**4.2 Perception of implementation of National health policy**

Findings from this current study revealed that respondents are influenced in accessing health care for their wards even when they are insured as they perceived the implementation of the National Health Policy to be ineffective concerning poorquality health service for the insured. This finding is similar to Bruce et al. [19] study results on "The perceptions and experiences of health care providers and clients in two districts in Ghana" which showed that insured clients are not satisfied with the healthcare they received and perceived that they were given poorer quality services and tend to wait longer as compared to those making Out of Pocket Payment (OOP). The present study also revealed that the implementation of the National Health Policy is ineffective as respondents perceived that it does not cover major specialized services and treatment for children with CP. This study finding is in contrast to Dalinjog and Laar's [20] study on "The effectiveness of the National Health Policy in Ghana" which found that both insured and uninsured respondents had positive perceptions and were satisfied with the care provided.
