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Decentralization and governance in the Ghana health sector /
Ghana's government has embarked on a decentralization process since the 1980s, but devolution of the health system faces important challenges and weaknesses. Ghana has made significant progress, and several building blocks for a devolved health system have been put in place. However, important...
| Clasificación: | Libro Electrónico |
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| Autor principal: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Washington :
World Bank Publications,
2012.
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| Colección: | World Bank studies.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Foreword; Acknowledgments; About the Author; Acronyms and Abbreviations; Executive Summary; 1. Introduction; Objectives; The Ghana Health System; Tables; Table 1.1: Distribution of facilities by type and ownership; Table 1.2: Facility number and density by region; Figures; Figure 1.1: Levels and institutions in the Ghana health system; Table 1.3: Mean size of hospitals by type, 2008; Table 1.4: Mean size of other facilities and administrative units by type, 2008; Main Issues in the Health System; 2. Literature Review on Decentralization; Conceptual Framework.
- Experience in Developing CountriesFigure 2.1: Relation between scope, depth, and types of decentralization; Lessons Learned; Table 2.1: Mapping the decision space: Ghana, Philippines, Uganda, and Zambia; Table 2.2: Main advantages and disadvantages of the modalities of decentralization; Table 2.3: Expected impacts and risks in decentralization; 3. Regulatory and Policy Framework on Decentralization in Ghana; General Legal Regulatory Framework; Current Legislation and Policies for Decentralization in Health; Table 3.1: Mapping out the decision space for Ghana districts regarding health.
- 4. Rapid Assessment of Local Capacity and ChallengesApproach and Methods; Size and Organization of District Health Systems; Table 4.1: Structure and number of questions in the instrument; Figure 4.1: Participants in the workshop; Governance and Accountability of DHAs; Table 4.2: Mean density of public health infrastructure per district; Figure 4.2: Administrative lines of authority; Figure 4.3: Lines of accountability; Figure 4.4: Role of the committee; Structure and Staff; Figure 4.5: Contracting arrangements with other public entities; Planning and Budgeting.
- Figure 4.6: Administrative units present at RHAs and DHAsFigure 4.7: Health Office involvement in integrated planning; Finance and Expenditure; Figure 4.8: Responsibility for budget execution; Figure 4.9: Contracting arrangements with other public entities; Human Resources; Figure 4.10: Authority for determining staff numbers and composition; Procurement; Figure 4.11: Authority for hiring staff; Health Care Management; Figure 4.12: Responsibility for drugs procurement; Knowledge and Perceptions of Decentralization; Figure 4.13: Supervision of and interaction with District Hospitals.
- Figure 4.14: Supervision and interaction with sub-district health servicesFigure 4.15: Awareness of role and responsibilities under decentralization; Figure 4.16: Expected main responsibilities under decentralization; Figure 4.17: Perceptions about transfer of DHAs to DA authority (percentage of agreement); Figure 4.18: Perceptions about transfer of facilities to DAs: Health Centers (percentage of agreement); Figure 4.19: Perceptions about transfer of facilities to DAs: Hospitals (percent of agreement); Figure 4.20: Perceptions on the feasibility of decentralization.