Moving from rhetoric into action: effectiveness of state–civil society synergy for healthcare delivery in rural Ghana

Francis Jagri, Thomas Yeboah

Research output: Contribution to journalArticle

Abstract

The issue of extending healthcare to marginalized underserved rural population remains a cardinal rhetoric policy of the Ghana Government. Meanwhile we note a growing inequity in terms of access and utilization of quality and affordable healthcare between urban and rural areas of the country. The Government of Ghana through its various policy initiatives in 2002 collaborated with civil societies with the aim of bringing healthcare to the doorsteps of rural folks in the country. Using a mixed method approach through a semi structured interviews and questionnaire administration, and focusing on the Community-based Health Planning and Services (CHPS) programme in Nsanfo community in the Mfanstiman municipal area, this study assesses the effectiveness and challenges confronting state–civil society partnership in co-producing a public good (healthcare). We found that synergy between the state (Mfanstiman Municipal Health Directorate) and the civil society (community health volunteers) has yielded positive results in bringing healthcare to the door steps as well as improving the health conditions of the local people in the study area. Nonetheless, certain challenges such as lack of volunteer motivation, deplorable state of the CHPS compound and logistics threaten the very existence of this collaboration. Our study has far reaching implications for healthcare planning in Ghana.

Original languageEnglish
Pages (from-to)411-425
Number of pages15
JournalGeoJournal
Volume81
Issue number3
DOIs
Publication statusPublished - 1 Jun 2016
Externally publishedYes

Keywords

  • CHPS
  • Civil society
  • Ghana
  • Healthcare
  • Rural
  • State
  • Synergy

ASJC Scopus subject areas

  • Geography, Planning and Development

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