Getting by on credit: how district health managers in Ghana cope with the untimely release of funds
2006

How Health Managers in Ghana Handle Delayed Funding

Sample size: 16 publication Evidence: moderate

Author Information

Author(s): Asante Augustine D, Zwi Anthony B, Ho Maria T

Primary Institution: The University of New South Wales

Hypothesis

How does the untimely release of public sector health funds in Ghana affect district health activities and the coping strategies of district managers?

Conclusion

Recognizing informal managerial strategies can help reduce corruption risks and improve health service delivery in Ghana.

Supporting Evidence

  • District health managers often rely on informal mechanisms to cope with funding delays.
  • Delays in funding negatively impact the implementation of health programs and staff morale.
  • Managers obtain supplies on credit and borrow cash internally to maintain operations.

Takeaway

Health managers in Ghana often have to wait a long time for money to run their health services, so they find creative ways to keep things going, like borrowing supplies.

Methodology

Qualitative approach using semi-structured interviews with 16 district health managers in two regions of Ghana.

Potential Biases

Potential for corruption exists in informal coping mechanisms used by managers.

Limitations

The study's findings may not be generalizable due to the limited number of regions and districts covered.

Participant Demographics

Participants included eight directors of health services and eight district health accountants from Northern and Ashanti regions.

Digital Object Identifier (DOI)

10.1186/1472-6963-6-105

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication