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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dc.contributor.authorBawah, A.A.
dc.contributor.authorKweku, M.
dc.contributor.authorAmu, H.
dc.contributor.authorAwolu, A.
dc.contributor.authorAdjuik, M.
dc.contributor.authorAyanore, M.A.
dc.contributor.authorManu, E.
dc.contributor.authorTarkang, E.E.
dc.contributor.authorKomesuor, J.
dc.contributor.authorAsalu, G.A.
dc.contributor.authorAku, F.Y.
dc.contributor.authorKugbey, N.
dc.contributor.authorAnumu, F.
dc.contributor.authorBoateng, L.A.
dc.contributor.authorAlornyo, J.S.
dc.contributor.authorGlover, R.
dc.contributor.authorLetsa, T.
dc.contributor.authorKanlisi, N.S.
dc.contributor.authorAwoonor-Williams, J.K.
dc.contributor.authorPhillips, J.F.
dc.contributor.authorGyapong, J.O.
dc.date.accessioned2020-01-30T15:32:32Z
dc.date.available2020-01-30T15:32:32Z
dc.date.issued2020-01-08
dc.descriptionResearch Articleen_US
dc.description.abstractIn 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. Methods This 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. Results Negative 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. Conclusion Health-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 programmeen_US
dc.description.sponsorshipMK, JKA, JFP, AB, and JOG received funding from the Doris Duke Charitable Foundation for the CHPS+ projecten_US
dc.identifier.otherhttps://doi.org/ 10.1371/journal.pone.0226808
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/34709
dc.language.isoenen_US
dc.relation.ispartofseries15;1
dc.subjectCentres for Disease Control and Prevention; CHPSen_US
dc.subjectSystems Learning Districts (SLDs)en_US
dc.subjectGhanaen_US
dc.subjecthealth professionalsen_US
dc.titleCommunity-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 careen_US
dc.typeArticleen_US

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