Suboptimal vaccination rates in rural Ghana despite positive caregiver attitudes towards vaccination

BackgroundIneffective district health management potentially impacts on health system performance and service delivery. However, little is known about district health managing practices and time allocation in resource-constrained health systems. Therefore, a time use study was conducted in order to understand current time use practices of district health managers in Ghana.MethodsAll 21 district health managers working in three districts of the Eastern Region were included in the study and followed for a period of three months. Daily retrospective interviews about their time use were conducted, covering 1182 person-days of observation. Total time use of the sample population was assessed as well as time use stratified by managerial position. Differences of time use over time were also evaluated.ResultsDistrict health managers used most of their working time for data management (16.6%), attending workshops (12.3%), financial management (8.7%), training of staff (7.1%), drug and supply management (5.0%), and travelling (9.6%). The study found significant variations of time use across the managerial cadres as well as high weekly variations of time use impulsed mainly by a national vertical program.ConclusionsDistrict health managers in Ghana use substantial amounts of their working time in only few activities and vertical programs greatly influence their time use. Our findings suggest that efficiency gains are possible for district health managers. However, these are unlikely to be achieved without improvements within the general health system, as inefficiencies seem to be largely caused by external factors.

show abstract

Immunisation of children under 5 years: mothers knowledge, attitude and practice in Alseir locality, Northern State, Sudan

Ali

Abdullah

Saad

et al. 2020

Sudan J Paed

View full text Add to dashboard Cite

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

hi@scite.ai

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Suboptimal vaccination rates in rural Ghana despite positive caregiver attitudes towards vaccination

Cited by 4 publications

References 19 publications

Point-of-care vaccinators’ perceptions of vaccine hesitancy drivers: A qualitative study from the cape metropolitan district, South Africa

Point-of-care vaccinators’ perceptions of vaccine hesitancy drivers: A qualitative study from the cape metropolitan district, South Africa

What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts

Immunisation of children under 5 years: mothers knowledge, attitude and practice in Alseir locality, Northern State, Sudan

Contact Info

Product

Resources

About

Suboptimal vaccination rates in rural Ghana despite positive caregiver attitudes towards vaccination

Cited by 4 publications

References 19 publications

Point-of-care vaccinators’ perceptions of vaccine hesitancy drivers: A qualitative study from the cape metropolitan district, South Africa

Point-of-care vaccinators’ perceptions of vaccine hesitancy drivers: A qualitative study from the cape metropolitan district, South Africa

What Do District Health Managers in Ghana Use Their Working Time for? A Case Study of Three Districts

Immunisation of children under 5 years: mothers knowledge, attitude and practice in Alseir locality, Northern State, Sudan

Contact Info

Product

Resources

About

Immunisation of children under 5 years: mothers knowledge, attitude and practice in Alseir locality, Northern State, Sudan