre (IGC), Ghana. He works with researchers and policymakers to promote evidence-based policy. Before joining the IGC, James worked for the UK’s Department of Energy and Climate Change, where he led several analyses to inform UK energy policy. Previously, he served as a lecturer at the Jonkoping International Business School. His research interests are in development economics, corporate governance, energy economics, and energy policy. James holds a PhD, MSc, and BA in economics and LLM in petroleum taxation and finance. David Lagakos is an associate professor of economics at the University of California San Diego (UCSD). He received his PhD in economics from UCLA. He is also the lead academic for IGC-Ghana. He has previously held positions at the Federal Reserve Bank of Minneapolis as well as Arizona State University, and is currently a research associate with the Economic Fluctuations and Growth Group at the National Bureau of Economic Research. His research focuses on macroeconomic and growth theory. Much of his recent work examines productivity, particularly as it relates to agriculture and developing economies, as well as human capital. Isaac Otoo is a research assistant who works with the team in Ghana. He has an MPhil (Economics) from the University of Ghana and his thesis/dissertation tittle was “Fiscal Decentralization and Efficiency of the Local Government in Ghana.” He has an interest in issues concerning local government and efficiency. -
Upper West Regional Health Services 2008 ANNUAL REPORT Dr. Alexis
Upper West Regional Health Services 2008 ANNUAL REPORT Dr. Alexis Nang-beifubah Regional Director of Health Services 12 March 2009 Executive Summary This report is an embodiment of how the health sector faired in the Upper West Region in the year 2008. The records point to some achievement amidst serious constraints. Transport and communication networks are not the best in the region. The proliferation and expansion of mobile telecommunication and radio networks has enhanced communication and information dissemination in the region. Currently, there are five radio stations, two TV networks and three mobile telecommunication networks operating in the region. With regards to the road network, only two of the nine districts are linked to the regional capital by tarred roads. For the untarred roads, the least one probably talks about them, the better as they are mostly horrible to travel on especially, during the rainy season. To overcome the challenges encountered in 2007 and other emerging ones, the region’s outlined priorities were to: sustain the high impact rapid delivery interventions; increase access (scaling of CHPS and NHIS); strengthen monitoring, supervision and performance management systems; improve quality assurance and customer care; strengthen disease surveillance/disaster preparedness and response/control; strengthen regenerative health and nutrition programme in all districts; and campaign on alcoholism The region, during the year, implemented activities aimed at reducing the high maternal and child mortality rates. The achievements in service delivery were remarkable with the reduction or stagnation in coverage for some sector-wide indicators. Immunization coverage using the pentavalent 3 vaccine as proxy reduced from 109% in 2007 to 82% in 2008. -
Upper West Regional Health Service
Upper West Regional Health Service 2015 Annual Health Report Dr. Winfred Ofosu Ag. Regional Director of Health Services April 2016 I Upper West Regional Health Services Data Sources: GHS Annual Reports, DHIMS2 & Surveys FOREWORD This Upper West Regional Annual Health Sector Performance report captures information on key health strategies and specific target interventions implemented during the year 2015. In the midst of the numerous challenges confronted during the year under review, significantly the hard working souls that departed, shortage of doctors and critical staff, inadequate financial resource inflows, high maternal mortality, sporadic outbreak of communicable and other priority disease including other strives towards achieving set targets outlined by the Ghana Health Sector objectives, policies and priorities. Notwithstanding these challenges; some significant achievements were made in our routine service coverage. Consistent with the trends showed by other data sources such as National/ international Survey reports and other stakeholder inputs. These achievements are accredited to the committed frontline health facility staff, Community volunteers, traditional authorities, Districts Assemblies, fatherly support of the Regional Co- coordinating Council and development partners such as JICA, UNICEF, Jhpiego, UNFPA, Plan Ghana, World Vision etc. This report is as a repository of health events evidenced by credible data, providing information for decision making in health as well as a reference guide for researchers and Partners who are advised to contact the various units and BMCs for more details. It is hoped that these trends will continue through 2016 and beyond towards achieving MDG‟s in Health sustaining the gains made. Thank you. DR. Winfred Ofosu (Ag. RDHS –UWR) II Upper West Regional Health Services Data Sources: GHS Annual Reports, DHIMS2 & Surveys Executive Summary The 2015 Annual report covers all the key service delivery areas in accordance with the Six (6) strategic policy objectives of the Ghana Health Service. -
Feed the Future Indicators for Upper West Region, Ghana 2015 District Baseline Estimates
FEED THE FUTURE INDICATORS FOR UPPER WEST REGION, GHANA 2015 DISTRICT BASELINE ESTIMATES USAID-METSS JULY 2016 Report Contact: Dr. Yacob Zereyesus METSS Kansas State University, Manhattan, KS 66506 Telephone: +1 785-532-4438 Email: [email protected] Maps Created By: Jennifer Asiedu-Dartey (METSS Accra Office) Recommended Citation: Guvele, C.,Y.A. Zereyesus, K.L. Ross , E.G. Gutierrez, A. Mzyece, and V. Amanor-Boadu. 2016. Feed the Future Indicators for Upper West Region, Ghana 2015 District Baseline Estimates. Manhattan, KS: Department of Agricultural Economics, Kansas State University Table of Contents Table of Contents .............................................................................................................................................. i List of Tables ..................................................................................................................................................... iii List of Figures.................................................................................................................................................... iv List of Acronyms ............................................................................................................................................... v Introduction and Background ........................................................................................................................ 1 Purpose of Report .........................................................................................................................