Publication:
Networks of Practice in Ghana: Learning from Implementation in Two Districts Key Lessons from Research in Dormaa Central and Hohoe Districts

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dc.contributor.authorWorld Bank
dc.date.accessioned2025-01-02T22:11:52Z
dc.date.available2025-01-02T22:11:52Z
dc.date.issued2025-01-02
dc.description.abstractThe research conducted in Dormaa Central and Hohoe districts in Ghana provided several key findings regarding the Networks of Practice (NoP) program. The study included Patient Pathway Analysis (PPA) and Summative Network Analysis (SNA) to understand and compare patient journeys and network configurations between districts with NoPs and those without. In Dormaa Central, four NoPs were established in November 2020 with USAID/R4D support, while in Hohoe, three NoPs were started in January 2021 with KOFIH support. The research revealed notable positive effects of NoPs in the delivery of health services, including facility-level improvements, service enhancements, and increased collaboration between health facilities. However, some key goals of NoPs, such as strong referral gatekeeping to reduce the patient load at higher-tier facilities, were not fully achieved. Patient preference for higher-tier facilities persisted due to perceived quality and the spectrum of services available at different levels of care. Despite this, districts with NoPs showed a shift towards increased utilization of health centers that were NoP hubs. The study also highlighted improved awareness of the hub and spoke model of care, willingness, and evidence of cross-facility collaboration and sharing of resources.en
dc.identifierhttp://documents.worldbank.org/curated/en/099121924100565743/P1762091863e130291b52e1181f43978f70
dc.identifier.doi10.1596/42593
dc.identifier.urihttps://hdl.handle.net/10986/42593
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC: World Bank
dc.rightsCC BY-NC 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/igo
dc.subjectGOOD HEALTH
dc.subjectREFERRAL GATEKEEPING
dc.subjectHEALTH SERVICE DELIVERY
dc.subjectPATIENT PREFERENCES
dc.titleNetworks of Practice in Ghanaen
dc.title.subtitleLearning from Implementation in Two Districts Key Lessons from Research in Dormaa Central and Hohoe Districtsen
dc.typeBrief
dspace.entity.typePublication
okr.date.disclosure2025-01-02
okr.date.doiregistration2025-04-14T11:53:14.239750Z
okr.date.lastmodified2024-12-20T00:00:00Zen
okr.doctypeBrief
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/099121924100565743/P1762091863e130291b52e1181f43978f70
okr.guid099121924100565743
okr.identifier.docmidP176209-863e13a7-f38f-4b29-b52e-181f43978f70
okr.identifier.externaldocumentum34439235
okr.identifier.internaldocumentum34439235
okr.identifier.report195800
okr.import.id6163
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/099121924100565743/pdf/P1762091863e130291b52e1181f43978f70.pdfen
okr.region.administrativeAfrica Western and Central (AFW)
okr.region.countryGhana
okr.sectorHealth-HG
okr.themeHealth Systems and Policies,Human Development and Gender,Health Finance,Disease Control,Health System Strengthening,Pandemic Response,Health Service Delivery
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Communicable Diseases
okr.unitPeople - HNP Global Engagement (HHNGE)
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