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

Autor: 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
Jazyk: angličtina
Rok vydání: 2020
Předmět:
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
Zdroj: PLoS ONE, Vol 15, Iss 1, p e0226808 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: 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.
Databáze: OpenAIRE
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