The roles of indigenous NGOs in health service delivery in Ghana: assessing the mediating effect of administrative authenticity on the relationship between partnership potential and performance

Edwina Naa Amerley Amarteifio, Yuanwang Xu, Pearl Abredu, Priscilla Adomako Gyasi


This study sought to investigate the features of local NGOs in Ghana and how their current status and challenges influence their potential for partnerships and sustained operation. Cross-sectional survey design was followed and ten health sector NGOs were engaged to respond to questions bordering funding, infrastructure, legalization/registration, and partnerships. Quantitative assessment of data and descriptive statistics was performed. Results showed that 60.0 % of local NGOs lacked funding and 20 % were not legalized/registered. Crosstabulation of data revealed that the lack of funding was explained up to 80.0 % by NGOs’ inability to register and legalize their operations. These challenges negatively impacted their ability to secure funding from donors in the health sector and government and as well hindered their partnership potential to a large extent and should be addressed. The model for assessing mediation was significant (P< 0.05) and analysis carried out by the PROCESS macro SPSS application showed a significant mediation effect of AA on the relationship between PP and P. The indirect effect coefficient of mediation was 0.493 with lower and upper confidence intervals being 0.0180 and 0.2290 respectively. The mediation coefficient was higher than the direct effect coefficient of PP (0.318) on P, showing that there was a significant mediating effect of AA on the relationship between PP and P (Figure 4). It can also be seen that, without considering the effect of AA, PP was only able to explain the variability in P by 31.8 % whereas it did better with a 60.4 % when AA was considered, another confirmation that AA was relevant in predicting the relationship between PP and P among NGOs studied.

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