ArticleBMC health services research2017
Cost of delivering health care services at primary health facilities in Ghana.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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Who cites it
19 citing papers in PubMed.
- Assessing the drivers of non-communicable diseases prevention activities in primary health care facilities in Ghana: a case study of some selected districts.BMC health services research · 2026Article
- Article
- Costs of outpatient services at selected primary healthcare centers in Bangladesh: A cross-sectional study.PloS one · 2025Article
- Costing curative outpatient care for the poorest in Burkina Faso: informing universal health coverage and leaving no one behind.BMC health services research · 2024Article
- Patient satisfaction with quality of care at out-patient departments in selected health facilities in Kumasi, Ghana.BMC health services research · 2024Article
- Maternal and child health care access to skilled delivery services among Ghanaian rural mothers.Research in health services & regions · 2024Article
- Costs and resource needs for primary health care in Ethiopia: evidence to inform planning and budgeting for universal health coverage.Frontiers in public health · 2023Article
- An assessment of primary health care costs and resource requirements in Kaduna and Kano, Nigeria.Frontiers in public health · 2023Article
- Cost Estimates of Postnatal Care in Public Primary Care Facilities in Negeri Sembilan, Malaysia.The Malaysian journal of medical sciences : MJMS · 2022Article
- Cost of provision of essential health Services in Public Health Centers of Jimma zone, Southwest Ethiopia; a provider perspective, the pointer for major area of public expenditure.Health economics review · 2021Article
- The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana.BMC health services research · 2021Article
- The cost of health workforce gaps and inequitable distribution in the Ghana Health Service: an analysis towards evidence-based health workforce planning and management.Human resources for health · 2021Article
- Article
- High endemic levels of typhoid fever in rural areas of Ghana may stem from optimal voluntary vaccination behaviour.Proceedings. Mathematical, physical, and engineering sciences · 2020Article
- Volunteering, health and the homeless - the cost of establishing a student-run primary healthcare clinic serving the inner-city homeless in South Africa.BMC health services research · 2020Article
- How Can the Typhoid Fever Surveillance in Africa and the Severe Typhoid Fever in Africa Programs Contribute to the Introduction of Typhoid Conjugate Vaccines?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019Article
- Article
- Cost of antenatal care for the health sector and for households in Rwanda.BMC health services research · 2018Article
- Cost of malaria treatment and health seeking behaviour of children under-five years in the Upper West Region of Ghana.PloS one · 2018Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is limited knowledge on the cost of delivering health services at primary health care facilities in Ghana which is posing a challenge in resource allocations. This study therefore estimated the cost of providing health care in primary health care facilities such as Health Centres (HCs) and Community-based Health Planning and Services (CHPS) in Ghana.
methodsThe study was cross-sectional and quantitative data was collected from the health provider perspective. Data was collected between July and August, 2016 at nine primary health facilities (six CHPS and three HCs) from the Upper West region of Ghana. All health related costs for the year 2015 and revenue generated for the period were collected. Data were captured and analysed using Microsoft excel. Costs of delivery health services were estimated. In addition, unit costs such as cost per Outpatient Department (OPD) attendance were estimated.
resultsThe average annual cost of delivering health services through CHPS and HCs was US$10,923 and US$44,638 respectively. Personnel cost accounted for the largest proportion of cost (61% for CHPS and 59% for HC). The cost per OPD attendance was higher at CHPS (US$8.79) than at HCs (US$5.16). The average Internally Generated Funds (IGF) recorded for the period at CHPS and HCs were US$2327 and US$ 15,795 respectively. At all the facilities, IGFs were greatly lower than costs of running the health facilities. Also, at both the CHPS and HCs, the National Health Insurance Scheme (NHIS) reimbursement was the main source of revenue accounting for over 90% total IGF.
conclusionsThe average annual cost of delivering primary health services through CHPS and HCs is US$10,923 and US$44,638 respectively and personnel cost accounts for the major cost. The government should be guided by these findings in their financial planning, decision making and resource allocation in order to improve primary health care in the country. However, more similar studies involving large numbers of primary health facilities in different parts of the country are needed to assess the cost of providing primary health care.
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