“We charge them; otherwise we cannot run the hospital”. Front line workers, clients and health financing policy implementation gaps in Ghana

Agyepong & Nagai

http://www.ncbi.nlm.nih.gov/pubmed/21071106

Reviewed by Bruno Marchal

Using the theoretical framework of street-level bureaucracy theory and methods that include document review, analysis of routine data on utilisation, in-depth interviews with facility managers, focus group discussion with household heads, and a household survey, this study explores how in Ghana, the user fee exemption policy and health insurance policy was actually implemented, and to which effect.