Capacity Issues in Primary Health Care Implementation: Examples from Ghana

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Autor/inn/en	Appiah-Agyekum, Nana Nimo; Kayi, Esinam Afi; Appiah-Agyekum, Josephine; Tetteh Nyanyofio, Joseph Gerald; Otoo, Desmond Dzidzornu
Titel	Capacity Issues in Primary Health Care Implementation: Examples from Ghana
Quelle	In: Health Education, 122 (2022) 6, S.633-648 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Appiah-Agyekum, Nana Nimo) ORCID (Kayi, Esinam Afi) ORCID (Appiah-Agyekum, Josephine) ORCID (Otoo, Desmond Dzidzornu)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0965-4283
DOI	10.1108/HE-06-2021-0095
Schlagwörter	Foreign Countries; Primary Health Care; Financial Support; Human Resources; Technology; Rural Areas; Resource Allocation; Developing Nations; Administrators; Administrator Attitudes; Sustainability; Ghana + Suchen Sie Ihr Suchwort? Ausland; Gesundheitsvorsorge; Finanzielle Förderung; Humankapital; Technologie; Rural area; Ländlicher Raum; Ressourcenallokation; Developing country; Developing countries; Entwicklungsland; Nachhaltigkeit
Abstract	Purpose: Resources as well as the capacity to employ them judiciously may well be the key to the attainment of the SDGs and other related health goals through primary health care (PHC). Within this PHC framework, however, the source of resources for PHC as well as the systems for managing these associated resources remain unclear, complex and lack substantive integration systems of implementing ministries, departments and agencies (both local and international) in Ghana. These issues are addressed by this study. Design/methodology/approach: The framework approach to thematic analysis was used to analyse qualitative data collected from key PHC managers in Ghana selected purposively from the national, regional and district levels. Data were collected through in-depth interviews specially designed in line with the study objectives. The study was also governed by the Noguchi Memorial Institute for Medical Research which provided ethical clearance for the study. Findings: As per Alma Ata's recommendation, PHC in its purest form is a resource dense activity with far-reaching implications on individuals and communities. Without adequate resources, PHC implementation remained merely on paper. Findings show that the key capacities required for PHC implementation were finance, human resource, technology and logistics. While significant cases of shortages and inadequacies were evident, management and maintenance of these capacities appeared to be another significant determinant of PHC implementation. Additionally, the poor allocation, distribution and sustainability of these capacities had a negative effect on PHC outcomes with more resources being concentrated in capital towns than in rural areas. Research limitations/implications: This study has significant implications on the way PHC is seen, implemented and assessed not in Ghana but in other developing countries. In addition to examining the nature and extent of capacities required for PHC implementation, it gives significant pathways on how limited resources, when properly managed, may catalyse the attainment of the PHC goals. Subsequently, PHC implementation will profit from stakeholder attention and further research into practical ways of ensuring efficiency in the allocation, distribution and management of resources especially considering the limited resources available and the budding constraints associated with the dependency on external stakeholders for PHC implementation. Originality/value: This study is part of a series on PHC implementation in Ghana. Quite apart from putting core implementation issues into perspective, it presents first-hand information on Ghana's PHC implementation journey and is thus relevant for researchers, students, practitioners and the wider public. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01