Networks of Practice in Urban Ghana: Design and Implementation - Key Lessons from Formative Research in Ayawaso Central and Atwima Nwabiagya Municipal

Publication:
Networks of Practice in Urban Ghana: Design and Implementation - Key Lessons from Formative Research in Ayawaso Central and Atwima Nwabiagya Municipal

dc.contributor.author	World Bank
dc.date.accessioned	2025-01-03T15:06:29Z
dc.date.available	2025-01-03T15:06:29Z
dc.date.issued	2025-01-03
dc.description.abstract	This brief presents insights and lessons for the Networks of Practice (NoP) program in urban Ghana, based on formative research conducted in Ayawaso Central, Greater Accra Region and Atwima Nwabiagya Municipal, Ashanti Region. The research used Patient Pathway Analysis (PPA) and Summative Network Analysis (SNA) to understand and compare patient journeys in settings with and without NoPs. The NoP program has not yet expanded into urban areas, but studying patient journeys and the healthcare provider situation in urban settings provides essential information for patient oriented NoP design. Features that were found to be specific to urban districts include a higher density of health providers, a greater role of private health facilities and clinics as compared to rural areas, and higher out-of-pocket expenditure on healthcare. For successful NoP implementation, network formation in urban areas will need to be tailored to the prevailing care delivery landscape and healthcare utilization patterns. This may include upgrading selected public sector facilities to become network hubs and enhancing collaboration with private sector providers to strengthen urban networks. Urban NoPs can advance Ghana’s ambition to increase access to quality primary care, robust referral pathways, and financial protection for all healthcare users in the country. Further research in various urban and peri-urban districts of Ghana and implementation of urban NoP pilots will be beneficial for shaping an NoP program suited to urban health systems	en
dc.identifier	http://documents.worldbank.org/curated/en/099121924100518142/P1762091ed590a0c71a9291b303cbb4446d
dc.identifier.doi	10.1596/42597
dc.identifier.uri	https://hdl.handle.net/10986/42597
dc.language	English
dc.language.iso	en_US
dc.publisher	Washington, DC: World Bank
dc.rights	CC BY-NC 3.0 IGO
dc.rights.holder	World Bank
dc.rights.uri	https://creativecommons.org/licenses/by-nc/3.0/igo
dc.subject	GOOD HEALTH
dc.subject	HEALTH SERVICE DELIVERY IMPROVEMENTS
dc.subject	HEALTH FACILITIES IMPROVEMENTS
dc.subject	HEALTH FACILITIES COLLABORATION
dc.subject	PATIENT PREFERENCE
dc.title	Networks of Practice in Urban Ghana	en
dc.title.subtitle	Design and Implementation - Key Lessons from Formative Research in Ayawaso Central and Atwima Nwabiagya Municipal	en
dc.type	Brief
dspace.entity.type	Publication
okr.date.disclosure	2025-01-03
okr.date.doiregistration	2025-04-14T12:02:44.485819Z
okr.date.lastmodified	2024-12-20T00:00:00Z	en
okr.doctype	Brief
okr.doctype	Publications & Research
okr.docurl	http://documents.worldbank.org/curated/en/099121924100518142/P1762091ed590a0c71a9291b303cbb4446d
okr.guid	099121924100518142
okr.identifier.docmid	P176209-ed590a81-71a5-49c7-a929-b303cbb4446d
okr.identifier.externaldocumentum	34439224
okr.identifier.internaldocumentum	34439224
okr.identifier.report	195799
okr.import.id	6173
okr.imported	true	en
okr.language.supported	en
okr.pdfurl	http://documents.worldbank.org/curated/en/099121924100518142/pdf/P1762091ed590a0c71a9291b303cbb4446d.pdf	en
okr.region.administrative	Africa Western and Central (AFW)
okr.region.country	Ghana
okr.sector	Health-HG
okr.theme	Health Systems and Policies,Human Development and Gender,Health Finance,Disease Control,Health System Strengthening,Pandemic Response,Health Service Delivery
okr.topic	Health, Nutrition and Population::Health Economics & Finance
okr.topic	Health, Nutrition and Population::Health Policy and Management
okr.topic	Health, Nutrition and Population::Health Service Management and Delivery
okr.unit	People - HNP Global Engagement (HHNGE)