Baffoe-Bonnie Terrylyna, Ntow Samuel Kojo, Awuah-Werekoh Kwasi, Adomah-Afari Augustine
Department of Health Policy, Planning and Management, University of Ghana , Accra, Ghana.
Family Medicine, West African Rescue Association, Takoradi, Ghana.
Int J Prison Health. 2019 Dec 5;15(4):349-365. doi: 10.1108/IJPH-02-2019-0014. Epub 2019 Aug 16.
The purpose of this paper is to explore the influence of health system factors on access to a quality healthcare among prisoners in Ghana.
DESIGN/METHODOLOGY/APPROACH: Data were gathered using different qualitative methods (interviews and participant observation) with staff of the James Camp Prison, Accra. Findings were analyzed using a framework method for the thematic analysis of the semi-structured interview data; and interpreted with the theoretical perspective of health systems thinking and innovation.
The study concludes that health system factors such as inadequate funding for health services, lack of skilled personnel and a paucity of essential medical supplies and drugs negatively affected the quality of healthcare provided to inmates.
RESEARCH LIMITATIONS/IMPLICATIONS: The limited facilities available and the sample size (healthcare workers and prison administrators) impeded the achievement of varied views on the topic.
The paper recommends the need for health policy makers and authorities of the Ghana Prison Service to collaborate and coordinate in a unified way to undertake policy analysis in an effort to reform the prisons healthcare system.
The national health insurance scheme was found to be the financing option for prisoners' access to free healthcare with supplementation from the Ghana Prison Service. The study recommends that policy makers and healthcare stakeholders should understand and appreciate the reality that the provision of a quality healthcare for prisoners is part of the entire system of healthcare service delivery in Ghana and as such should be given the needed attention.
ORIGINALITY/VALUE: This is one of few studies conducted on male only prisoners/prison in the context of Ghana. It recommends the need for an integrated approach to ensure that the entire healthcare system achieves set objectives in response to the primary healthcare concept.
本文旨在探讨卫生系统因素对加纳囚犯获得优质医疗服务的影响。
设计/方法/途径：通过不同的定性方法（访谈和参与观察）收集了阿克拉詹姆斯营地监狱工作人员的数据。使用框架方法对半结构化访谈数据进行主题分析；并从卫生系统思维与创新的理论视角进行解读。
该研究得出结论，卫生系统因素，如卫生服务资金不足、缺乏技术人员以及基本医疗用品和药品匮乏，对提供给囚犯的医疗服务质量产生了负面影响。
研究局限性/影响：可用设施有限以及样本规模（医护人员和监狱管理人员）阻碍了就该主题获取不同观点。
本文建议加纳卫生政策制定者和监狱管理部门需要统一协作与协调，以进行政策分析，努力改革监狱医疗系统。
发现国家医疗保险计划是囚犯获得免费医疗服务的筹资选择，加纳监狱管理部门提供补充资金。该研究建议政策制定者和医疗利益相关者应理解并认识到为囚犯提供优质医疗服务是加纳整个医疗服务体系的一部分，因此应给予必要关注。
原创性/价值：这是在加纳背景下针对男性囚犯/监狱开展的为数不多的研究之一。它建议需要采取综合方法，以确保整个医疗系统实现既定目标，响应初级卫生保健理念。
