Case Study—Co-Production of Secondary Health Services in Nigeria and Ghana

Mary Mangai
  • Taylor & Francis
  • DOI: 10.4324/9781315204956-24

Coproduction of secondary healthcare in Africa

What is it about?

This article examines the drivers of coproduction in urban hospitals in developing countries. Inadequate funding and the shortage of positions for qualified health personnel is driving health managers and unemployed health professionals to coproduce core health services.

Why is it important?

Coproduction provides common ground for health managers and unemployed health professionals to solve their problems and, in this sense, it improves health services and outcomes.


Mary Mangai
University of Pretoria

Whereas coproduction and co-creation of core health services are evident in urban hospitals in Africa, the health system remains unfair to the casual workers who have invested their accumulated human capital into a system that cannot provide them with enough to earn a living. The system exposes casual health workers to an insecure future.

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The following have contributed to this page: Mary Mangai