**4.1 Knowledge of National health policy**

The level of knowledge of the National Health Policy was well known among almost all the participants as it was considered a policy that aims to promote health for everyone in Ghana. This view is similar to Vartan and Montuschi's [15]'s assertion that the national health policy has been developed to promote, restore, and maintain good health for all people living in Ghana. Participants also explained their knowledge of the national health policy from the persons with disabilities Act perspective as a means of getting access to healthcare services without any barrier or discrimination. This finding in this study is consistent with the Americans with Disability Act (1990) Section 504 of the Rehabilitation Act that forbids discrimination based on disability and also the Person with Disability Act (2006) of Ghana Section 4 (1) and (6) that prohibit discriminate, exploit or to subject a person with disabilities to abusive or degrading treatment.

The present study findings indicate that the majority of the respondents had sufficient knowledge regarding the NHIS (NHIS) describing it as a safety net that replaces the cash and system of service delivery in Ghana. This finding is in agreement with a study conducted by Akande and Akande [16] on "The Awareness and Attitude of Practitioners on NHIS in Llorin showed that all respondents were aware of the scheme but only a few did not know. Another study conducted by Dixon et al. [17] on "Ghana's NHIS: a national level investigation of members' perceptions on service provision in Ghana" found that the NHIS replaces cash-and-carry, which required individuals to make a payment from their pockets at service usage. However, another study by Gopalan and Durairaj [18] showed that better-educated individuals can access diverse sources of information, correctly process and take advantage of benefits than those who are less educated and those without formal education. Those who could not afford to spend more on the healthcare needs of children with CP may adopt other coping mechanisms such as alternative care, presenting late at the health facilities, or not receiving care at all.
