http://hdl.handle.net/123456789/34 2026-04-04T22:09:18Z 2026-04-04T22:09:18Z Abiiro, G. A. Alatinga, K. A. Yamey, G. http://hdl.handle.net/123456789/4415 2025-03-24T11:39:53Z 2021-01-01T00:00:00Z

Title: WHY DID GHANA’S NATIONAL HEALTH INSURANCE CAPITATION PAYMENT MODEL FALL OFF THE POLICY AGENDA? A REGIONAL LEVEL POLICY ANALYSIS Authors: Abiiro, G. A.; Alatinga, K. A.; Yamey, G. Abstract: Provider payment reforms, such as capitation, are very contentious. Such reforms can drop off the policy agenda due to political and contextual resistance. Using the Shiffman and Smith (Generation of political priority for global health initiatives: a framework and case study of maternal mortality. Lancet 2007; 370 1370–9) framework, this study explains why Ghana’s National Health Insurance capitation payment policy that rose onto the policy agenda in 2012, dropped off the agenda in 2017 during its pilot implementation in the Ashanti region. We conducted a retrospective qualitative policy analysis by collecting field data in December 2019 in the Ashanti region through 18 interviews with regional and district level policy actors and four focus group discussions with community-level policy beneficiaries. The thematically analysed field data were triangulated with media reports on the policy. We discovered that technically framing capitation as a cost-containment strategy with less attention on portraying its health benefits resulted in a politically negative reframing of the policy as a strategy to punish fraudulent providers and opposition party electorates. At the level of policy actors, pilot implementation was constrained by a regional level anti-policy community, weak civil society mobilization and low trust in the then political leadership. Anti-policy campaigners drew on highly contentious and poorly implemented characteristics of the policy to demand cancellation of the policy. A change in government in 2017 created the needed political window for the suspension of the policy. While it was technically justified to pilot the policy in the stronghold of the main opposition party, this decision carried political risks. Other low- and middle-income countries considering capitation reforms should note that piloting potentially controversial policies such as capitation within a politically sensitive location can attract unanticipated partisan political interest in the policy. Such partisan interest can potentially lead to a decline in political attention for the policy in the event of a change in government

2021-01-01T00:00:00Z Gyan, E. K. Dugle, G. Abiiro, G. A. http://hdl.handle.net/123456789/4259 2024-12-05T12:03:41Z 2022-01-01T00:00:00Z

Title: PROMOTING MALE PARTICIPATION IN MATERNAL HEALTHCARE IN THE JAMAN NORTH DISTRICT IN GHANA: STRATEGIES AND IMPLEMENTATION CHALLENGES Authors: Gyan, E. K.; Dugle, G.; Abiiro, G. A. Abstract: Promoting male participation in maternal healthcare is essential for improved maternal health outcomes. This study explored existing strategies to promote male participation in maternal healthcare and assessed their implementation challenges within healthcare facilities in the Jaman North District in Ghana. A qualitative approach was implemented in April 2020. Interviews were administered to a stratified purposive sample of 18 respondents comprising six midwives and 12 male partners of postnatal mothers. All interviews were audio-recorded, transcribed, and manually analysed using thematic analysis. The findings revealed early service, male partner invitation, male partner incentivisation, public sensitization, and male informed education, as strategies to promote male participation in the district. The implementation of these strategies has been constrained by socio-cultural and health system factors, namely, perception of pregnancy as non-illness, perceived experiences gained by women during previous births, cultural stereotypes, unconducive environment of healthcare facilities, inappropriate timing of facility attendance and unexpected costs associated with male participation. Promoting male participation, therefore, requires dedicated policy attention to the existing socio-cultural and health system constraints. The Ghana Health Service and other stakeholders should consider both community-level and targeted sensitization on the benefits of male participation in maternal health-care and a general improvement in maternal healthcare infrastructure.

2022-01-01T00:00:00Z Boateng, Eric Gyamfi http://hdl.handle.net/123456789/2553 2020-01-24T15:36:28Z 2018-01-01T00:00:00Z

Title: AN ASSESSMENT OF ETHNICITY IN POLITICS IN THE DEMOCRATIC DISPENSATION OF GHANA: THE CASE OF AHAFO-ANO NORTH CONSTITUENCY Authors: Boateng, Eric Gyamfi Abstract: The main objective of the study is to examine the relationship between ethnicity and politics in the Ahafo-Ano North constituency of the Ashanti Region. More specifically, the study sought to ascertain the origin of ethnicity in Ahafo-Ano North Constituency’s politics and to examine the role of ethnocentrism in Ahafo-Ano North Constituency’s politics as well as determine the ways of minimizing ethnicity in Ahafo-Ano North Constituency’s politics. The study used a qualitative approachh. A sample size of 80 respondents was employed using the non-probability sampling technique. Both primary and secondary sources of data were collected for this study. Primary data were gathered through fieldwork. Supportive materials and research works from text books, sources from the library, and articles available online were also used. The findings revealed that the post-independence idea that led to the establishment of ethnic based political parties is the birth of tribal politics. It showed that tribal politics is not a recent development. Historically, NPP and NDC are noted for counting on tribal politics to gain the attention of the masses. It was found that the activities of the ruling NPP and the opposition NDC are woven around the people of the Upper Regions, Volta, Ashanti and other Akan dominated communities in the country. It was also revealed that the central government can handle ethnicity in politics by preventing formation of political parties on ethnic background. It was recommended that the most reliable way to handle tribal politics is for authorities to restrict people from forming or carrying out their political activities on ethnic basis. Description: MASTER OF SCIENCE DEGREE DEVELOPMENT MANAGEMENT

2018-01-01T00:00:00Z Yaw-Ka, Cephas Nachim http://hdl.handle.net/123456789/2495 2019-10-31T16:44:13Z 2019-01-01T00:00:00Z

Title: ROLE OF THE NATIONAL YOUTH AUTHORITY IN SKILLS TRAINING FOR EMPLOYMENT CREATION IN WA MUNICIPALITY Authors: Yaw-Ka, Cephas Nachim Abstract: This study assessed the role of the National Youth Authority (NYA) in employment creation in the Wa Municipality. The study adopted the relative deprivation and the empowerment theory as its theoretical foundation. A case study design was employed. Purposive, convenience and snowball sampling techniques were employed in selecting the respondents for the study. In all, 35 respondents were selected for the study. They included five NYA Officials and thirty youth (both beneficiaries and non-beneficiaries). Tools employed for the data collection were interview guide and focus group discussion guide. The data was analysed and presented using content analysis, thematic analysis and document review. The main causes of youth unemployment are lack of skills or unwanted skills, erratic rainfall and bad weather, low investment and low economic growth, slow growth of SMEs, and lack of a comprehensive strategy to deal with the problem. The findings also show that Strategies identified and implemented by the NYA are mainly training and development, education and sensitization, logistics, and mentoring. The research established that most of the strategies are not effective in the Wa Municipality as most unemployed youth exhibit „deviant behaviours‟ and attitudes which could also cause them to be “frustrated, hopeless and desperate”. The challenges the NYA faces in creating employment for the youth in the Municipality are financial constraints, inadequate human resource, inadequate logistics, low participation of youth on the programme, political interference, and lack of commitment from stakeholders. The study concludes that strategies for reducing unemployment by the NYA are not effective. It is recommended that government through the NYA should stimulate growth of the private sector (SMEs) and provide communities with dams and irrigational facilities for all year round farming. Description: MASTER OF PHILOSOPHY IN DEVELOPMENT MANAGEMENT

2019-01-01T00:00:00Z