Browsing by Author "Appiah, Isaac Kofi"

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    The management of cost recovery of non drugs consumables: the case of Ashanti Mampong Hospital
    (2000) Appiah, Isaac Kofi
    The District Health Administration, Sekyere West was disturbed about the relatively low cost recovery rate of Non Drug Consumables (N DC) items at the Mampong District Hospital. The objective therefore was to examine the management of NDC items in the hospital. This objective was met using review of primary and secondary data, direct observation and structured interview guide for staff (n40) purposively selected. The key findings were that: two cost recovery procedures in the hospital. The new one being a central store system which was initiated without the knowledge of the staff, resulting in poor staff attitude towards the new system, which was supposed to be an improvement over the old billing system with acknowledged deficiencies associated with it Additionally the Purchasing Committee was non-functional which was furthermore worsened because there was no reconciliation between revenue generated from NDC and its disbursement as it was put in a common pot, the disbursement of which could be used for everything. This was also worsened due to lack of effective management control mechanisms. Cumulatively these enumerated above factor contributed to low improvement in cost recovery irrespective of the new system introduced. It was therefore concluded that cost recovery of NDC items was still too low (51 %), and this could be improved by adopting one procedure for NDC cost recovery, making the purchasing committee functional and improving the internal control mechanism, ably supported by adequate staff training on NDC cost recovery to raise it to the recommended 80% cost recovery of NDC.