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You Just Have to Ask Coproduction of Primary Healthcare in Ghana and Nigeria

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Abstract

The urgent need to improve the quality of healthcare provision in developing countries such as Nigeria and Ghana is caused in part by inadequate financial support for Primary Health Centres. This article investigates whether coproduction by involving citizens, and asking citizens for their involvement, could provide a solution. The findings show that part of the solution to improving healthcare outcomes in these countries lies in the practice of collective coproduction in primary healthcare services, and that asking citizens directly to make a contribution does indeed play a role. The outcomes are based on a survey among the populations and in-depth interviews with healthcare professionals in Ghana and Nigeria.

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Authors and Affiliations

  1. School of Public Management and Administration (SPMA), Faculty of Economic and Management Sciences, University of Pretoria, EMS Building, room 3-109, Private Bag X20, Pretoria, 0028, South Africa

    Mary S. Mangai

  2. Public Administration Department, Radboud University, Nijmegen, The Netherlands

    Michiel S. De Vries

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  1. Mary S. Mangai
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  2. Michiel S. De Vries
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Correspondence to Mary S. Mangai.

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Mangai, M.S., De Vries, M.S. You Just Have to Ask Coproduction of Primary Healthcare in Ghana and Nigeria. Public Organiz Rev 19, 273–291 (2019). https://doi.org/10.1007/s11115-018-0420-z

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  • DOI: https://doi.org/10.1007/s11115-018-0420-z

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