Trial reportBMC health services research2016
Perspectives of frontline health workers on Ghana's National Health Insurance Scheme before and after community engagement interventions.
Trial report in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The state and significant drivers of health systems efficiency in Africa: A systematic review and meta-analysis.Journal of global health · 2023Pooled it
- Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.The Cochrane database of systematic reviews · 2021Pooled it
- Impact of a bottom-up community engagement intervention on maternal and child health services utilization in Ghana: a cluster randomised trial.BMC public health · 2019Trial
- Using health policy and systems research to influence national health policies: lessons from Mexico, Cambodia and Ghana.Health policy and planning · 2023Review
- Women's use of non-conventional herbal uterotonic in pregnancy and labour: evidence from birth attendants.BMC pregnancy and childbirth · 2022Article
- Article
- What alternative and innovative domestic methods of healthcare financing can be explored to fix the current claims reimbursement challenges by the National Health Insurance Scheme of Ghana? Perspectives of health managers.Cost effectiveness and resource allocation : C/E · 2021Article
- "Top-down bottom-up" estimation of per capita cost of new-born care interventions in four regions of Ghana: beyond implementation to scalability and sustainability.Health economics review · 2021Article
- Implementation of the National Health Insurance Scheme (NHIS) in Ghana: Lessons for South Africa and Low- and Middle-Income Countries.Risk management and healthcare policy · 2020Review
- Subscribers' perception of quality of services provided by Ghana's National Health Insurance Scheme - what are the correlates?BMC health services research · 2019Article
- Article
- Health care purchasing in Kenya: Experiences of health care providers with capitation and fee-for-service provider payment mechanisms.The International journal of health planning and management · 2019Article
- Private healthcare provider experiences with social health insurance schemes: Findings from a qualitative study in Ghana and Kenya.PloS one · 2018Article
- Article
- Design and implementation of community engagement interventions towards healthcare quality improvement in Ghana: a methodological approach.Health economics review · 2016Article
- A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?PloS one · 2016Review
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBarely a decade after introduction of Ghana's National Health Insurance Scheme (NHIS), significant successes have been recorded in universal access to basic healthcare services. However, sustainability of the scheme is increasingly threatened by concerns on quality of health service delivery in NHIS-accredited health facilities coupled with stakeholders' discontentment with the operational and administrative challenges confronting the NHIS. The study sought to ascertain whether or not Systematic Community Engagement (SCE) interventions have a significant effect on frontline health workers' perspectives on the NHIS and its impact on quality health service delivery.
methodsThe study is a randomized cluster trial involving clinical and non-clinical frontline health workers (n = 234) interviewed at baseline and follow-up in the Greater Accra and Western regions of Ghana. Individual respondents were chosen from within each intervention and control groupings. Difference-in-difference estimations and propensity score matching were performed to determine impact of SCE on staff perceptions of the NHIS. The main outcome measure of interest was staff perception of the NHIS based on eight (8) factor-analyzed quality service parameters.
resultsStaff interviewed in intervention facilities appeared to perceive the NHIS more positively in terms of its impact on "availability and quality of drugs (p < 0.05)" and "workload on health staff/infrastructure" than those interviewed in control facilities (p < 0.1). Delayed reimbursement of service providers remained a key concern to over 70 % of respondents in control and intervention health facilities.
conclusionCommunity engagement in quality service assessment is a potential useful strategy towards empowering communities while promoting frontline health workers' interest, goodwill and active participation in Ghana's NHIS.
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