Communiction challenges in implementing Ghana’s health sector decentralisation at district level: a study of health workers and stakeholder opinions from three district health administration

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dc.contributor.author Sakyi, E.K.
dc.date.accessioned 2012-05-18T10:13:45Z
dc.date.accessioned 2017-10-16T11:22:15Z
dc.date.available 2012-05-18T10:13:45Z
dc.date.available 2017-10-16T11:22:15Z
dc.date.issued 2010
dc.identifier.citation Leadership in Health Services 32(2): 156-171 en_US
dc.identifier.uri http://197.255.68.203/handle/123456789/1529
dc.description.abstract Purpose: The aim of this paper is to examine how internal communication of reform objectives to health workforces and stakeholders has influenced the implementation of Ghana's health sector decentralisation at district level. Design/methodology/approach: Data collection involved in-depth interviews with district public health officials, private health providers, local government officials and health-related non-government organisations which had been working in the district for at least two years. Findings: The study's findings showed that communication (the sharing of information) about reform objectives were centralised among the top hierarchy of the District Health Management Teams; and the process of transferring reform information to district health workforces and stakeholders was through a top-downward approach. This vertical style of communication resulted in limited information getting through to district health workforces tasked with the implementation. This impacted negatively on reform implementation. Originality/value: The paper reveals that there is a connection between the level of comprehension of the objectives for decentralisation reform both by the health workforce and stakeholders, particularly the expected new roles they are supposed to play. A lack of effective transfer of information affects commitment and ownership of the decentralisation reform at district level; contributing significantly to the poor implementation of the reform programme. © Emerald Group Publishing Limited.
dc.language.iso en en_US
dc.publisher Leadership in Health Services en_US
dc.title Communiction challenges in implementing Ghana’s health sector decentralisation at district level: a study of health workers and stakeholder opinions from three district health administration en_US
dc.type Article en_US


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