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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Quality of Health Care in Ghana: Mapping of Interventions and the Way Forward</title><author><name sortKey="Escribano Ferrer, Blanca" sort="Escribano Ferrer, Blanca" uniqKey="Escribano Ferrer B" first="Blanca" last="Escribano-Ferrer">Blanca Escribano-Ferrer</name><affiliation><nlm:aff id="A1">Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, England</nlm:aff></affiliation></author><author><name sortKey="Cluzeau, Francoise" sort="Cluzeau, Francoise" uniqKey="Cluzeau F" first="Francoise" last="Cluzeau">Francoise Cluzeau</name><affiliation><nlm:aff id="A2">National Institute for Health and Care Excellence (NICE) International, London, England</nlm:aff></affiliation></author><author><name sortKey="Cutler, Derek" sort="Cutler, Derek" uniqKey="Cutler D" first="Derek" last="Cutler">Derek Cutler</name><affiliation><nlm:aff id="A2">National Institute for Health and Care Excellence (NICE) International, London, England</nlm:aff></affiliation></author><author><name sortKey="Akufo, Christiana" sort="Akufo, Christiana" uniqKey="Akufo C" first="Christiana" last="Akufo">Christiana Akufo</name><affiliation><nlm:aff id="A3">Institutional Care Division, Ghana Health Service, Accra, Ghana</nlm:aff></affiliation></author><author><name sortKey="Chalkidou, Kalipso" sort="Chalkidou, Kalipso" uniqKey="Chalkidou K" first="Kalipso" last="Chalkidou">Kalipso Chalkidou</name><affiliation><nlm:aff id="A2">National Institute for Health and Care Excellence (NICE) International, London, England</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28579630</idno><idno type="pmc">5443676</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5443676</idno><idno type="RBID">PMC:5443676</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000344</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000344</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Quality of Health Care in Ghana: Mapping of Interventions and the Way Forward</title><author><name sortKey="Escribano Ferrer, Blanca" sort="Escribano Ferrer, Blanca" uniqKey="Escribano Ferrer B" first="Blanca" last="Escribano-Ferrer">Blanca Escribano-Ferrer</name><affiliation><nlm:aff id="A1">Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, England</nlm:aff></affiliation></author><author><name sortKey="Cluzeau, Francoise" sort="Cluzeau, Francoise" uniqKey="Cluzeau F" first="Francoise" last="Cluzeau">Francoise Cluzeau</name><affiliation><nlm:aff id="A2">National Institute for Health and Care Excellence (NICE) International, London, England</nlm:aff></affiliation></author><author><name sortKey="Cutler, Derek" sort="Cutler, Derek" uniqKey="Cutler D" first="Derek" last="Cutler">Derek Cutler</name><affiliation><nlm:aff id="A2">National Institute for Health and Care Excellence (NICE) International, London, England</nlm:aff></affiliation></author><author><name sortKey="Akufo, Christiana" sort="Akufo, Christiana" uniqKey="Akufo C" first="Christiana" last="Akufo">Christiana Akufo</name><affiliation><nlm:aff id="A3">Institutional Care Division, Ghana Health Service, Accra, Ghana</nlm:aff></affiliation></author><author><name sortKey="Chalkidou, Kalipso" sort="Chalkidou, Kalipso" uniqKey="Chalkidou K" first="Kalipso" last="Chalkidou">Kalipso Chalkidou</name><affiliation><nlm:aff id="A2">National Institute for Health and Care Excellence (NICE) International, London, England</nlm:aff></affiliation></author></analytic><series><title level="j">Ghana Medical Journal</title><idno type="ISSN">0016-9560</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Summary</title><sec><title>Background</title><p>Ghana has made major strides in improving access to health services. Despite these improvements, Ghana did not meet the Millennium Development Goals 4 and 5. Quality of care is a major factor that could explain this shortfall.</p></sec><sec><title>Objective</title><p>To understand current practice and to identify needs in the area of quality of care in Ghana for improving health outcomes and to guide the National Institute for Health and Care Excellence (NICE) in supporting the care quality improvement efforts in Ghana.</p></sec><sec sec-type="methods"><title>Methods</title><p>The directory of existing standards, guidelines and protocols of the Ghana Health Service was reviewed and sixteen in-depth interviews were conducted to identify interventions that addressed quality of care. Additional information was obtained during a NICE scoping visit to Accra followed by a study tour of Ghanaian stakeholders to NICE and to the National Health Service.</p></sec><sec sec-type="results"><title>Results</title><p>Since 1988, 489 policy interventions have been identified that address quality of care. Among them, the development of health protocols and guidelines were the most frequent interventions (n=150), followed by health policies and strategies (n=106); interventions related to health information (n=77); development of training manuals and staff training (n=69); development of regulations (n=38) and interventions related to organisation of services (n=15).</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Ghana has made significant efforts in developing guidelines, policies and conducting in-service training. Supervision, monitoring and evaluation have also received attention. However, less effort has been made in developing processes and systems and involving communities and service users. Some recommendations were made to guide the future work on quality of care.</p></sec><sec><title>Funding</title><p>Rockefeller Foundation</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ghana Med J</journal-id><journal-title-group><journal-title>Ghana Medical Journal</journal-title></journal-title-group><issn pub-type="ppub">0016-9560</issn><publisher><publisher-name>Ghana Medical Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28579630</article-id><article-id pub-id-type="pmc">5443676</article-id><article-id pub-id-type="publisher-id">jGMJ.v50.i4.pg238</article-id><article-categories><subj-group subj-group-type="heading"><subject>Special Article</subject></subj-group></article-categories><title-group><article-title>Quality of Health Care in Ghana: Mapping of Interventions and the Way Forward</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Escribano-Ferrer</surname><given-names>Blanca</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Cluzeau</surname><given-names>Francoise</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Cutler</surname><given-names>Derek</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Akufo</surname><given-names>Christiana</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Chalkidou</surname><given-names>Kalipso</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, England</aff><aff id="A2"><label>2</label>National Institute for Health and Care Excellence (NICE) International, London, England</aff><aff id="A3"><label>3</label>Institutional Care Division, Ghana Health Service, Accra, Ghana</aff><author-notes><corresp>Corresponding author: Dr Blanca Escribano-Ferrer <email>blanca.escribano@lshtm.ac.uk</email></corresp><fn fn-type="COI-statement"><p><bold>Conflict of interest:</bold> None declared</p></fn></author-notes><pub-date pub-type="ppub"><month>12</month><year>2016</year></pub-date><volume>50</volume><issue>4</issue><fpage>238</fpage><lpage>247</lpage><permissions><copyright-statement>Copyright © Ghana Medical Association 2016</copyright-statement><copyright-year>2016</copyright-year></permissions><abstract abstract-type="executive-summary"><title>Summary</title><sec><title>Background</title><p>Ghana has made major strides in improving access to health services. Despite these improvements, Ghana did not meet the Millennium Development Goals 4 and 5. Quality of care is a major factor that could explain this shortfall.</p></sec><sec><title>Objective</title><p>To understand current practice and to identify needs in the area of quality of care in Ghana for improving health outcomes and to guide the National Institute for Health and Care Excellence (NICE) in supporting the care quality improvement efforts in Ghana.</p></sec><sec sec-type="methods"><title>Methods</title><p>The directory of existing standards, guidelines and protocols of the Ghana Health Service was reviewed and sixteen in-depth interviews were conducted to identify interventions that addressed quality of care. Additional information was obtained during a NICE scoping visit to Accra followed by a study tour of Ghanaian stakeholders to NICE and to the National Health Service.</p></sec><sec sec-type="results"><title>Results</title><p>Since 1988, 489 policy interventions have been identified that address quality of care. Among them, the development of health protocols and guidelines were the most frequent interventions (n=150), followed by health policies and strategies (n=106); interventions related to health information (n=77); development of training manuals and staff training (n=69); development of regulations (n=38) and interventions related to organisation of services (n=15).</p></sec><sec sec-type="conclusions"><title>Conclusions</title><p>Ghana has made significant efforts in developing guidelines, policies and conducting in-service training. Supervision, monitoring and evaluation have also received attention. However, less effort has been made in developing processes and systems and involving communities and service users. Some recommendations were made to guide the future work on quality of care.</p></sec><sec><title>Funding</title><p>Rockefeller Foundation</p></sec></abstract><kwd-group><kwd>quality of health care</kwd><kwd>policy</kwd><kwd>guideline/clinical protocol</kwd><kwd>regulations</kwd><kwd>Technology Assessments/biomedical</kwd><kwd>in-service training</kwd><kwd>supervision</kwd><kwd>Ghana</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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