Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system
| dc.contributor.author | Grieve, Annabel | |
| dc.contributor.author | Olivier, Jill | |
| dc.date.accessioned | 2018-10-08T06:18:02Z | |
| dc.date.available | 2018-10-08T06:18:02Z | |
| dc.date.issued | 2018-10-05 | |
| dc.date.updated | 2018-10-07T03:19:24Z | |
| dc.description.abstract | Background Faith-based non-profit (FBNP) providers have had a long-standing role as non-state, non-profit providers in the Ghanaian health system. They have historically been considered to be important in addressing the inequitable geographical distribution of health services and towards the achievement of universal health coverage (UHC), but in changing contexts, this contribution is being questioned. However, any assessment of contribution is hampered by the lack of basic information about their comparative presence and coverage in the Ghanaian health system. In response, since the 1950s, there have been repeated calls for the ‘mapping’ of faith-based health assets. Methods A historically-focused mixed-methods study was conducted, collecting qualitative and quantitative data and combining geospatial mapping with varied documentary resources (secondary and primary, current and archival). Geospatial maps were developed, providing a visual representation of changes in the spatial footprint of the Ghanaian FBNP health sector. Results The geospatial maps show that FBNPs were originally located in rural remote areas of the country but that this service footprint has evolved over time, in line with changing social, political and economic contexts. Conclusion FBNPs have had a long-standing role in the provision of health services and remain a valuable asset within national health systems in Ghana and sub-Saharan Africa more broadly. Collaboration between the public sector and such non-state providers, drawing on the comparative strengths and resources of FBNPs and focusing on whole system strengthening, is essential for the achievement of UHC. | |
| dc.identifier.apacitation | Grieve, A., & Olivier, J. (2018). Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system. <i>Journal for Equity in Health</i>, http://hdl.handle.net/11427/28914 | en_ZA |
| dc.identifier.chicagocitation | Grieve, Annabel, and Jill Olivier "Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system." <i>Journal for Equity in Health</i> (2018) http://hdl.handle.net/11427/28914 | en_ZA |
| dc.identifier.citation | Grieve, A. & Olivie, J. 2018. Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system. International Journal for Equity in Health.17(1):97 | |
| dc.identifier.ris | TY - Journal Article AU - Grieve, Annabel AU - Olivier, Jill AB - Background Faith-based non-profit (FBNP) providers have had a long-standing role as non-state, non-profit providers in the Ghanaian health system. They have historically been considered to be important in addressing the inequitable geographical distribution of health services and towards the achievement of universal health coverage (UHC), but in changing contexts, this contribution is being questioned. However, any assessment of contribution is hampered by the lack of basic information about their comparative presence and coverage in the Ghanaian health system. In response, since the 1950s, there have been repeated calls for the ‘mapping’ of faith-based health assets. Methods A historically-focused mixed-methods study was conducted, collecting qualitative and quantitative data and combining geospatial mapping with varied documentary resources (secondary and primary, current and archival). Geospatial maps were developed, providing a visual representation of changes in the spatial footprint of the Ghanaian FBNP health sector. Results The geospatial maps show that FBNPs were originally located in rural remote areas of the country but that this service footprint has evolved over time, in line with changing social, political and economic contexts. Conclusion FBNPs have had a long-standing role in the provision of health services and remain a valuable asset within national health systems in Ghana and sub-Saharan Africa more broadly. Collaboration between the public sector and such non-state providers, drawing on the comparative strengths and resources of FBNPs and focusing on whole system strengthening, is essential for the achievement of UHC. DA - 2018-10-05 DB - OpenUCT DP - University of Cape Town J1 - Journal for Equity in Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2018 T1 - Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system TI - Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system UR - http://hdl.handle.net/11427/28914 ER - | en_ZA |
| dc.identifier.uri | https://doi.org/10.1186/s12939-018-0810-4 | |
| dc.identifier.uri | http://hdl.handle.net/11427/28914 | |
| dc.identifier.vancouvercitation | Grieve A, Olivier J. Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system. Journal for Equity in Health. 2018; http://hdl.handle.net/11427/28914. | en_ZA |
| dc.language.iso | en | |
| dc.publisher | BioMed Central | |
| dc.publisher.department | Department of Public Health and Family Medicine | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights.holder | The Author(s). | |
| dc.source | Journal for Equity in Health | |
| dc.source.uri | https://equityhealthj.biomedcentral.com/ | |
| dc.subject.other | Faith-based providers | |
| dc.subject.other | Ghana | |
| dc.subject.other | Universal health coverage | |
| dc.subject.other | GIS | |
| dc.subject.other | Map | |
| dc.subject.other | Public-private partnership | |
| dc.subject.other | Non-state providers | |
| dc.subject.other | Health system | |
| dc.subject.other | History | |
| dc.title | Towards universal health coverage: a mixed-method study mapping the development of the faith-based non-profit sector in the Ghanaian health system | |
| dc.type | Journal Article | |
| uct.type.filetype | Text | |
| uct.type.filetype | Image |