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dc.contributor.authorWitter, Sophie
dc.contributor.authorAdjei, Sam
dc.date.accessioned2018-06-29T22:03:52Z
dc.date.available2018-06-29T22:03:52Z
dc.date.issued2007-04
dc.identifierER2764
dc.identifier.citationWitter, S. & 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, vol. 22, , pp. 133-143,
dc.identifier.issn0749-6753
dc.identifier.urihttps://doi.org/10.1002/hpm.867
dc.identifier.urihttps://eresearch.qmu.ac.uk/handle/20.500.12289/2764
dc.description.abstractThis 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.
dc.format.extent133-143
dc.publisherWiley InterScience
dc.relation.ispartofInternational journal of health planning and management
dc.subjectsustainability
dc.subjectfunding
dc.subjectexemptions
dc.subjectdeliveries
dc.subjectGhana
dc.titleStart-stop funding, its causes and consequences: a case study of the delivery exemptions policy in Ghana.
dc.typearticle
dcterms.accessRightsnone
dc.description.facultysch_iih
dc.description.volume22
dc.identifier.doihttp://10.1002/hpm.867
dc.description.ispublishedpub
dc.description.eprintid2764
rioxxterms.typearticle
qmu.authorWitter, Sophie
dc.description.statuspub
dc.description.number2


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