Evidence map›Paper›PMID 28950857›Full record

ArticleBMC health services research2017

Utilization of community-based health planning and services compounds in the Kintampo North Municipality: a cross-sectional descriptive correlational study.

Kenneth Wiru, Akwasi Kumi-Kyereme, Emmanuel N Mahama, Seeba Amenga-Etego, Seth Owusu-Agyei

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  7. Scoping review of outpatient health services utilization among women.Primary health care research & development · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kenneth WiruKintampo Health Research Centre, Ghana Health Service, P.O Box 200, Kintampo, B/A Region, Ghana. Kenneth.wiru@kintampo-hrc.org.ORCID http://orcid.org/0000-0002-4053-7377
Akwasi Kumi-KyeremeDepartment of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Emmanuel N MahamaKintampo Health Research Centre, Ghana Health Service, P.O Box 200, Kintampo, B/A Region, Ghana.
Seeba Amenga-EtegoKintampo Health Research Centre, Ghana Health Service, P.O Box 200, Kintampo, B/A Region, Ghana.
Seth Owusu-AgyeiKintampo Health Research Centre, Ghana Health Service, P.O Box 200, Kintampo, B/A Region, Ghana.
Kintampo Health Research Centre · GHUniversity of Cape Coast · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Community-based Health Planning and Services (CHPS) initiative was introduced to improve coverage and utilization of basic health services for people in remote rural communities whose use of orthodox health services was hitherto limited by distance. To achieve this aim, the scheme has so far been scaled up to several communities nationwide as part of government's agenda to improve the general wellbeing of the populace. The objectives of this study were to examine the extent of patronage of CHPS compounds in the Kintampo North Municipality, factors associated with their use and challenges faced by community members regarding the use of these facilities.

methodsWe adopted a descriptive cross-sectional correlational design for this study. We collected data from 171 household heads or their representatives, selected through a multistage sampling technique. The respondents were drawn from five randomly selected communities among those with CHPS compounds and their proportions weighted based on the populations of these communities.

resultsOur analysis revealed that a high proportion (73.7%) of the respondents patronized CHPS compounds for health care. We also found sex and income to predict the use of the facilities though income was less significant after adjusting for sex in a multivariate analysis. Females were about six times more likely than males to patronize CHPS compounds (adjusted OR = 5.98, 95% CI 2.55, 14.0, P = < 0.01). Household heads earning between GH¢ 200.00 and GH¢ 300.00 were about nine times more likely to use the facilities than those who earned below GH¢ 100.00 (adjusted OR = 8.88, 95% CI 1.94, 40.6, P = 0.05). Our findings also showed that shortage of medicines (41.5%), lack of money to pay for services (28.7%) and absenteeism of Community Health Officers (CHOs) (12.3%) were major barriers to the use of the facilities.

conclusionsBased on the foregoing findings, there is an apparent need to ensure timely replenishment of medicines at the facilities and step up supervision of CHOs in order to sustain patronage of the compounds.

Indexed as

Community Health PlanningAdultAgedCross-Sectional StudiesDelivery of Health CareFemaleGhanaHealth Services AccessibilityHumansIncomeMaleMiddle AgedRural Health ServicesSex FactorsCommunity-based health planning and servicesCommunity health officersGeographic accessGhanaHealth service utilizationKintampo North MunicipalityRural communities

Identifiers

PMID28950857
PMCPMC5615810
OpenAlexW2758895722

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.