ABSTRACT
This chapter presents the case study which discusses the framework for the type of co-production that is occurring in government secondary hospitals in Nigeria and Ghana and how such co-production is helping to improve healthcare services in those countries. Mary S. Mangai's study shows that the government is failing to respond to inadequate service provision in Nigeria and Ghana. Such unresponsiveness and the resulting funding issues have resulted in a shortage of human resources, inadequate facilities, infrastructural deficiencies, obsolete equipment and low remuneration, as reported by health professionals. Despite the poor working conditions, the primary motivation of the casual workers for co-producing core health services is the prospect of unemployment. The unemployment rate is high in both Nigeria and Ghana. The chapter concludes that co-production provides common ground for the health professionals and unemployed health professionals to solve their problems and it improves health services and outcomes.
