ArticleHealth research policy and systems2021
Framework for assessing the performance of the Ghanaian health system: study protocol.
Article in Health research policy and systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Institutional capacity for non-communicable disease care in Ghana's primary health care system: a multi-method study.BMC primary care · 2026Article
- Catastrophic health payments in Ghana post-National Health Insurance Scheme implementation: an analysis of service-specific health expenditures.BMJ global health · 2025Article
- Perceptions of organizational effectiveness in public hospitals: Insights from frontline healthcare workers in Ghana.SAGE open medicine · 2025Article
- Health systems performance in health outcomes, health financing and COVID-19 pandemic: Lessons from 31 countries.PloS one · 2025Article
- Patient Experience of Inpatient Care: Insights From a Multicentered Study in Ghanaian Hospitals.Journal of patient experience · 2025Article
- Does health insurance status influence healthcare-seeking behavior in rural communities? evidence from rural Ghana.Health policy OPEN · 2024Article
- Making districts functional for universal health coverage attainment: lessons from Ghana.Frontiers in public health · 2023Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAssessing the performance of health systems through quantitative and qualitative methods is recognized as an effective approach to strengthening national health systems. However, while many high-income countries have institutionalized health system performance assessment (HSPA) as an integral component of their respective health systems, few studies on HSPA have been documented in low- and middle-income countries, including Ghana. This study aims at providing a comprehensive framework for periodic assessment of the performance of the entire health system in Ghana.
methodsThe study will have four work packages. First, a structured review will be conducted to identify both international and national HSPA frameworks that could be applied to the Ghanaian context. Second, based on the structured review, an assessment framework tailored to the Ghanaian health system context will be developed. Third, the draft framework will be presented and discussed with experts and stakeholders for its appropriateness, feasibility and acceptability. Finally, the framework will be piloted to assess its effectiveness and suitability for full-scale implementation. DISCUSSION: Currently, Ghana does not have a full-fledged HSPA tool that provides a holistic health sector-wide approach to assessing health system performance. Thus, developing this HSPA framework for the country will provide a tool for periodic and comprehensive assessment of the performance of the health system, which can be compared with that of other countries. Such a comparison will offer the opportunity for mutual learning and for exploring new options for formulating more effective national health policies. As this is expected to be the first attempt to develop a comprehensive HSPA framework in Ghana, this study will provide a basis for future discussions on how to further develop and implement HSPA programmes in the country.
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