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1. The effect of recall period on reported out-of-pocket health expenditure in Ghana

Author

Agorinya, Isaiah Awintuen, primary, Ross, Amanda, additional, Flores, Gabriela, additional, Akazili, James, additional, Edejer, Tessa Tan-torres, additional, van Wilgenburg, Kim, additional, Dalaba, Maxwell Ayindenaba, additional, Mensah, Nathan Kumasenu, additional, Lan, Le My, additional, Bacha, Yadeta Dassie, additional, Sumboh, Jemima, additional, and Tediosi, Fabrizio, additional

Published
2023
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4. Challenges and experiences in linking community level reported out-of-pocket health expenditures to health provider recorded health expenditures: Experience from the iHOPE project in Northern Ghana

Author

Agorinya, Isaiah Awintuen, primary, Dalaba, Maxwell, additional, Mensah, Nathan Kumasenu, additional, Chatio, Samuel Tamti, additional, Le, Lan My, additional, Bacha, Yadeta Dassie, additional, Sumboh, Jemima, additional, Flores, Gabriela, additional, Edejer, Tessa Tan-torres, additional, Ross, Amanda, additional, Tediosi, Fabrizio, additional, and Akazili, James, additional

Published
2021
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5. Health-seeking behaviour and cost of fever treatment to households in a malaria-endemic setting of northern Ghana: a cross-sectional study

Author

Dalaba, Maxwell Ayindenaba, primary, Welaga, Paul, additional, Dalinjong, Philip Ayizem, additional, Chatio, Samuel, additional, Immurana, Mustapha, additional, Alhassan, Robert Kaba, additional, Klu, Desmond, additional, Manyeh, Alfred Kwesi, additional, Agorinya, Isaiah, additional, Oduro, Abraham, additional, Adongo, Philip Baba, additional, and Akweongo, Patricia, additional

Published
2021
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6. Evaluating alternative approaches for improving the measurement of household Out-of-pocket health expenditure: The Indepth-Network household out-of-pocket health expenditure (iHOPE) experimental study in Ghana

Author

Agorinya, Isaiah Awintuen, Tediosi, Fabrizio, Harttgen, Kenneth, and Utzinger, Jürg

Abstract

Out of pocket health payment (OOPs) has been identified by System of Health Accounts (SHA) as the largest source of health care financing in most low and middle-income countries. This means that most low and middle-income countries will rely on user fees and co-payments to generate revenue, rationalize the use of services, contain health systems costs or improve health system efficiency and service quality. However, the accurate measurement of OOPs has been challenged by several limitations which are attributed to both sampling and non-sampling errors when OOPs are estimated from household surveys, the primary source of information in LICs and LMICs. The incorrect measurement of OOPs can undermine the credibility of current health spending estimates, an otherwise important indicator for tracking UHC, hence there is the need to address these limitations and improve the measurement of OOPs. In this current study, new modules on household health utilization and expenditure were developed by repurposing the existing Ghana Living Standards Survey instrument and further validating these new tools with a ‘gold standard’ (provider data) with the aim of proposing alternative approaches capable of producing reliable data for estimating OOPs in the context of National Health Accounts and for the purpose of monitoring financial protection in health. This was achieved by specifically answering questions on; the structure of the instrument (Type of instrument and overall structure of health expenditure questions), the optimal recall period, the optimal number of items(specificity) and to also share some key lessons, challenges and recommendations in implementing a large validation study in a resource-poor setting.

Published
2021
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7. Effect of specificity of health expenditure questions in the measurement of out-of-pocket health expenditure: evidence from field experimental study in Ghana

Author

Agorinya, Isaiah Awintuen, primary, Ross, Amanda, additional, Flores, Gabriela, additional, TanTorres Edejer, Tessa, additional, Dalaba, Maxwell Ayindenaba, additional, Mensah, Nathan Kumasenu, additional, Le My, Lan, additional, Dessie, Yadeta, additional, Sumboh, Jemima, additional, Oduro, Abraham Rexford, additional, Akazili, J, additional, and Tediosi, Fabrizio, additional

Published
2021
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9. Trends and risk factors associated with stillbirths: A case study of the Navrongo War Memorial Hospital in Northern Ghana

Author

Nonterah, Engelbert A., primary, Agorinya, Isaiah A., additional, Kanmiki, Edmund W., additional, Kagura, Juliana, additional, Tamimu, Mariatu, additional, Ayamba, Emmanuel Y., additional, Nonterah, Esmond W., additional, Kaburise, Michael B., additional, Al-Hassan, Majeedallahi, additional, Ofosu, Winfred, additional, Oduro, Abraham R., additional, and Awonoor-Williams, John K., additional

Published
2020
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10. Prevalence and adverse obstetric outcomes of female genital mutilation among women in rural Northern Ghana

Author

Nonterah, Engelbert A, primary, Kanmiki, Edmund W, additional, Agorinya, Isaiah A, additional, Sakeah, Evelyn, additional, Tamimu, Mariatu, additional, Kagura, Juliana, additional, Kaburise, Michael B, additional, Ayamba, Emmanuel Y, additional, Nonterah, Esmond W, additional, Awuni, Denis A, additional, Al-Hassan, Majeedallahi, additional, Ofosu, Winfred, additional, Awoonor-Williams, John K, additional, and Oduro, Abraham R, additional

Published
2019
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14. Prevalence and adverse obstetric outcomes of female genital mutilation among women in rural Northern Ghana.

Author

Nonterah, Engelbert A, Kanmiki, Edmund W, Agorinya, Isaiah A, Sakeah, Evelyn, Tamimu, Mariatu, Kagura, Juliana, Kaburise, Michael B, Ayamba, Emmanuel Y, Nonterah, Esmond W, Awuni, Denis A, Al-Hassan, Majeedallahi, Ofosu, Winfred, Awoonor-Williams, John K, and Oduro, Abraham R

Subjects
HEMORRHAGE risk factors, PERINATAL death, BIRTH weight, CESAREAN section, CONFIDENCE intervals, EPISIOTOMY, FEMALE genital mutilation, HEALTH education, HEALTH facilities, LENGTH of stay in hospitals, EVALUATION of medical care, MEDICAL records, MOTHERS, MULTIVARIATE analysis, PREGNANCY, PREGNANCY complications, PUERPERAL disorders, RISK assessment, RURAL conditions, WOUNDS & injuries, MULTIPLE regression analysis, DISEASE prevalence, ACQUISITION of data methodology, ODDS ratio, DISEASE risk factors
Abstract

Background Female genital mutilation (FGM) is commonly practiced in sub-Saharan Africa and results in adverse pregnancy outcomes among affected women. This paper assessed the prevalence and effects of FGM on pregnancy outcomes in a rural Ghanaian setting. Methods We analyzed 9306 delivery records between 2003 and 2013 from the Navrongo War Memorial Hospital. Multivariable logistic regression analyses were used to determine the effects of FGM on pregnancy outcomes such as stillbirth, birth weight, postpartum haemorrhage, caesarean and instrumental delivery. We also assessed differences in the duration of stay in the hospital by FGM status. Results A greater proportion of mothers with FGM (24.7%) were older than 35 years compared with those without FGM (7.6%). FGM declined progressively from 28.4% in 2003 to 0.6% in 2013. Mothers with FGM were nearly twice as likely to have caesarean delivery (adjusted odds ratios = 1.85 with 95%CI [1.72, 1.99]) and stillbirths (1.60 [1.21, 2.11]) compared with those without. Similarly, they had a 4-fold increased risk of post-partum haemorrhage (4.69 [3.74, 5.88]) and more than 2-fold risk lacerations/episiotomy (2.57 [1.86, 3.21]) during delivery. Average duration of stay in the hospital was higher for mothers with FGM from 2003 to 2007. Conclusions Despite significant decline in prevalence of FGM, adverse obstetric outcomes are still high among affected women. Increased public health education of circumcised women on these outcomes would help improve institutional deliveries and heighten awareness and prompt clinical decisions among healthcare workers. Further scale-up of community level interventions are required to completely eliminate FGM. [ABSTRACT FROM AUTHOR]

Published
2020
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