Reference Citation Analysis: Find an Article, Find a Category, Find a Journal, Find a Scholar

Download

Total Articles

11
(from Reference Citation Analysis)

Article PDFs (6)

Cited by > 0 (9)

Searched Name

Daniel Ankrah

Ranked By

Results Analysis

Year Published Analysis
Article Type Analysis
Publication Title Analysis
Category Analysis

Results Analysis

Indexed Articles

Year Published

Show more Refine

Article Type

Show more Refine

Article Statistics

Refine

MESH Headings

Show more Refine

First Author

Show more Refine

First Author Affiliations

Show more Refine

Authors

Show more Refine

Publication Titles

Show more Refine

Grant Agencies

Show more Refine

Countries/Regions

Show more Refine

Affiliations

Show more Refine

Corresponding Author Affiliations

Show more Refine

Category

Show more Refine

Number

Citation Analysis

Ofei-Palm CNK, Gbadago D, Tetteh R, Koduah A, Ankrah D, Buabeng KO. Advanced pharmacy practice of a doctor of pharmacy student at an allied surgical ward in a hospital in Africa. Heliyon 2023;9:e17064. [PMID: 37342576 PMCID: PMC10277583 DOI: 10.1016/j.heliyon.2023.e17064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 06/01/2023] [Accepted: 06/06/2023] [Indexed: 06/23/2023] Open

Harrison MA, Marfo AFA, Buabeng KO, Annan A, Nelson F, Boateng DP, Nkansah FA, Owusu Aboagye G, Ankrah D. Blood pressure—lowering medication prescribing, its adherence to guidelines and relationship with blood pressure control at a family medicine department. Health Sci Rep 2023;6:e1185. [PMID: 37021012 PMCID: PMC10069237 DOI: 10.1002/hsr2.1185] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Revised: 03/06/2023] [Accepted: 03/13/2023] [Indexed: 04/05/2023] Open

Abstract

Background

In many resource‐constrained countries, control of blood pressure (BP) is low. Antihypertensive drug prescribing practices may influence BP control. However, adherence of prescribing to treatment guidelines may not be optimal in resource‐constrained settings. The aim of this study was to evaluate the pattern of blood pressure‐lowering medication prescribing, and how it adheres to treatment guidelines, and to identify the relationship between medication prescriptions and BP control.

Methods

It was a cross‐sectional study of hypertensive outpatients at the Korle Bu Teaching Hospital (KBTH) Family Medicine department (FMD)/Polyclinic. Data was collected with a validated structured form. Adherence of “prescribing” to recommendations of the 2017 Standard Treatment Guidelines of Ghana and 2018 European Society of Cardiology guidelines was assessed using a composite measure. We analyzed data with SPSS.

Results

About 81% (247/304) of patients received two or more antihypertensive drugs. Most patients (41%; 267/651) received calcium channel blockers (CCB), and 21.8% (142/651), 15.7% (102/651) and 12.7% (83/651) were on diuretics, angiotensin‐receptor blockers (ARBs) and angiotensin converting enzyme (ACE) inhibitors respectively. CCB plus RAS inhibitor (50%) was the most prescribed two‐drug combination. Number of BP drugs per patient had a statistically significant inverse relationship with BP control (beta Coefficient = –0.402; 95% Cl: 1.252–2.470; p = 0.015). The composite adherence score was 0.73 (moderate adherence) but Single‐pill combination (SPC) was poor (3.2%; n = 8).

Conclusion

Most patients received multiple‐pill combination treatment, and overall adherence to guidelines was suboptimal, largely owing to complex drug therapy. Number of drugs predicted BP control. Our findings suggest a need to prioritize simplified treatment, and implement other strategies to improve hypertension guideline adherence. Further research on the influence of SPC on BP control may inform future hypertension guidelines in Ghana and elsewhere in Africa.

Collapse

Owusu H, Thekkur P, Ashubwe-Jalemba J, Hedidor GK, Corquaye O, Aggor A, Steele-Dadzie A, Ankrah D. Compliance to Guidelines in Prescribing Empirical Antibiotics for Individuals with Uncomplicated Urinary Tract Infection in a Primary Health Facility of Ghana, 2019-2021. Int J Environ Res Public Health 2022;19:12413. [PMID: 36231716 PMCID: PMC9566282 DOI: 10.3390/ijerph191912413] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 08/26/2022] [Accepted: 08/27/2022] [Indexed: 06/16/2023]

Ankrah D, Owusu H, Aggor A, Osei A, Ampomah A, Harrison M, Nelson F, Aboagye GO, Ekpale P, Laryea J, Selby J, Amoah S, Lartey L, Addison O, Bruce E, Mahungu J, Mirfenderesky M. Point Prevalence Survey of Antimicrobial Utilization in Ghana's Premier Hospital: Implications for Antimicrobial Stewardship. Antibiotics (Basel) 2021;10:antibiotics10121528. [PMID: 34943740 PMCID: PMC8698913 DOI: 10.3390/antibiotics10121528] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 12/08/2021] [Accepted: 12/08/2021] [Indexed: 12/19/2022] Open

Affiliation(s)

Daniel Ankrah Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.) Correspondence:
Helena Owusu Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Asiwome Aggor Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Anthony Osei Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Agneta Ampomah Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Mark Harrison Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Frempomaa Nelson Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Grace Owusu Aboagye Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Priscilla Ekpale Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Jennifer Laryea Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Julia Selby Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Serwaa Amoah Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Linda Lartey Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Okaikor Addison Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Elizabeth Bruce Korle-Bu Teaching Hospital, Accra GA-221-1570, Ghana; (H.O.); (A.A.); (A.O.); (A.A.); (M.H.); (F.N.); (G.O.A.); (P.E.); (J.L.); (J.S.); (S.A.); (L.L.); (O.A.); (E.B.)
Joyce Mahungu North Middlesex University Hospital NHS Trust, London N18 1QX, UK; (J.M.); (M.M.)
Mariyam Mirfenderesky North Middlesex University Hospital NHS Trust, London N18 1QX, UK; (J.M.); (M.M.)

Collapse

D’Arcy N, Ashiru-Oredope D, Olaoye O, Afriyie D, Akello Z, Ankrah D, Asima DM, Banda DC, Barrett S, Brandish C, Brayson J, Benedict P, Dodoo CC, Garraghan F, Hoyelah J, Jani Y, Kitutu FE, Kizito IM, Labi AK, Mirfenderesky M, Murdan S, Murray C, Obeng-Nkrumah N, Olum WJ, Opintan JA, Panford-Quainoo E, Pauwels I, Sefah I, Sneddon J, St. Clair Jones A, Versporten A. Antibiotic Prescribing Patterns in Ghana, Uganda, Zambia and Tanzania Hospitals: Results from the Global Point Prevalence Survey (G-PPS) on Antimicrobial Use and Stewardship Interventions Implemented. Antibiotics (Basel) 2021;10:antibiotics10091122. [PMID: 34572704 PMCID: PMC8469030 DOI: 10.3390/antibiotics10091122] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 09/03/2021] [Accepted: 09/13/2021] [Indexed: 11/19/2022] Open

Affiliation(s)

Nikki D’Arcy Commonwealth Partnerships Programme on Antimicrobial Stewardship, Commonwealth Pharmacists Association, London E1W 1AW, UK; (N.D.); (O.O.)
Diane Ashiru-Oredope Commonwealth Partnerships Programme on Antimicrobial Stewardship, Commonwealth Pharmacists Association, London E1W 1AW, UK; (N.D.); (O.O.) Correspondence: or
Omotayo Olaoye Commonwealth Partnerships Programme on Antimicrobial Stewardship, Commonwealth Pharmacists Association, London E1W 1AW, UK; (N.D.); (O.O.)
Daniel Afriyie Pharmacy Department, Ghana Police Hospital, Accra P.O. Box CT104, Ghana;
Zainab Akello Laro Division, Gulu Regional Referral Hospital, Gulu P.O. Box 166, Uganda;
Daniel Ankrah Korle-Bu Teaching Hospital, Accra P.O. Box 77, Ghana;
Derrick Mawuena Asima LEKMA Hospital, P.M. B Teshie, Nungua, Accra P.O. Box CT104, Ghana;
David C. Banda Department of Pharmacy, University Teaching Hospital, Lusaka P.O. Box 50001, Zambia;
Scott Barrett Pharmacy Department, North Tyneside Hospital, Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields NE29 8NH, UK; (S.B.); (J.B.)
Claire Brandish Buckinghamshire Healthcare NHS Trust, Amersham HP7 0JD, UK;
Joseph Brayson Pharmacy Department, North Tyneside Hospital, Northumbria Healthcare NHS Foundation Trust, Rake Lane, North Shields NE29 8NH, UK; (S.B.); (J.B.)
Peter Benedict Kilimanjaro Christian Medical Centre, Moshi P.O. Box 3010, Tanzania;
Cornelius C. Dodoo School of Pharmacy, University of Health and Allied Sciences, PMB 31, Ho, Ghana;
Frances Garraghan Manchester University NHS Foundation Trust, Oxford Road, Manchester M13 9WL, UK;
Josephyn Hoyelah St. Mary’s Hospital Lacor, Gulu P.O. Box 180, Uganda;
Yogini Jani Centre for Medicines Optimisation Research and Education, University College London Hospitals NHS Foundation Trust, 250 Euston Road, London NW1 2PG, UK;
Freddy Eric Kitutu Sustainable Pharmaceutical Systems (SPS) Unit, Pharmacy Department, School of Health Sciences, Makerere University, Kampala P.O. Box 7062, Uganda;
Ismail Musoke Kizito Entebbe Regional Referral Hospital, Entebbe P.O. Box 29, Uganda;
Appiah-Korang Labi Medical Microbiology Department, University of Ghana Medical School, Accra P.O. Box GP 4236, Ghana; (A.-K.L.); (J.A.O.)
Mariyam Mirfenderesky North Middlesex University Hospital NHS Trust, London N18 1QX, UK;
Sudaxshina Murdan UCL School of Pharmacy, University College London, 29-39 Brunswick Square, London WC1N 1AX, UK;
Caoimhe Murray St. Francis Hospital, Katete Private Bag 11, Zambia;
Noah Obeng-Nkrumah Department of Medical Laboratory Sciences, University of Ghana School of Biomedical and Allied Health Sciences, Accra P.O. Box LG 25, Ghana;
William J’Pathim Olum Jinja Regional Referral Hospital, Jinja P.O. Box 43, Uganda;
Japheth Awuletey Opintan Medical Microbiology Department, University of Ghana Medical School, Accra P.O. Box GP 4236, Ghana; (A.-K.L.); (J.A.O.)
Edwin Panford-Quainoo Liverpool School of Tropical Medicine, Liverpool L3 5QA, UK;
Ines Pauwels Laboratory of Medical Microbiology, Vaccine & Infectious Disease Institute (VAXINFECTIO), Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; (I.P.); (A.V.)
Israel Sefah Department of Pharmacy, Keta Municipal Hospital, Keta-Dzelukope P.O. Box WT82, Ghana;
Jacqueline Sneddon Scottish Antimicrobial Prescribing Group, Healthcare Improvement Scotland, Delta House, 50 West Nile Street, Glasgow G1 2NP, UK;
Anja St. Clair Jones Brighton and Sussex University Hospitals NHS Trust, Brighton BN1 9PX, UK;
Ann Versporten Laboratory of Medical Microbiology, Vaccine & Infectious Disease Institute (VAXINFECTIO), Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium; (I.P.); (A.V.)

Collapse

Ofei-Palm CNK, Tagoe NN, Jatoe D, Agyare A, Ankrah D. Cost Analysis and Rational Use of Anti-Glaucoma Therapy in a Tertiary Hospital in Ghana. Clinicoecon Outcomes Res 2021;13:619-627. [PMID: 34239312 PMCID: PMC8259729 DOI: 10.2147/ceor.s311058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Accepted: 05/28/2021] [Indexed: 11/23/2022] Open

Kerr F, Sefah IA, Essah DO, Cockburn A, Afriyie D, Mahungu J, Mirfenderesky M, Ankrah D, Aggor A, Barrett S, Brayson J, Muro E, Benedict P, Santos R, Kanturegye R, Onegwa R, Sekikubo M, Rees F, Banda D, Kalungia AC, Alutuli L, Chikatula E, Ashiru-Oredope D. Practical Pharmacist-Led Interventions to Improve Antimicrobial Stewardship in Ghana, Tanzania, Uganda and Zambia. Pharmacy (Basel) 2021;9:pharmacy9030124. [PMID: 34287350 PMCID: PMC8293468 DOI: 10.3390/pharmacy9030124] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 06/23/2021] [Accepted: 06/25/2021] [Indexed: 12/27/2022] Open

Affiliation(s)

Frances Kerr Pharmacy, NHS Lanarkshire C/O Monklands Hospital, Airdrie ML6 0JS, UK;
Israel Abebrese Sefah Pharmacy Department, Keta Municipal Hospital, Keta P.O. Box WT 82, Ghana; (I.A.S.); (D.O.E.)
Darius Obeng Essah Pharmacy Department, Keta Municipal Hospital, Keta P.O. Box WT 82, Ghana; (I.A.S.); (D.O.E.)
Alison Cockburn Pharmacy, NHS Lothian, Edinburgh EH1 3EG, UK;
Daniel Afriyie Pharmacy Department, Ghana Police Hospital, Accra P.O. Box CT104, Ghana;
Joyce Mahungu Pharmacy, North Middlesex University Hospital NHS Trust (NMUH), London N18 1QX, UK;
Mariyam Mirfenderesky Microbiology, North Middlesex University Hospital NHS Trust (NMUH), London N18 1QX, UK;
Daniel Ankrah Pharmacy Department, Korle-Bu Teaching Hospital (KBTH), Accra P.O. Box 77, Ghana; (D.A.); (A.A.)
Asiwome Aggor Pharmacy Department, Korle-Bu Teaching Hospital (KBTH), Accra P.O. Box 77, Ghana; (D.A.); (A.A.)
Scott Barrett Pharmacy, Northumbria Healthcare NHS Foundation Trust, North Shields NE29 8NH, UK; (S.B.); (J.B.)
Joseph Brayson Pharmacy, Northumbria Healthcare NHS Foundation Trust, North Shields NE29 8NH, UK; (S.B.); (J.B.)
Eva Muro Pharmacy Department, Kilimanjaro Christian Medical Centre (KCMC), Moshi P.O. Box 3010, Tanzania; (E.M.); (P.B.)
Peter Benedict Pharmacy Department, Kilimanjaro Christian Medical Centre (KCMC), Moshi P.O. Box 3010, Tanzania; (E.M.); (P.B.)
Reem Santos Pharmacy, Cambridge University Hospitals (CUH), NHS Foundation Trust, Cambridge CB2 0QQ, UK;
Rose Kanturegye Pharmacy Department, Mulago Specialised Women and Neonatal Hospital Kawempe Hospital, Kampala P.O. Box 22081, Uganda; (R.K.); (R.O.)
Ronald Onegwa Pharmacy Department, Mulago Specialised Women and Neonatal Hospital Kawempe Hospital, Kampala P.O. Box 22081, Uganda; (R.K.); (R.O.)
Musa Sekikubo Department of Obstetrics and Gynaecology, Makerere University and Mulago National Referral Hospital, Kampala P.O. Box 22081, Uganda;
Fiona Rees Pharmacy, Brighton and Sussex University Hospitals NHS Trust (BSUH), Brighton, BN2 5BE, UK;
David Banda Pharmacy Department, University Teaching Hospital (UTH), Lusaka P/Bag RW 1X, Zambia; (D.B.); (A.C.K.); (L.A.); (E.C.)
Aubrey Chichonyi Kalungia Pharmacy Department, University Teaching Hospital (UTH), Lusaka P/Bag RW 1X, Zambia; (D.B.); (A.C.K.); (L.A.); (E.C.) Department of Pharmacy, University of Zambia, Lusaka P.O. Box 50110, Zambia
Luke Alutuli Pharmacy Department, University Teaching Hospital (UTH), Lusaka P/Bag RW 1X, Zambia; (D.B.); (A.C.K.); (L.A.); (E.C.)
Enock Chikatula Pharmacy Department, University Teaching Hospital (UTH), Lusaka P/Bag RW 1X, Zambia; (D.B.); (A.C.K.); (L.A.); (E.C.)
Diane Ashiru-Oredope Commonwealth Pharmacy Association (CPA), London E1W 1AW, UK Correspondence:

Collapse

Donneyong MM, Chang TJ, Pottegård A, Ankrah D, Asenso-Boadi F, Addo-Cobbiah V, Dsane-Selby L, Hallas J. Prevalence and quality of antihypertensive therapy among hypertension patients enrolled in the Ghana National Health Insurance Scheme. Pharmacoepidemiol Drug Saf 2021;30:1566-1575. [PMID: 34038608 DOI: 10.1002/pds.5298] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Revised: 03/26/2021] [Accepted: 05/24/2021] [Indexed: 11/05/2022]

Salas M, Lopes LC, Godman B, Truter I, Hartzema AG, Wettermark B, Fadare J, Burger JR, Appenteng K, Donneyong M, Arias A, Ankrah D, Ogunleye OO, Lubbe M, Horne L, Bernet J, Gómez-Galicia DL, Del Carmen Garcia Estrada M, Oluka MN, Massele A, Alesso L, Herrera Comoglio R, da Costa Lima E, Vilaseca C, Bergman U. Challenges facing drug utilization research in the Latin American region. Pharmacoepidemiol Drug Saf 2020;29:1353-1363. [PMID: 32419226 DOI: 10.1002/pds.4989] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2019] [Revised: 12/20/2019] [Accepted: 02/03/2020] [Indexed: 02/04/2023]

Affiliation(s)

Maribel Salas Daiichi Sankyo, Inc, Basking Ridge, USA.,CCEB/CPeRT, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
Luciane C Lopes Pharmaceutical Science graduate Course, Universidade de Sorocaba UNISO, Sao Paulo, Brazil
Brian Godman Karolinska Institute, Stockholm, Sweden.,Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Gainesville, Glasgow, UK.,School of Pharmacy, Sefako Makgatho Health Sciences University, Garankuwa, South Africa
Ilse Truter Drug Utilization Research Unit (DURU), Department of Pharmacy, Nelson Mandela University, South Africa
Abraham G Hartzema College of Pharmacy, Gainesville, FL
Bjorn Wettermark Clinical epidemiology & Clinical pharmacology, Karolinska Institutet, Stockholm, Sweden.,Department of Pharmacy, Disciplinary Domain of Medicine and Pharmacy, Uppsala University
Joseph Fadare Department of Pharmacology and Therapeutics, Ekiti State University College of Medicine, Ado-Ekiti, Nigeria
Johanita R Burger Medicine Usage in South Africa (MUSA), North-West University, Potchefstroom, South Africa
Kwame Appenteng Department of Epidemiology, Astellas Pharma US, Northbrook, IL
Macarius Donneyong Pharmacy Practice and Science, College of Pharmacy, The Ohio State University, Columbus, Ohio
Ariel Arias Centre for Biologics Evaluation, Health Canada, Ottawa, ON and Faculty of Pharmacy, Université de Montréal, Montreal, QC, Canada
Daniel Ankrah Korle-Bu Teaching Hospital, Accra, Ghana
Olayinka O Ogunleye Department of Pharmacology, Therapeutics and Toxicology, Lagos State University College of Medicine, Ikeja, Lagos, Nigeria
Martha Lubbe Medicine Usage in South Africa (MUSA), North-West University, Potchefstroom, South Africa
Laura Horne Department of Epidemiology, Daiichi Sankyo, Inc, Basking Ridge, NJ
Jorgelina Bernet School of Medicine, Cordoba National University, Cordoba, Argentina
Diana L Gómez-Galicia Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Cuernavaca, México
Miriam Del Carmen Garcia Estrada Facultad de Ciencias Medicas, Universidad de San Carlos de Guatemala, Guatemala, Guatemala
Margaret N Oluka School of Pharmacy, University of Nairobi, Nairobi, Kenya
Amos Massele Faculty of Medicine, University of Botswana, Gaborone, Botswana
Luis Alesso School of Medicine, Cordoba National University, Cordoba, Argentina
Raquel Herrera Comoglio School of Medicine, Cordoba National University, Cordoba, Argentina
Elisangela da Costa Lima Observatorio de Vigilancia e Uso de Medicamentos, Faculdade de Farmácia, Universidade Federal do Rio de Janeiro, Cidade Universitária, Rio de Janeiro, RJ
Carmen Vilaseca Colegio de Bioquimica y Farmacia, La Paz, Bolivia, Plurinational State
Ulf Bergman Departments of Clinical Pharmacology and Pharmacoepidemiology, Karolinska Institutet, Karolinska University Hospital, Huddinge

Collapse

Ankrah D, Hallas J, Odei J, Asenso-Boadi F, Dsane-Selby L, Donneyong M. A review of the Ghana National Health Insurance Scheme claims database: possibilities and limits for drug utilization research. Basic Clin Pharmacol Toxicol 2018;124:18-27. [PMID: 30260590 DOI: 10.1111/bcpt.13136] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 09/18/2018] [Indexed: 12/01/2022]

Abstract

BACKGROUND

There are inadequate data on prescribed drug utilization in Sub-Saharan Africa (SSA). Drug utilization research (DUR) in this region is hampered by lack of access to databases that capture prescribed drug utilization such as health insurance claims, electronic medical records and disease registries. The primary objective of this MiniReview was to describe the content of the NHIS claims database in the context of the health care system in Ghana. We will also review the possibilities and limitations of analysing this novel database for drug utilization research (DUR) in Ghana.

METHODS

We reviewed the history, composition of the database, coverage and health systems in Ghana. To demonstrate the application of the NHIS claims database for DUR, we reviewed the NHIS' drug formulary (NHIS medicines' list), assessed and quantified the utilization of the top 25 most commonly prescribed medicines and their distributions by age, sex, region of residence and by MDCs.

RESULTS

As of December 2014, about 40% (~10.5 million) of the Ghanaian population were active beneficiaries of NHIS. There were 1.43 million unique patients in the NHIS claims database who received services from about 81 providers located in 9 out of the 10 regions in Ghana. The mean age of this sample of beneficiaries was 31 (standard deviation, 22) years, a third of whom were aged <18 years old. Nearly, 2 out of every 3 beneficiaries were females. On average, there were approximately 3 outpatient visits per beneficiary in 2015. There were about 522 unique drugs on the NHIS medicine list. Overall, analgesic was the most prescribed class of medicine (mostly paracetamol and diclofenac). Antimalarials, artemether-lumefantrine, were observed as the second most prescribed medicines followed by anti-infectives (metronidazole) and antihypertensives (amlodipine).

CONCLUSION

The Ghana NHIS claims database is a great resource for DUR. This database could also be extended to facilitate pharmacoepidemiological and other health services' research especially if transformed into one of the existing standardized common data models.

Collapse

Agyepong IA, Aryeetey GC, Nonvignon J, Asenso-Boadi F, Dzikunu H, Antwi E, Ankrah D, Adjei-Acquah C, Esena R, Aikins M, Arhinful DK. Advancing the application of systems thinking in health: provider payment and service supply behaviour and incentives in the Ghana National Health Insurance Scheme--a systems approach. Health Res Policy Syst 2014;12:35. [PMID: 25096303 PMCID: PMC4142471 DOI: 10.1186/1478-4505-12-35] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2014] [Accepted: 06/23/2014] [Indexed: 11/28/2022] Open

Abstract

BACKGROUND

Assuring equitable universal access to essential health services without exposure to undue financial hardship requires adequate resource mobilization, efficient use of resources, and attention to quality and responsiveness of services. The way providers are paid is a critical part of this process because it can create incentives and patterns of behaviour related to supply. The objective of this work was to describe provider behaviour related to supply of health services to insured clients in Ghana and the influence of provider payment methods on incentives and behaviour.

METHODS

A mixed methods study involving grey and published literature reviews, as well as health management information system and primary data collection and analysis was used. Primary data collection involved in-depth interviews, observations of time spent obtaining service, prescription analysis, and exit interviews with clients. Qualitative data was analysed manually to draw out themes, commonalities, and contrasts. Quantitative data was analysed in Excel and Stata. Causal loop and cause tree diagrams were used to develop a qualitative explanatory model of provider supply incentives and behaviour related to payment method in context.

RESULTS

There are multiple provider payment methods in the Ghanaian health system. National Health Insurance provider payment methods are the most recent additions. At the time of the study, the methods used nationwide were the Ghana Diagnostic Related Groupings payment for services and an itemized and standardized fee schedule for medicines. The influence of provider payment method on supply behaviour was sometimes intuitive and sometimes counter intuitive. It appeared to be related to context and the interaction of the methods with context and each other rather than linearly to any given method.

CONCLUSIONS

As countries work towards Universal Health Coverage, there is a need to holistically design, implement, and manage provider payment methods reforms from systems rather than linear perspectives, since the latter fail to recognize the effects of context and the between-methods and context interactions in producing net effects.

Collapse