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Health Sector Decentralisation and Delivery of Responsive Healthcare in Ghana

In: Democratic Decentralization, Local Governance and Sustainable Development

Author

Listed:
  • Baba Salifu

    (Al-Faruq College of Education)

  • Prince Osei-Wusu Adjei

    (Kwame Nkrumah University of Science and Technology)

  • Daniel Buor

    (Kwame Nkrumah University of Science and Technology)

Abstract

In this chapter, we examine the implications of Ghana’s health sector decentralisation for the delivery of responsive healthcare in some selected districts in the country. This is especially important because decentralisation in the health sector is particularly complex and does not necessarily result in efficiency and improvements (Couttolenc, Decentralisation and governance in the Ghana health sector. World Bank, 2012). Besides, there is no clarity regarding the relationship between decentralisation and improvements in overall health system’s performance. This chapter examines the operations and activities of the Ghana Health Service (GHS) within the context of decentralised healthcare provision. Specifically, we assess the level of autonomy granted to subnational health institutions and how that influences healthcare delivery. We also examine capacity of subnational health units to deliver efficient and responsive services to those who access healthcare. Ultimately, we highlight some challenges associated with decentralised healthcare in Ghana and progress made in the last few decades.

Suggested Citation

  • Baba Salifu & Prince Osei-Wusu Adjei & Daniel Buor, 2022. "Health Sector Decentralisation and Delivery of Responsive Healthcare in Ghana," Advances in African Economic, Social and Political Development, in: Prince Osei-Wusu Adjei & Samuel Adu-Gyamfi (ed.), Democratic Decentralization, Local Governance and Sustainable Development, pages 209-227, Springer.
    • Handle: RePEc:spr:aaechp:978-3-031-12378-8_12
    DOI: 10.1007/978-3-031-12378-8_12
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