Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project
Background. The Community-based Health Planning and Services (CHPS) initiative is Ghana’s flagship strategy for achieving universal health coverage (UHC). Community involvement in and perceptions of CHPS capacity to improve health outcomes of communities are examined. Methods. This community-based d...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Advances in Public Health |
| Online Access: | http://dx.doi.org/10.1155/2020/2385742 |
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| author | Margaret Kweku Hubert Amu Martin Adjuik Emmanuel Manu Fortress Yayra Aku Elvis Enowbeyang Tarkang Joyce Komesuor Geoffrey Adebayo Asalu Norbert Ndaah Amuna Laud Ampomah Boateng Justine Sefakor Alornyo Roland Glover Ayaga A. Bawah Timothy Letsa John Koku Awoonor-Williams S. Patrick Kachur James F. Phillips John Owusu Gyapong |
| author_facet | Margaret Kweku Hubert Amu Martin Adjuik Emmanuel Manu Fortress Yayra Aku Elvis Enowbeyang Tarkang Joyce Komesuor Geoffrey Adebayo Asalu Norbert Ndaah Amuna Laud Ampomah Boateng Justine Sefakor Alornyo Roland Glover Ayaga A. Bawah Timothy Letsa John Koku Awoonor-Williams S. Patrick Kachur James F. Phillips John Owusu Gyapong |
| author_sort | Margaret Kweku |
| collection | DOAJ |
| description | Background. The Community-based Health Planning and Services (CHPS) initiative is Ghana’s flagship strategy for achieving universal health coverage (UHC). Community involvement in and perceptions of CHPS capacity to improve health outcomes of communities are examined. Methods. This community-based descriptive cross-sectional study recruited 1008 adults aged 18 years and above in two System Learning Districts of the CHPS+ project. Data collected were analysed using descriptive and inferential statistics. Results. The level of community involvement in CHPS activities was 48.9% of the population studied. The overall level of positive perception of CHPS services was 51.7%. Community members who were involved in identifying resources (AOR = 1.86 (95% CI = 1.17, 2.97), p=0.009), organising durbars (AOR = 2.09 (95% CI = 1.12, 3.88), p=0.020), and preparing sites for outreach services (AOR = 3.76 (95% CI = 2.23, 6.34), p<0.001) were significantly more likely to have positive perceptions of the relevance of CHPS to improving the health status of communities compared to those who were uninvolved. Conclusion. The level of community involvement in CHPS services is low. Ghana may not be able to attain the UHC goal by 2030 through CHPS implementation unless its level of community involvement is markedly improved. Ghana’s health sector stakeholders should implement community engagement mechanisms that foster improved worker outreach, expanded use of community gatherings, and more active participation of traditional leaders and grassroots political representatives. |
| format | Article |
| id | doaj-art-09b0a3b891c44945a3105d0b66a671c0 |
| institution | Kabale University |
| issn | 2356-6868 2314-7784 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
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| series | Advances in Public Health |
| spelling | doaj-art-09b0a3b891c44945a3105d0b66a671c02025-02-03T05:43:41ZengWileyAdvances in Public Health2356-68682314-77842020-01-01202010.1155/2020/23857422385742Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ ProjectMargaret Kweku0Hubert Amu1Martin Adjuik2Emmanuel Manu3Fortress Yayra Aku4Elvis Enowbeyang Tarkang5Joyce Komesuor6Geoffrey Adebayo Asalu7Norbert Ndaah Amuna8Laud Ampomah Boateng9Justine Sefakor Alornyo10Roland Glover11Ayaga A. Bawah12Timothy Letsa13John Koku Awoonor-Williams14S. Patrick Kachur15James F. Phillips16John Owusu Gyapong17School of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaSchool of Public Health, University of Health and Allied Sciences, Hohoe, GhanaVolta Regional Health Directorate, Ghana Health Service, Ho, GhanaVolta Regional Health Directorate, Ghana Health Service, Ho, GhanaVolta Regional Health Directorate, Ghana Health Service, Ho, GhanaRegional Institute of Population Studies, University of Ghana, Legon, GhanaVolta Regional Health Directorate, Ghana Health Service, Ho, GhanaPolicy Planning Monitoring and Evaluation Division, Ghana Health Service, Accra, GhanaMailman School of Public Health, Columbia University, New York, USAMailman School of Public Health, Columbia University, New York, USAOffice of the Vice Chancellor, University of Health and Allied Sciences, Ho, GhanaBackground. The Community-based Health Planning and Services (CHPS) initiative is Ghana’s flagship strategy for achieving universal health coverage (UHC). Community involvement in and perceptions of CHPS capacity to improve health outcomes of communities are examined. Methods. This community-based descriptive cross-sectional study recruited 1008 adults aged 18 years and above in two System Learning Districts of the CHPS+ project. Data collected were analysed using descriptive and inferential statistics. Results. The level of community involvement in CHPS activities was 48.9% of the population studied. The overall level of positive perception of CHPS services was 51.7%. Community members who were involved in identifying resources (AOR = 1.86 (95% CI = 1.17, 2.97), p=0.009), organising durbars (AOR = 2.09 (95% CI = 1.12, 3.88), p=0.020), and preparing sites for outreach services (AOR = 3.76 (95% CI = 2.23, 6.34), p<0.001) were significantly more likely to have positive perceptions of the relevance of CHPS to improving the health status of communities compared to those who were uninvolved. Conclusion. The level of community involvement in CHPS services is low. Ghana may not be able to attain the UHC goal by 2030 through CHPS implementation unless its level of community involvement is markedly improved. Ghana’s health sector stakeholders should implement community engagement mechanisms that foster improved worker outreach, expanded use of community gatherings, and more active participation of traditional leaders and grassroots political representatives.http://dx.doi.org/10.1155/2020/2385742 |
| spellingShingle | Margaret Kweku Hubert Amu Martin Adjuik Emmanuel Manu Fortress Yayra Aku Elvis Enowbeyang Tarkang Joyce Komesuor Geoffrey Adebayo Asalu Norbert Ndaah Amuna Laud Ampomah Boateng Justine Sefakor Alornyo Roland Glover Ayaga A. Bawah Timothy Letsa John Koku Awoonor-Williams S. Patrick Kachur James F. Phillips John Owusu Gyapong Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project Advances in Public Health |
| title | Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project |
| title_full | Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project |
| title_fullStr | Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project |
| title_full_unstemmed | Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project |
| title_short | Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project |
| title_sort | community involvement and perceptions of the community based health planning and services chps strategy for improving health outcomes in ghana quantitative comparative evidence from two system learning districts of the chps project |
| url | http://dx.doi.org/10.1155/2020/2385742 |
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