University of Aberdeen

AURA - Aberdeen University Research Archive

View Item 
  •   AURA Home
  • 5 - All Research
  • All research
  • View Item
  •   AURA Home
  • 5 - All Research
  • All research
  • View Item
  •   AURA Home
  • 5 - All Research
  • All research
  • View Item
      JavaScript is disabled for your browser. Some features of this site may not work without it.

      Start-stop funding, its causes and consequences : a case study of the delivery exemptions policy in Ghana

      View/Open
      Start stop funding its causes and consequences a case study of the delivery exemptions policy in Ghana International journal of health planning and management.pdf (93.29Kb)
      Publication date
      22/01/2007
      Author
      Witter, Sophie
      Adjei, Sam
      Metadata
      Show full item record
      Abstract
      This article looks at the issue of sustaining funding for a public programme through the case study of the delivery exemptions policy in Ghana. The Government of Ghana introduced the policy of exempting users from delivery fees in September 2003 in the four most deprived regions of the country, and in April 2005 it was extended to the remaining six regions in Ghana. The aim of the policy of free delivery care was to reduce financial barriers to using maternity services. Using materials from key informant interviews at national and local levels in 2005, the article examines how the policy has been implemented and what the main constraints have been, as perceived by different actors in the health system. The interviews show that despite being a high-profile public policy and achieving positive results, the delivery exemptions policy quickly ran into implementation problems caused by inadequate funding. They suggest that facility and district managers bear the brunt of the damage that is caused when benefits that have been promised to the public cannot be delivered. There can be knock-on effects on other public programmes too. Despite these problems, start-stop funding and under-funding of public programmes is more the norm than the exception. Some of the factors causing erratic funding—such as party politics and intersectoral haggling over resources—are unavoidable, but others, such as communication and management failures can and should be addressed.
      Citation
      Witter, S., and Adjei, S., (2007). Start-stop funding, its causes and consequences : a case study of the delivery exemptions policy in Ghana. International Journal of Health Planning and Management, 22, pp. 133-143.
      URI
      http://hdl.handle.net/2164/232
      Collections
      • All research

      Browse

      All of AURACommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects
      Top of Page
      • AURA Home
      • Accessibility
      • PURE
      • Digital Resources
      • Library, Special Collections & Museums
      • Take-Down Notice
      • Send Feedback
      • Contact Us
         
       
      Library, Special Collections and Museums logo
      The Sir Duncan Rice Library
      University of Aberdeen
      Bedford Road
      Aberdeen
      AB24 3AA

      Tel: +44 (0)1224 273330
      Email: library@abdn.ac.uk
       
         

      Share and keep up to date

      FacebookTwitterWordpress

      • AURA Home
      • Accessibility
      • PURE
      • Digital Resources
      • Library, Special Collections & Museums
      • Take-Down Notice
      • Send Feedback
      • Contact Us