Harmonization challenges of recent health reforms for the Christian health association of Ghana (CHAG)
Document type: mthesis
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Abstract:
The global search for appropriate health systems capable of improving population health outcomes has engaged governments all over the world. Accordingly, the Ministry of Health-Ghana (MOH) recently introduced two health reforms viz. Sector Wide Approach (SWAP) and National Health Insurance Scheme (NHIS). The Christian Health Association of Ghana (CHAG) is a major service provider with 40% share of total public health service delivery. Therefore, it operates within the policy environment of the MOH, and has subsequently been affected by both SWAP and NHIS. Anecdotal evidence has suggested that the performance of CHAG health services provision has been affected by these reforms: SWAP and NHIS. Consequently, this study sought to review CHAG Member Institutions’ (CMIs) performance/role, experiences and challenges in the context of these recent reforms, and to suggest appropriate recommendations for the CHAG National Coordinating Body (CNS). With the aid of a conceptual framework based on health systems and management functions, a documentary review, interviews and field experiences of the author were used for this thesis. Findings from the study suggest that CHAG has not fully harmonized its management systems with the MOH/GHS. As a result, duplication, high transaction cost, inequitable resource allocations, reciprocal tensions and mistrust have ensued. Nevertheless, the reforms offer an opportunity for CMIs to integrate into mainstream MOH/GHS system. Furthermore, a framework (MoU-2003) for CHAG-MOH/GHS relationship, prospects for CMIs pro-poor mission and financial sustainability have been accentuated by these reforms. Consequently, conditions for CHAG’s alignment with the MOH/GHS appear ideal, but this is hardly possible. However, owing to fundamental differences in beliefs, norms and values, CHAG and MOH/GHS collaboration, not integration, is more feasible. Accordingly, the study recommends measures including operationalization of the MoU-2003 at CMI’s levels, CHAG institutional reforms, recruitment of experts at CNS, etc., for CHAG-MOH/GHS mutual engagements.
Authors:
Yeboah, P.K.
Country:
Ghana
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
health services
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
viii, 57
Year:
2008
Region:
West Africa
Right:
© 2008 Yeboah
Subject:
Health and Nutrition
Title:
Harmonization challenges of recent health reforms for the Christian health association of Ghana (CHAG)
Training:
Master of Public Health / International Course in Health Development (ICHD)