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Begin New Search Topic Governance Author Daniel Armah-Attoh

1. Despite Gains, Barriers Keep Health Care High on Africa’s Priority List

Author:
Daniel Armah-Attoh, Edem E. Selormey, and Richard Houessou
Publication Date:
04-2016
Content Type:
Policy Brief
Institution:
Afrobarometer
Abstract:
Access to health care gained the spotlight on national and international development agendas when the 1978 Alma Ata Declaration outlined a strategy for achieving universal access to primary health care by the year 2000 (World Health Organization, 1978). The Millennium Development Goals (MDGs) set targets for improving health-care delivery by 2015, and the United Nations’ new Sustainable Development Goals (SDGs), which took effect in January 2016, extend and supplement those with ambitious targets aimed at ensuring healthy lives for all. Despite significant gains under these initiatives, Africans fully support health care’s continued prominence on development agendas: In Afrobarometer surveys across 36 African countries in 2014/2015, citizens rank health as the second-most-important problem (after unemployment) that their governments need to address, as well as the No. 2 priority (after education) requiring additional government investment. While the proportion of Africans going without needed health care has decreased over the past decade, citizens’ perceptions highlight some of the challenges that still stand between current reality and “health for all,”
Topic:
Development, World Health Organization, Governance, and Health Care Policy
Political Geography:
Africa

2. The quality of public services: An intrinsic factor in Ghanaian evaluations of government performance

Author:
Daniel Armah-Attoh
Publication Date:
07-2015
Content Type:
Policy Brief
Institution:
Afrobarometer
Abstract:
The provision of public goods and services is an important aspect of socioeconomic development. Access to basic services such as clean water and sanitation, health care, schooling, and transportation enhances citizens’ well-being. Access to roads and telecommunications systems lowers transaction costs, leading to improvements in trade and economic activities (Xu, 2013). In spite of the importance of public services to individuals and nations, the World Bank’s World Development Report (2004) found large variations in the quality and quantity of public goods and services across developing countries and within countries. In most African countries, including Ghana, providing public services is a huge challenge for the state, which is traditionally seen as solely responsible for the production and distribution of these services. In practice, given scarce resources and management challenges, the state alone often cannot provide these services at levels that match rapid population growth, development, and urbanization. In Ghana, attempts at adopting a public-private partnership approach for the delivery of some public services has met with apprehension by citizens who fear the consequences of profit-seeking private-sector entities producing or distributing these essential public goods. With the government left to play the primary provider role, citizens continue to have difficulties accessing vital public services because of a lack of service facilities or inadequate service quantity or quality. Quality has been an important focus of management models used by service providers in developed countries since the 1980s. Notable among these are the total quality management (TQM) and new public management (NPM) approaches (Mwita, 2000). These consumer-oriented models approach public service quality from the perspectives of the technical professional, the manager, and the client (Ovretveit, 1992; Curry & Herbert, 1998; Kadir, Abdullah, & Agus, 2000). Similarly, Joss & Kogan (1995) distinguish among technical, systemic, and generic (or interpersonal) aspects of quality, while Grönroos (1982) distinguishes technical from functional quality, the latter having to do with the way services are offered and received. Underlying these approaches is the idea that an essential part of public service quality is clients' evaluation of the level of service received, which is often founded on perceptions formed during service encounters (Parasuraman, Zeithaml, & Berry, 1988; Bitner, Booms, & Tetreault, 1990; Johnston, 1995). Recent Afrobarometer survey data from Ghana shows widespread public dissatisfaction with public services. The survey did not ask specifically about service quality, but analysis of the data points to the importance of service quality in citizens’ negative evaluations of government service delivery performance. This paper examines the hypothesis that the quality of public services is an intrinsic factor – and therefore an important indicator to monitor – in Ghanaians’ assessment of government service-delivery performance.
Topic:
Infrastructure, Governance, Leadership, Social Services, and Public Service
Political Geography:
Africa and Ghana