Publications by authors named "Kennedy A Alatinga"

Background: Ghana introduced a free maternal healthcare policy within its National Health Insurance Scheme (NHIS) in 2008 to remove financial barriers to accessing maternal health services. Despite this policy, evidence suggests that women incur substantial out-of-pocket (OOP) payments for maternal health care. This study explores the underlying reasons for these persistent out-of-pocket payments within the context of Ghana's free maternal healthcare policy.

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Background: Community participation is essential for the successful implementation of primary health care programmes across the globe, including sub-Saharan Africa. The Community-based Health Planning and Services (CHPS) programme is one of the primary health care interventions in Ghana which by design and implementation heavily relies on community participation. However, there is little evidence to establish the factors enabling or inhibiting community participation in the Ghanaian CHPS programme.

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Unlabelled: Sub-Saharan Africa (SSA) is urbanising rapidly. One of the most visible outcomes of this urbanisation process is the change in the diets of urban residents. However, diet change in the context of rapid urbanisation is a complex and multi-dimensional phenomenon that encompasses multiple intersecting historical, environmental, socioeconomic, and political aspects.

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Using the Andersen and Newman model, we explored the facilitators and barriers to the use of sexual and reproductive health (S&RH) services by in-school adolescents in Ghana. Thematic analysis of interviews revealed that parental support and a good peer network predispose adolescents to use S&RH services, while religious prejudice predisposes adolescents not to use S&RH services. Adolescent-friendly social clubs, S&RH corners, and well-trained health workers enable S&RH service use while parental disapproval, poor health workers' attitudes, and inconvenience of health facilities inhibit S&RH service use.

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Background: The Sustainable Development Goal Three has prioritised reducing maternal, under-5 and neonatal mortalities as core global health policy objectives. The place, where expectant mothers choose to deliver their babies has a direct effect on maternal health outcomes. In sub-Saharan Africa, existing literature has shown that some women attend antenatal care during pregnancy but choose to deliver their babies at home.

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Background: Bypassing primary health care (PHC) facilities for maternal health care is an increasing phenomenon. In Ghana, however, there is a dearth of systematic evidence on bypassing PHC facilities for maternal healthcare. This study investigated the prevalence of bypassing PHC facilities for maternal healthcare, and the socio-economic factors and financial costs associated with bypassing PHC facilities within two municipalities in Northwestern Ghana.

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Provider payment reforms, such as capitation, are very contentious. Such reforms can drop off the policy agenda due to political and contextual resistance. Using the Shiffman and Smith (Generation of political priority for global health initiatives: a framework and case study of maternal mortality.

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Objective: This study assessed the association between the presence of an adolescent reproductive health corner and adolescents' knowledge and use of reproductive health services (RHS) in Ghana.

Methods: A survey was administered in May-June 2018 to 392 adolescents in Junior High Schools within two communities in the Asunafo South District. One community had an adolescent reproductive health corner and the other did not.

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