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Non-inclusion of certified herbal medicines in the National Health Insurance Scheme affects patient utilization of the integrated herbal medicine services in Ghana

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Traditional Medicine Research 2022年第4期7卷 75-80页

作者： Anthony nketia.Emmanuel Nakua Andrews William Tetteh kwesi P.Thomford kwame O.boadu Ama k.Thomford Department of Health Promotion Education and Disability StudiesSchool of Public HealthKwame Nkrumah University of Science and TechnologyKumasiGhana Department of Epidemiology and Biostatistics School of Public HealthKwame Nkrumah University of Science and TechnologyKumasiGhana Department of Pharmacognosy and Herbal Medicine University of Cape CoastKumasiGhana Department of Maternal and Child Health Kumasi South HospitalKumasiGhana Department of Biomedical Sciences University of Cape CoastKumasiGhana

Background:In 2011,Ghana piloted the integration of herbal medicine services into mainstream health care delivery in selected government hospitals across the *** date,however,no single certified herbal drug is generally covered by the national health insurance *** study evaluated the implications of out-of-pocket payment for prescriptions on the patronage of herbal medicine units in 3 selected government hospitals within kumasi ***:A cross-sectional study on 413 participants was performed using a semi-structured ***:The majority of study respondents were female(54%),and the median age was 35 *** participants(83.1%)were aware that herbal medicine was integrated in the mainstream health care system of the *** the costs of certified herbal drugs,51.5%of respondents considered them very expensive;72.1%of the respondents believed that the costs of certified herbal drugs adversely affected the utilization of herbal units at government hospitals,which produced a positive correlation(r=0.5498).A total of 99.5%of the respondents recommended the inclusion of certified herbal drugs on the national health insurance drug ***:This study revealed that the costs of certified herbal medicines negatively affect utilization of herbal units at government *** improve the utilization of herbal units,certified herbal drugs dispensed at these units must thus be included in the national health insurance drug list.

关键词： omplementary and alternative medicines herbal medicine primary healthcare universal health coverage

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非洲音乐

非洲音乐

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作者： J.H.克瓦本纳·恩凯蒂亚(J.H.k. nketia.

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非洲音乐第1版

非洲音乐

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1982年

作者：（加纳）J.H. 克瓦本纳·恩凯蒂亚（J.H.k. nketia. 汤亚汀译

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Land Suitability Assessment and Landuse Planning： A Prerequisite for Food Security and Climate Change Adaptation

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Journal of Agricultural Science and Technology(A) 2014年第8期4卷 650-656页

作者： kwabena Abrefa nketia.yeboah Edward Asamoah Eric Forkuo kwabena Eric Senayah James Soil Research Institute Council for Scientific and Industrial Research Kwadaso Kumasi Ghana Geomatic Engineering Department Kwame Nkrumah University of Science and Technology Kumasi Ghana

Though Ghana"s crop yield growth rate was at 17%, 5% of every 1.2 million Ghanaians have insufficient and limited access to nutritious food. Climate change and climate variability have enormously affected the state of agricultural productivity and hence could result in food insecurity. As many ongoing projects use Boolean suitability analysis, land use planning, management recommendations sores, it still remains inadequate to support rural resource poor farmers. This then, is affecting livelihood and agricultural productivity. In this paper, a geostatistical quantitative method to support a geographic information system (GIS) based on multi-criteria decision support system (GMCDSS) for an enhanced land suitability assessment (LSA) and landuse planning (LP) was devised. Project findings indicated that, recommended farm inputs could be estimated and applied accordingly at farm plot levels. Soil amendment indicators (e. g., 1.0 t/ha lime + 1.0 t/ha gypsum was estimated for liming) was quantified and currently, farmers can save money in soil fertility management. It has shown that, instead of applying 5.0 t/ha poultry manure (PM) or five bags of N-P-k fertilizer (rate of 15:15:15 N-P2O5-k2O/ha) + two bags of sulphate of ammonia (SA), a farmer may apply 2.0 t/ha PM + two bags 15:15:15 N-P2O5-k2O/ha + one bag of SA. GMCDSS assessment has proved to be fundamental in: (1) urban planning; (2) ensuring food security; (3) poverty reduction and interventions to the effects of climate change and climate variability.

关键词：土地适宜性评价土地利用规划气候变化粮食安全农业生产力地理信息系统决策支持系统 NPk复合肥

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