Exemption policy as it affects pregnant women in St Mary’s Hospital, Jaman District, Ghana

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The exemption policy is meant to improve financial access to health care and utilization of health services. However, the achievement of this objective continues to be in doubt as the target beneficiaries find it difficult to access the exemption funds. The study examined the implementation of the exemption policy as it affects the pregnant woman in the Drobo St Mary’s Hospital The study was descriptive with a cross sectional design. Data was collected at one point in time. Qualitative and quantitative methods were used Questionnaire and personal interviews were used to collect data. A sample size of one hundred and rhnetys1x (196) was chosen. This was made up of Five (5) Hospital Management Team members, (41) Hospital staff and one hundred and fifty 150) pregnant women. Systematic random sampling technique was used to select the pregnant women while purposive sampling technique was used for the selection of Hospital Management Team and Hospital Staff. Out of one hundred and n1netys1x only one of the management team members failed to respond to the questions. The study revealed that most (98%) of the’ potential beneficiaries had not benefited from the exemption policy at St Mary’s Hospital for the past three years largely due to lack of reimbursement and ignorance resulting from inadequate public education on the policy. The study therefore recommended that Hospital Management Team and staff should extend exemption to cover CAN and sick pregnant women. This should be done during ANC attendance and beneficiaries should be totally exemption from all bills. The Health Exemption Committee should reimburse the amount spent on the exemptions to the providing health institution. This should be done on quarterly basis. The total bill together with the total attendance should be presented to the committees by the providing institutions
A thesis submitted to the Department of Community Health, College of Health Sciences in partial fulfilment of the requirements for the degree of Master of Science, 2005