Evaluation of the Management Practices in the Healthcare Delivery System of Ghana: A Case Study of KNUST Hospital, Kumasi

Management Practices in the Healthcare Delivery System of Ghana


  • Isaac Yevu Kwame Nkrumah University of Science and Technology (KNUST)
  • Edward Brenya Kwame Nkrumah University of Science and Technology (KNUST)
  • Samuel Adu-Gyamfi Kwame Nkrumah University of Science and Technology
  • Benjamin Darkwa Dompreh Kwame Nkrumah University of Science and Technology (KNUST)
  • Lucky Tomdi Kwame Nkrumah University of Science and Technology (KNUST)


Healthcare, Hospital Management, Managers, KNUST Hospital, Ghana


Healthcare delivery issues are managerial though they are sometimes tied to national policies. There is therefore the call for effective management practices in healthcare facilities. However, there is no specific management training system for doctors and other staff who become chief executive officers of these facilities. This paper evaluates the management practices of healthcare delivery of the KNUST Hospital and the implication of these practices on quality healthcare delivery. Using a population of 265 health staff and 125 patients who have spent a minimum of 24 hrs in the hospital, the authors used a purposive and simple random sampling to ascertain the significant relationship between healthcare management practices and healthcare delivery systems. The outcome of the study was determined by evaluating responses from our structured questionnaire on the management practices of healthcare delivery in KNUST Hospital. There was a strong association between maternity and child health, and drugs and vaccines. Similarly, we found the association between environmental health and counselling services to be strong. Healthcare management practices and healthcare delivery were positively and significantly related. Shortage of health care professionals, service quality and length of time before seeing the doctor were challenges to efficient management practices. The study recommends that there should be proper training schemes for management. In addition, management of the hospital should undertake outreach programmes in the communities to sensitize the people on the negative effects of self-medication and superstition in the management of health care delivery in the hospital.


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