Frontline staff motivation levels and health care quality in rural and urban primary health facilities: a baseline study in the Greater Accra and Western regions of Ghana
Identifieur interne : 000200 ( Main/Exploration ); précédent : 000199; suivant : 000201Frontline staff motivation levels and health care quality in rural and urban primary health facilities: a baseline study in the Greater Accra and Western regions of Ghana
Auteurs : Robert Kaba Alhassan [Pays-Bas, Ghana] ; Edward Nketiah-Amponsah [Ghana]Source :
- Health Economics Review [ 2191-1991 ] ; 2016.
Abstract
The population of Ghana is increasingly becoming urbanized with about 70 % of the estimated 26.9 million people living in urban and peri-urban areas. Nonetheless, eight out of the ten regions in Ghana remain predominantly rural where only 32.1 % of the national health sector workforce works. Doctor-patient ratio in a predominantly rural region is about 1:18,257 compared to 1:4,099 in an urban region. These rural–urban inequities significantly account for the inability of Ghana to attain the health related Millennium Development Goals (MDGs) before the end of 2015.
To ascertain whether or not rural-urban differences exist in health worker motivation levels and quality of health care in health facilities accredited by the National Health Insurance Authority in Ghana.
This is a baseline quantitative study conducted in 2012 among 324 health workers in 64 accredited clinics located in 9 rural and 7 urban districts in Ghana. Ordered logistic regression was performed to determine the relationship between facility geographic location (rural/urban) and staff motivation levels, and quality health care standards.
Quality health care and patient safety standards were averagely low in the sampled health facilities. Even though health workers in rural facilities were more de-motivated by poor availability of resources and drugs than their counterparts in urban facilities (
For Ghana to attain the newly formulated sustainable development goals on health, there is the need for health authorities to address the existing rural–urban imbalances in health worker motivation and quality health care standards in primary healthcare facilities. Future studies should compare staff motivation levels and quality standards in accredited and non-accredited health facilities since the current study was limited to health facilities accredited by the National Health Insurance Authority.
Url:
DOI: 10.1186/s13561-016-0112-8
PubMed: 27580725
PubMed Central: 5007234
Affiliations:
- Ghana, Pays-Bas
- Hollande-Septentrionale, Région du Grand Accra
- Accra, Amsterdam, Legon (Ghana)
- Université d'Amsterdam, Université du Ghana
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Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName><orgName type="university">Université d'Amsterdam</orgName></affiliation><affiliation wicri:level="4"><nlm:aff id="Aff2">Department of Epidemiology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Epidemiology, Noguchi Memorial Institute for Medical Research, University of Ghana, Legon</wicri:regionArea><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Nketiah Amponsah, Edward" sort="Nketiah Amponsah, Edward" uniqKey="Nketiah Amponsah E" first="Edward" last="Nketiah-Amponsah">Edward Nketiah-Amponsah</name><affiliation wicri:level="4"><nlm:aff id="Aff3">Department of Economics, University of Ghana, Legon, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Economics, University of Ghana, Legon</wicri:regionArea><orgName type="university">Université du Ghana</orgName><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author></analytic><series><title level="j">Health Economics Review</title><idno type="eISSN">2191-1991</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The population of Ghana is increasingly becoming urbanized with about 70 % of the estimated 26.9 million people living in urban and peri-urban areas. Nonetheless, eight out of the ten regions in Ghana remain predominantly rural where only 32.1 % of the national health sector workforce works. Doctor-patient ratio in a predominantly rural region is about 1:18,257 compared to 1:4,099 in an urban region. These rural–urban inequities significantly account for the inability of Ghana to attain the health related Millennium Development Goals (MDGs) before the end of 2015.</p></sec><sec><title>Purpose</title><p>To ascertain whether or not rural-urban differences exist in health worker motivation levels and quality of health care in health facilities accredited by the National Health Insurance Authority in Ghana.</p></sec><sec><title>Methods</title><p>This is a baseline quantitative study conducted in 2012 among 324 health workers in 64 accredited clinics located in 9 rural and 7 urban districts in Ghana. Ordered logistic regression was performed to determine the relationship between facility geographic location (rural/urban) and staff motivation levels, and quality health care standards.</p></sec><sec><title>Results</title><p>Quality health care and patient safety standards were averagely low in the sampled health facilities. Even though health workers in rural facilities were more de-motivated by poor availability of resources and drugs than their counterparts in urban facilities (<italic>p</italic> < 0.05), quality of health care and patient safety standards were relatively better in rural facilities.</p></sec><sec><title>Conclusion</title><p>For Ghana to attain the newly formulated sustainable development goals on health, there is the need for health authorities to address the existing rural–urban imbalances in health worker motivation and quality health care standards in primary healthcare facilities. Future studies should compare staff motivation levels and quality standards in accredited and non-accredited health facilities since the current study was limited to health facilities accredited by the National Health Insurance Authority.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Twumasi Ankrah, K" uniqKey="Twumasi Ankrah K">K Twumasi-Ankrah</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Agyepong, Ia" uniqKey="Agyepong I">IA Agyepong</name></author><author><name sortKey="Anafi, P" uniqKey="Anafi P">P Anafi</name></author><author><name sortKey="Asiamah, E" uniqKey="Asiamah E">E Asiamah</name></author><author><name sortKey="Ansah, Ek" uniqKey="Ansah E">EK Ansah</name></author><author><name sortKey="Ashon, Da" uniqKey="Ashon D">DA Ashon</name></author><author><name sortKey="Narh Dometey, C" uniqKey="Narh Dometey 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uniqKey="Rahman O">O Rahman</name></author><author><name sortKey="Fox, K" uniqKey="Fox K">K Fox</name></author><author><name sortKey="Gertler, P" uniqKey="Gertler P">P Gertler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tweneboa, Na" uniqKey="Tweneboa N">NA Tweneboa</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>Pays-Bas</li></country><region><li>Hollande-Septentrionale</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Amsterdam</li><li>Legon (Ghana)</li></settlement><orgName><li>Université d'Amsterdam</li><li>Université du Ghana</li></orgName></list><tree><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Alhassan, Robert Kaba" sort="Alhassan, Robert Kaba" uniqKey="Alhassan R" first="Robert Kaba" last="Alhassan">Robert Kaba Alhassan</name></region></country><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Alhassan, Robert Kaba" sort="Alhassan, Robert Kaba" uniqKey="Alhassan R" first="Robert Kaba" last="Alhassan">Robert Kaba Alhassan</name></region><name sortKey="Nketiah Amponsah, Edward" sort="Nketiah Amponsah, Edward" uniqKey="Nketiah Amponsah E" first="Edward" last="Nketiah-Amponsah">Edward Nketiah-Amponsah</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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