Public–Private engagement and health systems resilience in times of health worker strikes
A Ghanaian case study
Bibliographic Data
| ID | 16763083 |
|---|---|
| Authors | Bettina Buabeng-Baidoo (0009-0000-0594-7795, University of Cape Town, corresponding author), Johan Olivier (0000-0001-9155-6896, University of Cape Town) |
| Year | 2024 |
| Volume | 39 |
| Issue | 5 |
| Pages | 469-485 |
| Publication date | 2024-05-15 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czae018 |
| PMID | 38498334 |
| OpenAlex | W4392900928 |
| Language | EN |
| References cited | 36 |
In low and middle-income countries like Ghana, private providers, particularly the grouping of faith-based non-profit health providers networked by the Christian Health Association of Ghana (CHAG), play a crucial role in maintaining service continuity during health worker strikes. Poor engagement with the private sector during such strikes could compromise care quality and impose financial hardships on populations, especially the impoverished. This study delves into the engagement between CHAG and the Government of Ghana (GoG) during health worker strikes from 2010 to 2016, employing a qualitative descriptive and exploratory case study approach. By analysing evidence from peer-reviewed literature, media archives, grey literature and interview transcripts from a related study using a qualitative thematic analysis approach, this study identifies health worker strikes as a persistent chronic stressor in Ghana. Findings highlight some system-level interactions between CHAG and GoG, fostering adaptive and absorptive resilience strategies, influenced by CHAG’s non-striking ethos, unique secondment policy between the two actors and the presence of a National Health Insurance System. However, limited support from the government to CHAG member facilities during strikes and systemic challenges with the National Health Insurance System pose threats to CHAG’s ability to provide quality, affordable care. This study underscores private providers’ pivotal role in enhancing health system resilience during strikes in Ghana, advocating for proactive governmental partnerships with private providers and joint efforts to address human-resource-related challenges ahead of strikes. It also recommends further research to devise and evaluate effective strategies for nations to respond to strikes, ensuring preparedness and sustained quality healthcare delivery during such crises
Business · Economic growth · Economics · Environmental health · Health services · Health worker · Political science · Population · Private sector · Psychological resilience · Public health · Public relations · Resilience (materials science) · Employment and Welfare Studies · Health and Conflict Studies · Healthcare Systems and Challenges · Medicine · Nursing · Psychology · Public Administration
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| Citation velocity | historical |
|---|---|
| Highly cited | No |