Examining the Utilization of Social Capital by Ghanaians When Seeking Care for Chronic Diseases: A Personal Network Survey

Int J Public Health. 2023 Dec 21:68:1605891. doi: 10.3389/ijph.2023.1605891. eCollection 2023.

Abstract

Objectives: With limited social security and health protection in Ghana, intergenerational support is needed by those living with NCDs, who incur recurrent costs when seeking NCD care. We measured the level of informal support received by NCD patients and identified factors that influence support provision. Methods: We surveyed 339 NCD patients from three hospitals in Ghana, who listed their social ties and answered questions about their relationship and support frequency. We analyzed the relationship between social support, demographic and health information, characteristics of social ties, and network characteristics. Results: Participants described 1,371 social ties. Nearly 60% of respondents reported difficulties in their usual work or household duties due to chronic illness, which was also the strongest predictor of support. Patients with higher wellbeing reported less social support, while older age and having co-habitant supporters were negatively associated with support, indicating caregiver burnout. Conclusion: Ghanaian NCD patients receive support from various caregivers who may not be able to handle the increasing healthcare and social needs of an aging population. Policies should therefore enhance resource pooling and inclusiveness for old age security.

Keywords: Ghana; NCDs; informal care; social capital; social support.

MeSH terms

  • Aged
  • Caregivers
  • Chronic Disease
  • Ghana / epidemiology
  • Humans
  • Noncommunicable Diseases* / therapy
  • Social Capital*
  • Social Support
  • Surveys and Questionnaires

Grants and funding

This manuscript is part of the research project “Health systems governance for an inclusive and sustainable social health protection in Ghana and Tanzania” funded via the Swiss Programme for Research on Global Issues for Development (R4D), a joint research funding programme of the Swiss National Science Foundation and the Swiss Agency for Development and Cooperation (Grant #: 183760). The funders were not involved in the study design, data collection, analysis, interpretation of findings, the writing of this article or the decision to submit it for publication.