Cost of free maternal services have been consistently higher at high level facilities putting so much stress on the British Grant meant to improve financial access to maternal services.
Dr Emmanuel Ankrah Odame, head of the Public Health Division of
Ridge Hospital, announced this when he made a poster presentation at
the Global Health Metrics and Evaluation 2011 International conference
in Seattle.
The conference, the first of its kind, under the theme:
“Controversies, Innovation, Accountability”, is attended by over 600
researchers, policy makers and global health leaders from around the
world. They will be sharing ground breaking advances in health
measurements as well as tackle contentious debates.
Dr Odame said in order to reduce Ghana’s maternal mortality rate
from the 451 per 100,000 live births and meet the Millennium
Development Goal 5 by 2015, there was the need to sustain the free
maternal health services and ensure that people access the lower
levels of health facilities.
However, he reported that a study conducted in 2009 at Adabraka
Hospital, Ridge Hospital and Osu Maternity Home on the routine
financial claims by the National Health Insurance Authority showed a
total of GHc1358647.98 (US$936998.61). This represented 7.7 per cent
of expenditure of the British Grant as claims for the cost of maternal
health services.
The study considered the financial cost of antenatal, post natal,
delivery, abortion, and the overall costs of all the maternal health
services for both services and drugs.
The financial cost of antenatal care was GHc2894.096
(US$199375.83) whilst post natal care was GHc 159913.34
(US$110285.06). Spontaneous vaginal delivery was GHc205452.58
(US$141691.44).
He explained that when the pressures put on the high level
hospitals are not lowered the facilities in the southern center of the
country alone could exhaust the British Grant in 13 years.
Dr Odame called recommended the placement of specialists in the
lower facilities to attend to clients, saying, “this will let pregnant
women access the lower level facilities and not use the issue of no
specialists as an excuse”.
He said there should also be adherence to the gate keeping
policy in all facilities to reduce cost towards the achievement of
MDG5 and reducing the burden on the high level health facilities.
Cost savings, he said, could be made if services such as
antenatal care and normal care deliveries, which forms the bulk of
maternal health services, are done at the lower level facilities for
free maternal health services to be sustained.
The conference will be highlighting innovative methods, latest
debates in measurements, and translation of data to inform effective
policy for improved population health.
It is co-hosted by the Institute for Health Metrics and
Evaluation, The Lancet, The London School of Hygiene and Tropical
Medicine, the Harvard School of Public Health and the University Of
Queensland School Of Population Health.
It also aims at fostering greater exchange of ideals,
collaboration and intellectual innovation and helping to bridge
traditional disciplinary boundaries by demonstrating the force and
potential of multi disciplinary intellectual endeavours in population
health.
Topics being discussed include Non Communicable Diseases,
Malaria, Priority Setting and Health Inequalities.
GNA
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