A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana
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...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2016-05-01
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| Series: | Global Health Action |
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| Online Access: | http://www.globalhealthaction.net/index.php/gha/article/view/30448/pdf_262 |
| _version_ | 1818180380387180544 |
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| author | John Koku Awoonor-Williams Margaret L. Schmitt Janet Tiah Joyce Ndago Rofina Asuru Ayaga A. Bawah James F. Phillips |
| author_facet | John Koku Awoonor-Williams Margaret L. Schmitt Janet Tiah Joyce Ndago Rofina Asuru Ayaga A. Bawah James F. Phillips |
| author_sort | John Koku Awoonor-Williams |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-11T21:18:51Z |
| format | Article |
| id | doaj.art-3d662b5a4321496ca75cccf01b881be8 |
| institution | Directory Open Access Journal |
| issn | 1654-9880 |
| language | English |
| last_indexed | 2024-12-11T21:18:51Z |
| publishDate | 2016-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Global Health Action |
| spelling | doaj.art-3d662b5a4321496ca75cccf01b881be82022-12-22T00:50:30ZengTaylor & Francis GroupGlobal Health Action1654-98802016-05-019011010.3402/gha.v9.3044830448A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in GhanaJohn Koku Awoonor-Williams0Margaret L. Schmitt1Janet Tiah2Joyce Ndago3Rofina Asuru4Ayaga A. Bawah5James F. Phillips6 Regional Health Directorate, Ghana Health Service PMB, Bolgatanga, Ghana Mailman School of Public Health, Columbia University, New York, NY, USA Regional Health Directorate, Ghana Health Service PMB, Bolgatanga, Ghana Regional Health Directorate, Ghana Health Service PMB, Bolgatanga, Ghana Regional Health Directorate, Ghana Health Service PMB, Bolgatanga, Ghana Mailman School of Public Health, Columbia University, New York, NY, USA Mailman School of Public Health, Columbia University, New York, NY, USABackground: 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.http://www.globalhealthaction.net/index.php/gha/article/view/30448/pdf_262burden of diseasebudgetingevidence-based planninghealth systemsqualitative appraisalGhana |
| spellingShingle | John Koku Awoonor-Williams Margaret L. Schmitt Janet Tiah Joyce Ndago Rofina Asuru Ayaga A. Bawah James F. Phillips A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana Global Health Action burden of disease budgeting evidence-based planning health systems qualitative appraisal Ghana |
| title | A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana |
| title_full | A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana |
| title_fullStr | A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana |
| title_full_unstemmed | A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana |
| title_short | A qualitative appraisal of stakeholder reactions to a tool for burden of disease–based health system budgeting in Ghana |
| title_sort | qualitative appraisal of stakeholder reactions to a tool for burden of disease based health system budgeting in ghana |
| topic | burden of disease budgeting evidence-based planning health systems qualitative appraisal Ghana |
| url | http://www.globalhealthaction.net/index.php/gha/article/view/30448/pdf_262 |
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