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An Integrative Review on Monitoring and Evaluation Strategies of Health Care Utilisation Among Older Adults in Ghana

Received: 24 August 2025     Accepted: 9 October 2025     Published: 12 November 2025
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Abstract

Effective healthcare utilisation is vital for the well-being of older adults. Ghana, with its growing elderly population, requires robust monitoring and evaluation (M&E) strategies to assess healthcare access and service utilisation. This study aimed to investigate monitoring and evaluation (M&E) strategies for healthcare utilisation among older adults in Ghana. An integrative review methodology was employed in this study, encompassing a five-stage process: problem identification, literature search, data evaluation, data analysis, and presentation of findings. The selected seven papers focusing on healthcare access and utilisation by Ghana's geriatrics were analysed. National policies such as the National Ageing Policy provide a framework for addressing the healthcare needs of older persons. The Ghana Health Service collects health data from routine service records and the District Health Information Management System (DHIMSII), which provides information on older persons' healthcare utilisation in Ghana. The National Health Insurance Scheme and Ghana Living Standard Survey provide some coverage for older persons and track their health access and consumption. Despite the prevalence of M&E techniques for elderly care, there are limitations, like DHIMSII data limits and the NHIS's inability to monitor unregistered individuals. Ghana implements various M&E strategies that are effective, but ongoing improvements are needed to fully address the healthcare needs of its ageing population.

Published in World Journal of Public Health (Volume 10, Issue 4)
DOI 10.11648/j.wjph.20251004.18
Page(s) 512-523
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Healthcare Utilisation, Geriatric Care, Monitoring and Evaluation Strategies, Older Adults, Review

References
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Cite This Article
  • APA Style

    Adusei, A. B., Bour, H., Afriyie, A., Tetteh, J. A., Botchie, S., et al. (2025). An Integrative Review on Monitoring and Evaluation Strategies of Health Care Utilisation Among Older Adults in Ghana. World Journal of Public Health, 10(4), 512-523. https://doi.org/10.11648/j.wjph.20251004.18

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    ACS Style

    Adusei, A. B.; Bour, H.; Afriyie, A.; Tetteh, J. A.; Botchie, S., et al. An Integrative Review on Monitoring and Evaluation Strategies of Health Care Utilisation Among Older Adults in Ghana. World J. Public Health 2025, 10(4), 512-523. doi: 10.11648/j.wjph.20251004.18

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    AMA Style

    Adusei AB, Bour H, Afriyie A, Tetteh JA, Botchie S, et al. An Integrative Review on Monitoring and Evaluation Strategies of Health Care Utilisation Among Older Adults in Ghana. World J Public Health. 2025;10(4):512-523. doi: 10.11648/j.wjph.20251004.18

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  • @article{10.11648/j.wjph.20251004.18,
      author = {Abena Boahemaa Adusei and Helen Bour and Augustine Afriyie and Jessica Ashiakie Tetteh and Sena Botchie and Lorraine Edinam Gakparah and Bright Gyamerah},
      title = {An Integrative Review on Monitoring and Evaluation Strategies of Health Care Utilisation Among Older Adults in Ghana
    },
      journal = {World Journal of Public Health},
      volume = {10},
      number = {4},
      pages = {512-523},
      doi = {10.11648/j.wjph.20251004.18},
      url = {https://doi.org/10.11648/j.wjph.20251004.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20251004.18},
      abstract = {Effective healthcare utilisation is vital for the well-being of older adults. Ghana, with its growing elderly population, requires robust monitoring and evaluation (M&E) strategies to assess healthcare access and service utilisation. This study aimed to investigate monitoring and evaluation (M&E) strategies for healthcare utilisation among older adults in Ghana. An integrative review methodology was employed in this study, encompassing a five-stage process: problem identification, literature search, data evaluation, data analysis, and presentation of findings. The selected seven papers focusing on healthcare access and utilisation by Ghana's geriatrics were analysed. National policies such as the National Ageing Policy provide a framework for addressing the healthcare needs of older persons. The Ghana Health Service collects health data from routine service records and the District Health Information Management System (DHIMSII), which provides information on older persons' healthcare utilisation in Ghana. The National Health Insurance Scheme and Ghana Living Standard Survey provide some coverage for older persons and track their health access and consumption. Despite the prevalence of M&E techniques for elderly care, there are limitations, like DHIMSII data limits and the NHIS's inability to monitor unregistered individuals. Ghana implements various M&E strategies that are effective, but ongoing improvements are needed to fully address the healthcare needs of its ageing population.
    },
     year = {2025}
    }
    

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    AU  - Abena Boahemaa Adusei
    AU  - Helen Bour
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    AB  - Effective healthcare utilisation is vital for the well-being of older adults. Ghana, with its growing elderly population, requires robust monitoring and evaluation (M&E) strategies to assess healthcare access and service utilisation. This study aimed to investigate monitoring and evaluation (M&E) strategies for healthcare utilisation among older adults in Ghana. An integrative review methodology was employed in this study, encompassing a five-stage process: problem identification, literature search, data evaluation, data analysis, and presentation of findings. The selected seven papers focusing on healthcare access and utilisation by Ghana's geriatrics were analysed. National policies such as the National Ageing Policy provide a framework for addressing the healthcare needs of older persons. The Ghana Health Service collects health data from routine service records and the District Health Information Management System (DHIMSII), which provides information on older persons' healthcare utilisation in Ghana. The National Health Insurance Scheme and Ghana Living Standard Survey provide some coverage for older persons and track their health access and consumption. Despite the prevalence of M&E techniques for elderly care, there are limitations, like DHIMSII data limits and the NHIS's inability to monitor unregistered individuals. Ghana implements various M&E strategies that are effective, but ongoing improvements are needed to fully address the healthcare needs of its ageing population.
    
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