Upgrading obstetric care at the health center level, Juaben, Ghana

Djan, J.O.; Kyei-Faried, S.; Twum, Stephen Boakye; Danquah, Jessica; Ofori, Michael F.; Browne, Edmund

doi:10.1016/s0020-7292(97)00151-3

Cited by 15 publications

(16 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Client-centered interventions such as community participation in health have proved successful in mobile phone technology for health (MOTECH), and other m-Health initiatives in Rwanda [49], Nigeria [50] and Ghana [51,52]. Active involvement of users of health care and health insurance services could therefore be an important intervention and new policy direction to improve quality health care and ensure accountability to clients by health providers and health insurance authorities.…”

Section: Discussionmentioning

confidence: 99%

A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?

2016

View full text Add to dashboard Cite

BackgroundThe introduction of the national health insurance scheme (NHIS) in Ghana in 2003 significantly contributed to improved health services utilization and health outcomes. However, stagnating active membership, reports of poor quality health care rendered to NHIS-insured clients and cost escalations have raised concerns on the operational and financial sustainability of the scheme. This paper reviewed peer reviewed articles and grey literature on the sustainability challenges and prospects of the NHIS in Ghana.MethodsElectronic search was done for literature published between 2003–2016 on the NHIS and its sustainability in Ghana. A total of 66 publications relevant to health insurance in Ghana and other developing countries were retrieved from Cochrane, PubMed, ScienceDirect and Googlescholar for initial screening. Out of this number, 31 eligible peer reviewed articles were selected for final review based on specific relevance to the Ghanaian context.ResultsAbility of the NHIS to continue its operations in Ghana is threatened financially and operationally by factors such as: cost escalation, possible political interference, inadequate technical capacity, spatial distribution of health facilities and health workers, inadequate monitoring mechanisms, broad benefits package, large exemption groups, inadequate client education, and limited community engagement. Moreover, poor quality care in NHIS-accredited health facilities potentially reduces clients’ trust in the scheme and consequently decreases (re)enrolment rates. These sustainability challenges were reviewed and discussed in this paper.ConclusionsThe NHIS continues to play a critical role towards attaining universal health coverage in Ghana albeit confronted by challenges that could potentially collapse the scheme. Averting this possible predicament will largely depend on concerted efforts of key stakeholders such as health insurance managers, service providers, insurance subscribers, policy makers and political actors.

show abstract

Section: Discussionmentioning

confidence: 99%

A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?

2016

View full text Add to dashboard Cite

show abstract

“…Improvements in CFR were also realized at Birnin Kebbi Specialist Hospital in Nigeria by using such a package [2]. Similarly, a QI program conducted at Juaben Teaching Health Center in Ghana increased hospital utilization for patients with complications, and incurred no deaths among 700 deliveries [3]. However, each of those programs lacked emphasis on long‐term sustainability, for which evidence remains scant, and predominantly focused on smaller, community‐based health centers.…”

Section: Discussionmentioning

confidence: 99%

“…Issues of access compound the problem, owing to poor transportation and late recognition of complications [1]. In several African countries, citizens avoid hospital care because of the perception of poor quality [2–4]. Healthcare systems often suffer from inadequacies in trained staff, prenatal screening, knowledge and use of evidence‐based protocols, medication and blood availability, prompt cesarean delivery, multidisciplinary care, and lack of quality improvement (QI) support; inadequacies that place patients and fetuses at risk [1].…”

Section: Introductionmentioning

confidence: 99%

Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement

Srofenyoh

Ivester

Engmann

et al. 2011

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…4 For further strengthening the emergency obstetric care and its referral system, they started work with traditional birth attendants, managed emergency transportation, upgraded referral centers, posted midwives at community level and established maternity homes near to the referral centers. [47][48][49][50] Improving quality of care at health facilities increases the client's satisfaction as well as utilization rate of the services. Some successful practices for improving the quality of emergency obstetric care are training to the health professionals in lifesaving skills, improving the interpersonal communication and counseling, expanding the roles of non-physician health care providers, ensuring availability of drugs and other supplies and improving the management system of health facilities.…”

Section: Lessons Learned and Best Practices For Improving Emocmentioning

confidence: 99%

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

Bhandari

Dangal

2014

Nepal j. obstet. gynaecol.

View full text Add to dashboard Cite

Twenty-five years have passed since the global community agreed in Nairobi to address the high maternal mortality by implementing the Safe Motherhood Initiative. However, every year nearly three million women die due to pregnancy related causes. This tragedy is avoidable if women have timely access to required emergency obstetric care.Emergency obstetric care refers to life-saving services for maternal and neonatal complications provided by skilled health workers. Since the beginning of the 1980's, several efforts have been intensified to improve maternal and child health status and reducing the high morbidity and mortality. There was built on a worldwide consensus to provide improved maternal and child health care for addressing the high morbidity and mortality. All participant countries agreed to integrate emergency obstetric care services in their national health care system. Emergency obstetric care is one of the strategies for reducing the maternal mortality as pregnancy related complications are unpredictable. However, many women in developing countries do not have access to essential health care services including emergency obstetric care. Basic emergency obstetric care by skilled birth attendants or timely referral for further comprehensive emergency obstetric care can reduce maternal deaths and disabilities significantly. This paper is based on the results published in PubMed, Medline, Lancet, WHO and Google Scholar web pages from 1990 to 2013.

show abstract

Upgrading obstetric care at the health center level, Juaben, Ghana

Abstract: Modest improvements can increase the provision and utilization of emergency obstetric care. Collaboration with NGOs, government and the community can be beneficial.

Cited by 15 publications

References 3 publications

A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?

A Review of the National Health Insurance Scheme in Ghana: What Are the Sustainability Threats and Prospects?

Advancing obstetric and neonatal care in a regional hospital in Ghana via continuous quality improvement

Emergency Obstetric Care: Strategy for Reducing Maternal Mortality in Developing Countries

Contact Info

Product

Resources

About