Assessing Primary Health Care Progress And Readiness Towards The Attainment Of Universal Health Coverage: The Case Of The Volta And Oti Regions Of Ghana

Simple item page
dc.contributor.authorApanga, S.
dc.date.accessioned2024-02-14T17:00:01Z
dc.date.available2024-02-14T17:00:01Z
dc.date.issued2021-12
dc.descriptionPhD. Population Studiesen_US
dc.description.abstractUniversal Health Coverage (UHC) involves the provision of quality health services without the need for out-of the pocket payments. Implementation of the Community-based Health Planning and Services and the national health insurance scheme (NHIS) which provides health service coverage and financial risk protection respectively to Ghanaians caters for the two critical of dimensions UHC. However there are inadequate metrics for measuring progress of UHC that combines its two dimensions simultaneously and primary health care system (PHC) readiness towards attaining UHC in Ghana hence the need for this study. Repeated cross-sectional surveys of household reproductive aged women and a survey of health facilities were carried out in the Oti and Volta regions of Ghana. Principal Component Analysis was used to develop composite indices for measuring progress of UHC and service readiness towards attaining UHC. Binary logistic regression models were run to assess the effect of the health system readiness on UHC at the population level. The composite for measuring progress of UHC comprised of quality of care, access to health care and active membership of NHIS as its components whilst the composite for measuring the system readiness towards attaining UHC had monitoring of health services; functioning basic equipment; essential medicine; and availability of trained health personnel as its components. There was some progress made towards attaining UHC over a period of time with the lower level of the health care delivery system found to be least ready towards attaining UHC. Readiness of the health system was a significant (AOR=1.06, 95%CI: 1.003-1.142, p=0.04) predictor of active NHIS membership. For Ghana to accelerate its progress and get its PHC system more ready towards attaining UHC, it needs to invest more in the various components of the two composites for measuring progress of UHC and health system readiness.en_US
dc.identifier.urihttp://ugspace.ug.edu.gh:8080/handle/123456789/41280
dc.language.isoenen_US
dc.publisherUniversity Of Ghanaen_US
dc.subjectOti Regionsen_US
dc.subjectGhanaen_US
dc.subjectPrimary Health Careen_US
dc.subjectUniversal Health Coverageen_US
dc.titleAssessing Primary Health Care Progress And Readiness Towards The Attainment Of Universal Health Coverage: The Case Of The Volta And Oti Regions Of Ghanaen_US
dc.typeThesisen_US

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
FINAL THESIS, STEPHEN APANGA.pdf
Size:
5.83 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Regional Institute for Population Studies