Participatory action approach for client-centered health insurance

Christine J. Fenenga, Edward Nketiah-Amponsah, Ajay Bailey, Inge Hutter

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

This methodological paper systematically describes the steps towards exploring client-perceived barriers to enroll in the National Health Insurance Scheme in Ghana. To respond to the stagnating enrollment rate and to provide evidence-based information for developing policy and practice, the request for this study was made by the insurance authority. We adopted a Participatory Action Approach (PAA) and employed a linked trajectory of qualitative and quantitative methods to inquire deeply into clients’ motives and assumptions, and the root causes of these barriers, while transferring learning among multiple stakeholders in the system: the client, the healthcare provider, and the insurer. Data were collected in 2011 and 2012 among clients in their local communities in two regions in Ghana. Clients were participants in the research, expressing and sharing their emic perspectives and commonly shared opinions with the other stakeholders. This paper explores the contribution of the PAA to healthcare and health insurance studies. We claim that the PAA is a necessary approach for the study of a complex situation such as the health insurance context in Ghana as well as for the facilitation of learning and democratic decision-making. Making multidisciplinary stakeholders, including clients, part of the research contributes to finding solutions that are acceptable to different stakeholders. Our study contributes to PAA methodology knowledge and provides new insights on combining qualitative and quantitative research methods. We propose this as a model to be used within action research that can also be applied in other contexts outside of Africa.

Original languageEnglish
Pages (from-to)392-410
Number of pages19
JournalAction Research
Volume13
Issue number4
DOIs
Publication statusPublished - 01-01-2015

Fingerprint

health insurance
stakeholder
Ghana
quantitative method
quantitative research
action research
qualitative method
insurance
learning
research method
Health insurance
qualitative research
decision making
cause
methodology
Stakeholders
community
evidence
Healthcare

All Science Journal Classification (ASJC) codes

  • Sociology and Political Science
  • Organizational Behavior and Human Resource Management
  • Strategy and Management

Cite this

Fenenga, Christine J. ; Nketiah-Amponsah, Edward ; Bailey, Ajay ; Hutter, Inge. / Participatory action approach for client-centered health insurance. In: Action Research. 2015 ; Vol. 13, No. 4. pp. 392-410.
@article{2af51cb768514b349185372678b8aa69,
title = "Participatory action approach for client-centered health insurance",
abstract = "This methodological paper systematically describes the steps towards exploring client-perceived barriers to enroll in the National Health Insurance Scheme in Ghana. To respond to the stagnating enrollment rate and to provide evidence-based information for developing policy and practice, the request for this study was made by the insurance authority. We adopted a Participatory Action Approach (PAA) and employed a linked trajectory of qualitative and quantitative methods to inquire deeply into clients’ motives and assumptions, and the root causes of these barriers, while transferring learning among multiple stakeholders in the system: the client, the healthcare provider, and the insurer. Data were collected in 2011 and 2012 among clients in their local communities in two regions in Ghana. Clients were participants in the research, expressing and sharing their emic perspectives and commonly shared opinions with the other stakeholders. This paper explores the contribution of the PAA to healthcare and health insurance studies. We claim that the PAA is a necessary approach for the study of a complex situation such as the health insurance context in Ghana as well as for the facilitation of learning and democratic decision-making. Making multidisciplinary stakeholders, including clients, part of the research contributes to finding solutions that are acceptable to different stakeholders. Our study contributes to PAA methodology knowledge and provides new insights on combining qualitative and quantitative research methods. We propose this as a model to be used within action research that can also be applied in other contexts outside of Africa.",
author = "Fenenga, {Christine J.} and Edward Nketiah-Amponsah and Ajay Bailey and Inge Hutter",
year = "2015",
month = "1",
day = "1",
doi = "10.1177/1476750314568209",
language = "English",
volume = "13",
pages = "392--410",
journal = "Action Research",
issn = "1476-7503",
publisher = "SAGE Publications Ltd",
number = "4",

}

Participatory action approach for client-centered health insurance. / Fenenga, Christine J.; Nketiah-Amponsah, Edward; Bailey, Ajay; Hutter, Inge.

In: Action Research, Vol. 13, No. 4, 01.01.2015, p. 392-410.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Participatory action approach for client-centered health insurance

AU - Fenenga, Christine J.

AU - Nketiah-Amponsah, Edward

AU - Bailey, Ajay

AU - Hutter, Inge

PY - 2015/1/1

Y1 - 2015/1/1

N2 - This methodological paper systematically describes the steps towards exploring client-perceived barriers to enroll in the National Health Insurance Scheme in Ghana. To respond to the stagnating enrollment rate and to provide evidence-based information for developing policy and practice, the request for this study was made by the insurance authority. We adopted a Participatory Action Approach (PAA) and employed a linked trajectory of qualitative and quantitative methods to inquire deeply into clients’ motives and assumptions, and the root causes of these barriers, while transferring learning among multiple stakeholders in the system: the client, the healthcare provider, and the insurer. Data were collected in 2011 and 2012 among clients in their local communities in two regions in Ghana. Clients were participants in the research, expressing and sharing their emic perspectives and commonly shared opinions with the other stakeholders. This paper explores the contribution of the PAA to healthcare and health insurance studies. We claim that the PAA is a necessary approach for the study of a complex situation such as the health insurance context in Ghana as well as for the facilitation of learning and democratic decision-making. Making multidisciplinary stakeholders, including clients, part of the research contributes to finding solutions that are acceptable to different stakeholders. Our study contributes to PAA methodology knowledge and provides new insights on combining qualitative and quantitative research methods. We propose this as a model to be used within action research that can also be applied in other contexts outside of Africa.

AB - This methodological paper systematically describes the steps towards exploring client-perceived barriers to enroll in the National Health Insurance Scheme in Ghana. To respond to the stagnating enrollment rate and to provide evidence-based information for developing policy and practice, the request for this study was made by the insurance authority. We adopted a Participatory Action Approach (PAA) and employed a linked trajectory of qualitative and quantitative methods to inquire deeply into clients’ motives and assumptions, and the root causes of these barriers, while transferring learning among multiple stakeholders in the system: the client, the healthcare provider, and the insurer. Data were collected in 2011 and 2012 among clients in their local communities in two regions in Ghana. Clients were participants in the research, expressing and sharing their emic perspectives and commonly shared opinions with the other stakeholders. This paper explores the contribution of the PAA to healthcare and health insurance studies. We claim that the PAA is a necessary approach for the study of a complex situation such as the health insurance context in Ghana as well as for the facilitation of learning and democratic decision-making. Making multidisciplinary stakeholders, including clients, part of the research contributes to finding solutions that are acceptable to different stakeholders. Our study contributes to PAA methodology knowledge and provides new insights on combining qualitative and quantitative research methods. We propose this as a model to be used within action research that can also be applied in other contexts outside of Africa.

UR - http://www.scopus.com/inward/record.url?scp=84946901796&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946901796&partnerID=8YFLogxK

U2 - 10.1177/1476750314568209

DO - 10.1177/1476750314568209

M3 - Article

VL - 13

SP - 392

EP - 410

JO - Action Research

JF - Action Research

SN - 1476-7503

IS - 4

ER -