Publication: Health System Technical Support to Government of Ghana: Patient Pathway Analysis and Summative Network Analysis - Consolidated Findings Report
Loading...
Date
2025-01-02
ISSN
Published
2025-01-02
Author(s)
Editor(s)
Abstract
This report is a comprehensive analysis of Ghana's health system, focusing on the Patient Pathway Analysis (PPA) and Summative Network Analysis (SNA). It highlights the implementation of Networks of Practice (NoP) to improve primary healthcare delivery. The report covers the methodology, findings, and recommendations for enhancing healthcare access and quality. Key findings include high utilization of hospitals for maternal and neonatal health (MNH) and hypertension (HTN) care, with a preference for quality care and proximity. The NoP districts showed better resource sharing, collaboration, and community engagement compared to non-NoP districts. The report suggests strategies for optimal NoP performance, including advocacy, patient-centered mapping, routine system strengthening, and continuous learning.
Link to Data Set
Citation
“World Bank. 2025. Health System Technical Support to Government of Ghana: Patient Pathway Analysis and Summative Network Analysis - Consolidated Findings Report. © World Bank. http://hdl.handle.net/10986/42591 License: CC BY-NC 3.0 IGO.”
Associated URLs
Associated content
Other publications in this report series
Journal
Journal Volume
Journal Issue
Collections
Related items
Showing items related by metadata.
Publication Health System Technical Support to Government of Ghana(Washington, DC: World Bank, 2025-01-03)This report is focusing on the implementation of Networks of Practice (NoP) to improve primary healthcare delivery. The report highlights the need for a comprehensive mapping approach to configure new NoPs, prioritizing the upgrading of network hubs to reorient patient pathways and decongest hospitals. It emphasizes investing in human resources at primary care facilities to improve patient-provider interactions and strengthen the quality of care, especially in network hubs. The report also recommends improving NoP maintenance efforts, building capacity on patient referrals, and promoting health equity through increased awareness, community engagement, and financial protection. Additionally, it suggests designing effective urban NoPs to address the unique challenges of urban healthcare delivery. The report concludes that these recommendations aim to enhance healthcare delivery and outcomes through a successful NoP program, ultimately contributing to a more resilient health system in GhanaPublication The Nuts & Bolts of Jamkesmas, Indonesia’s Government-Financed Health Coverage Program for the Poor and Near-Poor(World Bank, Washington DC, 2013-01)This case study describes and assesses Jamkesmas, Indonesia's government-financed health coverage program for the poor and near-poor. It provides a detailed description of the scope, depth, and breadth of coverage provided under Jamkesmas, and highlights ways in which the program interacts with the rest of Indonesia's health system. It also summarizes and discusses evidence on whether Jamkesmas is attaining its stated objectives of removing financial barriers and improving access to health care by the poor and near-poor, what could be improved, and what lessons can be learned from the experience of Jamkesmas that could help inform Indonesia's quest for universal coverage. The primary theme underlying the study is that supply-side constraints and supply-side subsidies have not been leveraged to increase the effectiveness of the Jamkesmas program. There are significant geographic deficiencies in the availability and quality of the basic benefits package, especially for those living in relatively remote and rural locations of the country, and this limits the effective availability of benefits for many Jamkesmas beneficiaries. The remainder of the case study is organized as follows. Section two provides general background and information on health system outcomes in Indonesia. Section three is an overview of health care financing and delivery. Section four describes the institutional architecture of Jamkesmas. Section five highlights the process of targeting, identification, and enrolment of beneficiaries under the program. Section six focuses on the role of public financing. Section seven outlines the basic benefits package. Section eight provides an overview of the information environment of Jamkesmas. Section nine discusses the special theme of supply-side constraints and supply-side subsidies that dilute the effectiveness of the Jamkesmas program. Section ten discusses the pending agenda around some of the architectural and operational features of Jamkesmas in the context of universal coverage.Publication Kingdom of Morocco : Health Policy Note Towards a More Equitable and Sustainable Health Care System - Policy Challenges and Opportunities(Washington, DC, 2007-05)This note identifies three main issues and proposes a set of short- and longer-term policy measures for each. The publicly financed and run health care system does not meet healthcare needs of the majority of the Moroccans. Only half of the population uses health services when experiencing an illness, indicating that people who live outside big cities either cannot or will not pay for poorer quality services in rural health facilities. While in the short term limited use of healthcare services because of inability or unwillingness to pay may not significantly affect levels of morbidity and mortality resulting from non-communicable diseases, the impact is likely to grow exponentially in the next two decades. Despite recent attempts by the government to expand population coverage, improve system governance, and increase the quality of care, Morocco's health care system remains predominantly state owned and managed, yet highly fragmented. On one hand, the system is not truly pluralistic because of negligible participation of providers and consumers in system governance. On the other hand, the execution of all main healthcare functions are segmented across several government agencies, or applicable to different population segments. In addition, low and poorly allocated public outlays for health care result in inefficiencies in the allocation and use of public resources, as well as in high private out-of-pocket expenditures. If a publicly funded health insurance scheme is intended to provide universal coverage for an essential package of services, a significant restructuring of the existing institutional architecture and of the legislative and regulatory framework will be needed to make it a reality.Publication Toward Synergy and Collaboration to Expand the Supply of and Strengthen Primary Health Care in Nigeria’s Federal Context, with Special Reference to Ondo State(World Bank, Washington DC, 2013-01)This study examines an innovative example of the expansion of supply and the strengthening of primary health care to improve key health-related Millennium Development Goal, or MDG indicators through synergy and collaboration between the federal Government of Nigeria (FGN) and state governments in an extreme federal context, and with particular reference to Ondo State. That is, the Nigerian Federal Constitution grants the federal government only very limited and indirect influence or control over the fiscal and financial affairs of state and local governments, such that 'plans, budgets, accounts and procurements are not subject to federal control and scrutiny'. Nor must the lower tiers account to the federal level for how funds transferred to them from the central level are used. The rest of case study is organized as follows. Section two describes the design of the HCP, including its interaction with the rest of the health system; section three discusses the targeting, identification, and enrolment system; section four examines the management of public funds within the HCP; section five analyses the management of the benefits package; section six reviews the information environment and monitoring systems of the HCP; section seven summarizes and analyses the evidence on the key theme of the study, which is the extent to which the HCP is expanding access to, and strengthening, primary health care within the federal system; and section eight looks at the pending agenda for action, drawing on the lessons learned and challenges for the HCP's future. The annexes present the country and health system context; a general overview of health system financing and delivery; a brief description of primary care and key supply-side efforts; and key data on Ondo State, including a description of the state's health system.Publication Key Issues in Central America Health Reforms : Diagnosis and Strategic Implications, Volume 1. Synthesis of Findings(Washington, DC, 2007-03)The main objective of this report is to identify and analyze the most pressing health sector issues in the sub region of El Salvador, Guatemala, Honduras, and Nicaragua (referred to as CA4) while building on the successes already attained, in order to lay the groundwork for discussing and refining strategies and policies in CA4. It will focus on analyzing (a) CA4 health sector performance, measured by financial protection and a subset of health indicators; and (b) health system functions of financing and service delivery. The report also addresses three topics that CA4 stakeholders selected as their main areas of interest: (a) decentralization processes initiated in these countries; (b) the design and implementation of alternative strategies to improve access to basic maternal and child health care services: and (c) the high prevalence of malnutrition. The synthesis of findings can be found in volume 1 of the report. In volume 2, aside from the introduction, the report comprises five chapters: Chapter 2 discusses the different aspects that characterize the health sector of these countries: health care financing, financial coverage and protection, efficiency and equity in the allocation of resources and service coverage and utilization. Chapter 3 describes the extent and consequences of the various decentralization processes. Chapter 4 presents the different strategies being followed to improve access and extend basic health services, and Chapter 5 focuses on malnutrition and strategic considerations for cost effective programs in CA4.
Users also downloaded
Showing related downloaded files
Publication Poverty and Equity Assessment for El Salvador 2024(Washington, DC: World Bank, 2024-12-12)This report proposes an agenda for building on gains to re-accelerate poverty reduction among Salvadorans. The last World Bank Poverty Assessment for El Salvador, from 2015, proposed two key policy recommendations: (a) effective pro-poor spending and (b) reduction of crime and violence through better access to jobs and education. Nine years later, the authorities have managed to achieve a substantial reduction in crime and violence and have indicated an intent to build on such progress to establish a path toward an El Salvador where shared prosperity is achievable. In this report, we propose a three pillar structure to address poverty and inequality reduction: jobs, services, and social protection, with a cross-cutting set of primary conditions that articulates this structure.Publication The Markets and Competition Policy Assessment Toolkit(Washington, DC: World Bank, 2025-01-09)The markets and competition policy assessment toolkit (MCPAT) is a guide for understanding how policy can positively shape markets and address market failures that ultimately affect micro- and macroeconomic development issues. The MCPAT aims to support policymakers, competition authorities, and development finance institutions in realizing the advantages of competitive and well-functioning markets by setting the right conditions for firms to improve their economic performance and for markets to allocate resources efficiently. Competitive and well-functioning markets do not just benefit consumers, - they benefit entire economies as they promote productivity, innovation, efficiency, and consumer choice. The goal is not simply to increase the number of firms in a market or to restrict market power but to create an environment where competition can thrive, firms can innovate, and markets can function optimally. The structure of this toolkit follows the steps to conduct an MCPAT analysis in a specific sector or market. Part I provides an overview of key concepts that set the basis for conducting the MCPAT analysis and covers the first step of the MCPAT. Part II focuses on diagnosing market issues. Part III is about how to fix markets.Publication World Bank Annual Report 2024(Washington, DC: World Bank, 2024-10-25)This annual report, which covers the period from July 1, 2023, to June 30, 2024, has been prepared by the Executive Directors of both the International Bank for Reconstruction and Development (IBRD) and the International Development Association (IDA)—collectively known as the World Bank—in accordance with the respective bylaws of the two institutions. Ajay Banga, President of the World Bank Group and Chairman of the Board of Executive Directors, has submitted this report, together with the accompanying administrative budgets and audited financial statements, to the Board of Governors.Publication Global Economic Prospects, January 2024(Washington, DC: World Bank, 2024-01-09)Note: Chart 1.2.B has been updated on January 18, 2024. Chart 2.2.3 B has been updated on January 14, 2024. Global growth is expected to slow further this year, reflecting the lagged and ongoing effects of tight monetary policy to rein in inflation, restrictive credit conditions, and anemic global trade and investment. Downside risks include an escalation of the recent conflict in the Middle East, financial stress, persistent inflation, weaker-than-expected activity in China, trade fragmentation, and climate-related disasters. Against this backdrop, policy makers face enormous challenges. In emerging market and developing economies (EMDEs), commodity exporters face the enduring challenges posed by fiscal policy procyclicality and volatility, which highlight the need for robust fiscal frameworks. Across EMDEs, previous episodes of investment growth acceleration underscore the critical importance of macroeconomic and structural policies and an enabling institutional environment in bolstering investment and long-term growth. At the global level, cooperation needs to be strengthened to provide debt relief, facilitate trade integration, tackle climate change, and alleviate food insecurity.Publication Global Economic Prospects, January 2025(Washington, DC: World Bank, 2025-01-16)Global growth is expected to hold steady at 2.7 percent in 2025-26. However, the global economy appears to be settling at a low growth rate that will be insufficient to foster sustained economic development—with the possibility of further headwinds from heightened policy uncertainty and adverse trade policy shifts, geopolitical tensions, persistent inflation, and climate-related natural disasters. Against this backdrop, emerging market and developing economies are set to enter the second quarter of the twenty-first century with per capita incomes on a trajectory that implies substantially slower catch-up toward advanced-economy living standards than they previously experienced. Without course corrections, most low-income countries are unlikely to graduate to middle-income status by the middle of the century. Policy action at both global and national levels is needed to foster a more favorable external environment, enhance macroeconomic stability, reduce structural constraints, address the effects of climate change, and thus accelerate long-term growth and development.