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A qualitative appraisal of stakeholder reactions to a tool for burden of disease-based health system budgeting in Ghana

Awoonor-Williams, John Koku and Schmitt, Margaret L. and Tiah, Janet and Ndago, Joyce and Asuru, Rofina and Bawah, Ayaga A. and Phillips, James F.. (2016) A qualitative appraisal of stakeholder reactions to a tool for burden of disease-based health system budgeting in Ghana. Global Health Action, 9. p. 30448.

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Abstract

BACKGROUND: In 2010, the Ghana Health Service launched a program of cooperation with the Tanzania Ministry of Health and Social Welfare that was designed to adapt Tanzania's PLANREP budgeting and reporting tool to Ghana's primary health care program. The product of this collaboration is a system of budgeting, data visualization, and reporting that is known as the District Health Planning and Reporting Tool (DiHPART).
OBJECTIVE: This study was conducted to evaluate the design and implementation processes (technical, procedures, feedback, maintenance, and monitoring) of the DiHPART tool in northern Ghana.
DESIGN: This paper reports on a qualitative appraisal of user reactions to the DiHPART system and implications of pilot experience for national scale-up. A total of 20 health officials responsible for financial planning operations were drawn from the national, regional, and district levels of the health system and interviewed in open-ended discussions about their reactions to DiHPART and suggestions for systems development.
RESULTS: The findings show that technical shortcomings merit correction before scale-up can proceed. The review makes note of features of the software system that could be developed, based on experience gained from the pilot. Changes in the national system of financial reporting and budgeting complicate DiHPART utilization. This attests to the importance of pursuing a software application framework that anticipates the need for automated software generation.
CONCLUSIONS: Despite challenges encountered in the pilot, the results lend support to the notion that evidence-based budgeting merits development and implementation in Ghana.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Health Systems Research and Dynamic Modelling > Health Systems and Policies (de Savigny)
UniBasel Contributors:Awoonor-Williams, John Koku
Item Type:Article, refereed
Publisher:Co-Action Publishing
ISSN:1654-9716
e-ISSN:1654-9880
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Identification Number:
Last Modified:12 Dec 2016 12:35
Deposited On:09 Aug 2016 08:13

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