The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana

Kumbeni, Maxwell Tii; Apanga, Paschal Awingura; Chanase, Mary-Ann Wepiamo; Alem, John Ndebugri; Mireku-Gyimah, Nana

doi:10.1186/s12913-021-06665-0

Cited by 4 publications

(5 citation statements)

References 31 publications

(35 reference statements)

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“…The public sector had significantly higher levels for immediate breastfeeding and skin-to-skin contact, while the private sector has higher levels of adherence to all other ENC and PNC indicators, with the exception of observing breastfeeding during the PNC check, which was similar in both sectors. This finding differs from studies in Ghana and Eastern Uganda that found that public sector providers performed better than private providers in provision of essential newborn care [ 21 , 22 ].…”

Section: Discussioncontrasting

confidence: 98%

“…The public and private sectors are both important sources for reproductive, maternal, and child health services [ 18 – 20 ], yet few studies have examined the quality of newborn care in the private sector and how it differs from the quality of care provided in the public sector and at home. We could identify only two studies that examined adherence to essential newborn care guidelines in the private sector; one focused on a single country and the other on a single region within a country [ 21 , 22 ]. Understanding how well and where ENC, PNC, and sick neonatal care are provided across countries is critical to catalyzing progress across sectors and achieving high quality neonatal care for all.…”

Section: Introductionmentioning

confidence: 99%

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Sources for and quality of neonatal care in 45 low- and middle-income countries

et al. 2022

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Almost half of under-five deaths occur during the neonatal period. Delivery with a skilled attendant, adherence to essential newborn care (ENC) and postnatal care (PNC) standards, and immediate treatment of infections are essential to improve neonatal survival. This article uses Demographic and Health Survey data from 45 low- and middle-income countries to assess 1) levels of ENC and PNC that mothers and newborns receive and how this differs by place of delivery and 2) levels of and sources for care-seeking for neonates sick with fever. For five of the ten ENC and PNC indicators assessed, less than two-thirds of mothers and newborns received care in alignment with global standards. Adherence is higher in private facilities than public facilities for all indicators other than immediate breastfeeding and skin-to-skin contact. Except for immediate breastfeeding, adherence is lowest for newborns born at home with a skilled birth attendant (SBA). Socioeconomic disparities exist in access to skilled delivery and adherence to ENC and PNC, with the largest disparities among newborns delivered at home with a SBA. Private provider adherence to ENC and PNC standards was relatively high for newborns from the wealthiest families, indicating that meeting recommended guidelines is achievable. On average across the 45 countries, half of caregivers for neonates with fever sought care outside the home and 45 percent of those sought care from the private sector. There were substantial socioeconomic disparities in care-seeking for fever, but illness prevalence and sources of care seeking were consistent across wealth quintiles. Closing inequities in neonatal care and care seeking and ensuring that all families, including the poorest, can access high quality maternal and newborn care is crucial to ensure equity and accelerate reductions in neonatal and child mortality.

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Section: Discussioncontrasting

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Sources for and quality of neonatal care in 45 low- and middle-income countries

et al. 2022

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“…Prior to analysis, each set of data underwent a meticulous verification process to ensure both its integrity and precision. The study's conclusive sample encompassed 484 staff members, which equates to a 69% participation rate, a figure that comfortably meets the benchmark for statistical evaluation as established [63]. To maintain uniformity across the collected data, a coding system was implemented for the questionnaires to align with the responses provided by the employees.…”

Section: Sample and Data Collectionmentioning

confidence: 99%

The impact of technology readiness and adapting behaviours in the workplace: a mediating effect of career adaptability

Kumi,

Osei,

Asumah

et al. 2024

Futur Bus J

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This study aims to explore the impact of technology readiness (TR) on career adaptability (CA) and adapting behaviours among public sector workers in Ghana. It also examines the mediating role of CA in the relationship between TR and adapting behaviours. The study adopts a quantitative research design using a survey method. A sample of 484 public sector employees from various government agencies and departments in Ghana is selected. The study employed a non-probability sampling procedure that combined convenience and purposeful sampling. The data are analysed using covariance-based structural equation modelling with AMOS v24 to test the hypotheses and the proposed conceptual model. The results show that TR has a positive and significant effect on CA, boundary integration, and job crafting. CA also has a positive and significant effect on boundary integration and job crafting. Furthermore, CA mediates the relationship between TR and the two adapting behaviours. This study is one of the first to investigate the influence of TR on CA and adapting behaviours. It reveals how employees respond to the challenges and opportunities of technological innovation and work transformation. It also provides useful insights and recommendations for enhancing technology adoption and career development among public sector workers, especially in developing countries.

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“…Private providers or private health insurance are perceived better in providing perceived quality of services. Those who have health insurance or have access to public healthcare providers have a higher chance of receiving care [5,6]. The right combination of public and private roles in ensuring access to healthcare and eliminating financial hardship in meeting healthcare needs is a big challenge to achieving universal health coverage (UHC) in many developing countries.…”

Section: Introductionmentioning

confidence: 99%

Perspective Chapter: Including the Private Sector to Achieve Universal Health Coverage

Adyas,

Jet Alamin,

Thabrany

2024

Health Insurance Across Worldwide Health Systems

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In implementing Universal Health Coverage (UHC), public healthcare financing is the dependable mechanisms to ensure equity and to minimize catastrophic health spending. However, public financing often creates long queueing and low satisfaction of the community and is less responsive to the demand from the public. On the other hand, the private sector has advantages in responding to the demand of the patients, higher efficiencies, and having higher customer or patient satisfaction. The combination of the two sectors is the best in achieving UHC. The government must provide and regulate the room for the private sector. However, the private sector has limitations in developing services because of obstacles in providing appropriate healthcare for everyone without conflicting with the business goals. In general, there are three roles of the private sector to be adopted in the health system of countries to ensure equitable access to quality healthcare, provide options, facilitate higher satisfaction for patients, increase private sector opportunities to participate in providing health services, that potentially establish competition that will improve the quality of services.

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The role of the public and private health sectors on factors associated with early essential newborn care practices among institutional deliveries in Ghana

Cited by 4 publications

References 31 publications

Sources for and quality of neonatal care in 45 low- and middle-income countries

Sources for and quality of neonatal care in 45 low- and middle-income countries

The impact of technology readiness and adapting behaviours in the workplace: a mediating effect of career adaptability

Perspective Chapter: Including the Private Sector to Achieve Universal Health Coverage

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