Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach

Agyepong, Irene A; Aryeetey, Geneieve C; Nonvignon, Justice; Asenso-Boadi, Francis; Dzikunu, Helen; Antwi, Edward; Ankrah, Daniel; Adjei-Acquah, Charles; Esena, Reuben; Aikins, Moses; Arhinful, Daniel K

doi:10.1186/1478-4505-12-35

Table 1 Geographic location of primary data collection (level, facility type, and ownership), method of data collection, and numbers of respondents

From: Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme – a systems approach

Level (National, Regional, District/Municipal/Sub-metro)				Number of respondents
	Facility name	Facility type	Ownership	Key informant in-depth interview	Client exit interview	Client waiting time assessment	Client prescription analysis
National	Not applicable	Not applicable	Not applicable	14	0	0	0
Ashiedu Keteke sub-metro	Ussher polyclinic	Polyclinic	Public (GHS)	2	35	35	35
	PML Children’s hospital	Hospital	Public (GHS)	0	33	34	34
	Cathedral clinic	Clinic	Private (PSF)	0	35	25	25
	Ashiedu Ketete district scheme	Purchaser	Public (NHIA)	1	0	0	0
La Dadekotopon sub-metro	La General hospital	Hospital	Public (GHS)	2	35	37	37
Madina La Nkwantang municipality	Pentecost hospital	Hospital	Private (CHAG)	2	35	34	34
	North Legon hospital	Hospital	Private (PSF)	2	31	22	22
	Madina Polyclinic (New Road)	Polyclinic	Public (GHS)	2	35	35	35
	Ga municipal scheme	Purchaser	Public (NHIA)	1	0	0	0
Ada East District	Ada HC	Health centre	Public (GHS)	2	35	35	35
	Pute CHPS	CHPS	Public (GHS)	2	5	4	4
TOTAL Greater Accra Region				30	279	261	261
Dorma municipality	Amasu HC	Health centre	Public (GHS)	2	10	11	11
	Twumkrom CHPS	CHPS	Public (GHS)	2	0	0
	Dorma Presby Hospital	Hospital	Private (CHAG)	2	30	23	23
	Saviour clinic	Clinic	Private (PSF)	1	13	13	15
	Dormaa district scheme	Purchaser	Public (NHIA)	1
Dorma West district	Nkrankwantakrom	Health centre/DH	Public (GHS)	2	29	39	39
	Kojo Kumi Krom	Health centre	Private (CHAG)		29
	Yaa Krom HC	Health centre	Private (CHAG)	2	16	2	2
	Kwakuanya Ebenezer Methodist	Clinic	Private (CHAG)	1	0	0
	Kyremesu Presby HC	Health centre	Private (CHAG)	2	3	18	18
	Kwabenadwomo	Health centre	Public (GHS)	2	13	0
TOTAL Brong Ahafo Region				17	143	106	108
Sisala East district	Tumu hospital	Hospital	Public (GHS)	2	35	37	37
	Wellembele HC	Health centre	Public (GHS)	2	16	19	19
	Nnamdouonu CHPS	CHPS	Public (GHS)	2	7	8	8
	Mama Mary	Clinic	Private (PSF)	2	18	22	22
	Sissala East district scheme	Purchaser	Public (NHIA)	1	0	0	0
Wa municipality	Kambali HC	Health centre	Public (GHS)	2	30	37	37
	Tampalipani CHPS	CHPS	Public (GHS)	2	4	4	4
	Islamic hospital	Hospital	Private (PSF)	2	35	26	32
	Wa Municipal scheme	Purchaser	Public (NHIA)	1	0	0	0
TOTAL Upper West Region				16	145	153	159
GRAND TOTAL				63	567	520	528

GHS, Ghana Health Service; PSF, Private Self-Financing; CHAG, Christian Health Association of Ghana; CHPSC, Community Health Planning and Services Compound; NHIA, National Health Insurance Authority.

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ISSN: 1478-4505

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