title: The contribution of community leadership upon the performance of mutual health organisations in Ghana.
abstract: OBJECTIVE
  The purpose of this paper is to investigate the effect of social dynamics on the performance of mutual health organisations (MHOs) exploring the influence of community wealth and community leadership on policy implementation.
  
  
  METHODS
  Four operating district mutual health insurance schemes were selected using geographical locations, among other criteria, as case studies. Data were gathered through interviews and documentary review. The findings were analysed using community field and social capital theories.
  
  
  RESULTS
  Traditional leaders like the Chiefs serve as the pivot around which social and human capital of the communities revolve in the developmental process of the country.
  
  
  CONCLUSIONS
  Lack of exhaustive examination of the financial and institutional viability issues of the MHOs. Future studies could assess the interplay between financial, institutional and social viability models when measuring the financial and overall sustainability of MHOs.
  
  
  CONCLUSIONS
  Health policy makers need to involve traditional leaders in the formulation and implementation of national policies since their acceptance or rejection of central government policy could have negative consequences.
  
  
  CONCLUSIONS
  Ghana is a dynamic country and there is the need to utilise existing social networks: inter-family and inter-tribal relationships to ensure the viability of MHOs.
  
  
  CONCLUSIONS
  There is and can be a successful interplay between public sector funding and community sector revenue mobilisation for financing the health sector in Ghana. This justifies the complementarity between government funding and community's resource mobilisation efforts in the health sector.
authors.affiliation: Sheffield Business School, Sheffield Hallam University, Sheffield, United Kingdom.
authors.forename: Augustine
authors.initials: A
authors.lastname: Adomah-Afari
mesh_terms: D018672:Community Health Planning; D017598:Efficiency, Organizational; D005869:Ghana; D006291:Health Policy; D006801:Humans; D007348:Insurance, Health; D007407:Interviews as Topic; D007857:Leadership; D017150:Public Sector; D036301:Qualitative Research
keywords: Community planning; Developing countries; Government policy; Health services; Human resources management; Public sector reform