A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana
Identifieur interne : 000241 ( Main/Exploration ); précédent : 000240; suivant : 000242A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana
Auteurs : John Koku Awoonor-Williams [Ghana, Suisse] ; Margaret L. Schmitt [États-Unis] ; Janet Tiah [Ghana] ; Joyce Ndago [Ghana] ; Rofina Asuru [Ghana] ; Ayaga A. Bawah [États-Unis] ; James F. Phillips [États-Unis]Source :
- Global Health Action [ 1654-9716 ] ; 2016.
Abstract
In 2010, the Ghana Health Service launched a program of cooperation with the Tanzania Ministry of Health and Social Welfare that was designed to adapt Tanzania's PLANREP budgeting and reporting tool to Ghana's primary health care program. The product of this collaboration is a system of budgeting, data visualization, and reporting that is known as the District Health Planning and Reporting Tool (DiHPART).
This study was conducted to evaluate the design and implementation processes (technical, procedures, feedback, maintenance, and monitoring) of the DiHPART tool in northern Ghana.
This paper reports on a qualitative appraisal of user reactions to the DiHPART system and implications of pilot experience for national scale-up. A total of 20 health officials responsible for financial planning operations were drawn from the national, regional, and district levels of the health system and interviewed in open-ended discussions about their reactions to DiHPART and suggestions for systems development.
The findings show that technical shortcomings merit correction before scale-up can proceed. The review makes note of features of the software system that could be developed, based on experience gained from the pilot. Changes in the national system of financial reporting and budgeting complicate DiHPART utilization. This attests to the importance of pursuing a software application framework that anticipates the need for automated software generation.
Despite challenges encountered in the pilot, the results lend support to the notion that evidence-based budgeting merits development and implementation in Ghana.
Url:
DOI: 10.3402/gha.v9.30448
PubMed: 27246868
PubMed Central: 4887521
Affiliations:
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Schmitt</name><affiliation wicri:level="4"><nlm:aff id="AF0004">Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mailman School of Public Health, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Tiah, Janet" sort="Tiah, Janet" uniqKey="Tiah J" first="Janet" last="Tiah">Janet Tiah</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Regional Health Directorate, Ghana Health Service PMB, Bolgatanga, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Health Directorate, Ghana Health Service PMB, Bolgatanga</wicri:regionArea><wicri:noRegion>Bolgatanga</wicri:noRegion></affiliation></author><author><name sortKey="Ndago, Joyce" sort="Ndago, Joyce" uniqKey="Ndago J" first="Joyce" last="Ndago">Joyce Ndago</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Regional Health Directorate, Ghana Health Service PMB, Bolgatanga, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Health Directorate, Ghana Health Service PMB, Bolgatanga</wicri:regionArea><wicri:noRegion>Bolgatanga</wicri:noRegion></affiliation></author><author><name sortKey="Asuru, Rofina" sort="Asuru, Rofina" uniqKey="Asuru R" first="Rofina" last="Asuru">Rofina Asuru</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Regional Health Directorate, Ghana Health Service PMB, Bolgatanga, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Regional Health Directorate, Ghana Health Service PMB, Bolgatanga</wicri:regionArea><wicri:noRegion>Bolgatanga</wicri:noRegion></affiliation></author><author><name sortKey="Bawah, Ayaga A" sort="Bawah, Ayaga A" uniqKey="Bawah A" first="Ayaga A." last="Bawah">Ayaga A. Bawah</name><affiliation wicri:level="4"><nlm:aff id="AF0004">Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mailman School of Public Health, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author><author><name sortKey="Phillips, James F" sort="Phillips, James F" uniqKey="Phillips J" first="James F." last="Phillips">James F. Phillips</name><affiliation wicri:level="4"><nlm:aff id="AF0004">Mailman School of Public Health, Columbia University, New York, NY, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mailman School of Public Health, Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region><settlement type="city">New York</settlement></placeName><orgName type="university">Université Columbia</orgName></affiliation></author></analytic><series><title level="j">Global Health Action</title><idno type="ISSN">1654-9716</idno><idno type="eISSN">1654-9880</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 id="st1"><title>Background</title><p>In 2010, the Ghana Health Service launched a program of cooperation with the Tanzania Ministry of Health and Social Welfare that was designed to adapt Tanzania's PLANREP budgeting and reporting tool to Ghana's primary health care program. The product of this collaboration is a system of budgeting, data visualization, and reporting that is known as the District Health Planning and Reporting Tool (DiHPART).</p></sec><sec id="st2"><title>Objective</title><p>This study was conducted to evaluate the design and implementation processes (technical, procedures, feedback, maintenance, and monitoring) of the DiHPART tool in northern Ghana.</p></sec><sec id="st3"><title>Design</title><p>This paper reports on a qualitative appraisal of user reactions to the DiHPART system and implications of pilot experience for national scale-up. A total of 20 health officials responsible for financial planning operations were drawn from the national, regional, and district levels of the health system and interviewed in open-ended discussions about their reactions to DiHPART and suggestions for systems development.</p></sec><sec id="st4"><title>Results</title><p>The findings show that technical shortcomings merit correction before scale-up can proceed. The review makes note of features of the software system that could be developed, based on experience gained from the pilot. Changes in the national system of financial reporting and budgeting complicate DiHPART utilization. This attests to the importance of pursuing a software application framework that anticipates the need for automated software generation.</p></sec><sec id="st5"><title>Conclusions</title><p>Despite challenges encountered in the pilot, the results lend support to the notion that evidence-based budgeting merits development and implementation in Ghana.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Desavigny, D" uniqKey="Desavigny D">D DeSavigny</name></author><author><name sortKey="Binka, F" uniqKey="Binka F">F Binka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chretien, Jp" uniqKey="Chretien J">JP Chretien</name></author><author><name sortKey="Burkom, Hs" uniqKey="Burkom H">HS Burkom</name></author><author><name sortKey="Sedyaningsih, Er" uniqKey="Sedyaningsih E">ER Sedyaningsih</name></author><author><name sortKey="Larasati, Rp" uniqKey="Larasati R">RP 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HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:27246868" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a SidaGhanaV1
| This area was generated with Dilib version V0.6.31. |  |