Private Health Sector Assessment in Ghana
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World Bank
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Most countries in Sub-Saharan Africa
confront serious health challenges; however, Ghana has done
beer than many of its neighbors. Ghana's life
expectancy at birth is 60 years (versus 53 for all of
Sub-Saharan Africa), the infant mortality rate is 73 per
thousand (versus 79), and the maternal mortality ratio is
562 per 100,000 (versus 832) (World Bank 2009b). Ghana has
worked hard to achieve the gains it has made, and it has
benefited from substantial assistance from external
development partners. Ghana has separated policy making the
Ministry of Health, (MOH) from provision Ghana Health
Service (GHS) in the public sector and decentralized health
service management to the district level. In 2004, Ghana
instituted its National Health Insurance Scheme (NHIS) to
ease consumers' need to mobilize payment at the time of
illness. The private health sector in Ghana is a large and
important factor in the market for health-related goods and
services. The size and configuration of private providers
and their contribution to health sector outcomes. With beer
information about the size, scope, distribution, and
constraints of private actors, Ghana's public policy
makers could engage more effectively with the private
sector. Through dialogue and the use of regulatory
mechanisms and other tools, public policy could influence
the practices and development of the private role in health
so that it beer serves national health goals and objectives.
The research team employed a supply and demand approach to
identify market, policy, and institutional failures or
weaknesses that could be addressed through policy change and
action. The specific analyses conducted included the
following: secondary analysis of nationally representative
household surveys in Ghana; mapping of the private health
sector and short-form questionnaire with all formal health
service providers public and private in Ghana; focus group
discussions with a subset of private providers in the
mapping sample; patient exit polls at a subset of facilities
in the mapping sample; population focus groups with women
and men in the mapped districts; and national-level key
informant interviews.
Palabras clave
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