Community-Based Health Planning and Services Plus programme in Ghana: A qualitative study with stakeholders in two Systems Learning Districts on improving the implementation of primary health care
| العنوان: | Community-Based Health Planning and Services Plus programme in Ghana: A qualitative study with stakeholders in two Systems Learning Districts on improving the implementation of primary health care |
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| المؤلفون: | Fortress Yayra Aku, Fidelis Anumu, Joyce Komesuor, Laud Ampomah Boateng, Hubert Amu, John O. Gyapong, Ayaga A. Bawah, Timothy Letsa, Elvis Enowbeyang Tarkang, Margaret Kweku, John Koku Awoonor-Williams, Emmanuel Manu, Martin Amogre Ayanore, Adam Awolu, Roland Glover, Martin Adjuik, Nicholas S. Kanlisi, James F. Phillips, Justine Sefakor Alornyo, Nuworza Kugbey, Geoffrey Adebayo Asalu |
| المصدر: | PLoS ONE, Vol 15, Iss 1, p e0226808 (2020) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Critical Care and Emergency Medicine, Health Care Providers, Nurses, Ghana, Health Services Accessibility, Geographical Locations, 0302 clinical medicine, Medicine and Health Sciences, Public and Occupational Health, Attrition, Community Health Services, Medical Personnel, 030212 general & internal medicine, Health Systems Strengthening, Qualitative Research, Multidisciplinary, Community engagement, 030503 health policy & services, Stakeholder, Community ownership, Focus Groups, Middle Aged, Professions, Medicine, Female, 0305 other medical science, Research Article, Adult, Health Personnel, Resuscitation, Science, Exploratory research, MEDLINE, Community Health Planning, Young Adult, 03 medical and health sciences, Nursing, Stakeholder Participation, medicine, Humans, Health Care Policy, Primary Health Care, Health Services Administration and Management, Health Plan Implementation, Biology and Life Sciences, Neonates, Communication in Health Care, medicine.disease, Focus group, Health Care, Health Planning, People and Places, Africa, Population Groupings, Business, Developmental Biology, Qualitative research |
| الوصف: | BackgroundIn 1999, Ghana introduced the Community-Based Health Planning and Services (CHPS) as the key primary health care strategy. In this study, we explored the challenges, capacity development priorities, and stakeholder perspectives on improving the CHPS concept as it has been fraught with a myriad of challenges since its inception. Our study is the outcome of the national programme for strengthening the implementation of CHPS Initiative in Ghana (CHPS+) introduced in 2017.MethodsThis exploratory research was a qualitative study conducted in two Systems Learning Districts (SLDs) of CHPS+ in the Volta Region of Ghana from March to May, 2018. Four focus group discussions and two general discussions were conducted among 60 CHPS+ stakeholders made up of health workers and community members. Data analyses were conducted using conceptual content analysis. Statements of the participants were presented as quotes to substantiate the views expressed.ResultsNegative attitude, high attrition, inadequacy and unavailability of health professionals at post when needed were challenges associated with the health professionals. Late referrals, lack of proper community entry and engagement, non-availability of essential logistics, distance of CHPS compounds from communities, and inadequate funding were challenges associated with the health system. Lack of community ownership of the CHPS programme, lack of security at CHPS compounds, and late reporting of cases by the community members were also realised as challenges emanating from the community members. Priority areas for capacity development of health workers identified included logistics management, community entry and engagement, emergency delivery, managing referrals at the CHPS level, and resuscitation of newborns.ConclusionHealth-worker, community, and health systems-based challenges inhibit the implementation of CHPS in Ghana. Capacity development of health professionals and continuous community engagement are avenues that can improve implementation of the programme. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b22eeb9d8e8490c3653fe38ba3238443 https://doaj.org/article/6ca390466d6c45978866421fafe10671 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....b22eeb9d8e8490c3653fe38ba3238443 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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