ArticlePloS one2020
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.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Implementation of the Community-based Health Planning and Services (CHPS) in rural and urban Ghana: a history and systematic review of what works, for whom and why.Frontiers in public health · 2023Pooled it
- Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.PloS one · 2021Pooled it
- Multi-actor collaborations in primary health care implementation: a Social Network Analysis of the primary health care strategy in Ghana.Health policy and planning · 2026Article
- Understanding the community management of long-term physical and mental health conditions in Bolivia, Colombia and Guatemala: a situational analysis.BMJ global health · 2026Article
- Quantifying inequality in the utilization of healthcare services provided by community-based health planning and services and its correlates in selected urban poor communities in Ghana: an analytic cross-sectional study, 2023.BMC health services research · 2026Article
- Insights into Malaria and HIV Co-infection: Trends and Impact in Sub-Saharan Africa.Current HIV research · 2026Review
- Community case study: overcoming barriers to social participation for improved local health governance in Madagascar.Frontiers in public health · 2026Article
- Exploring patient and provider perspectives on outpatient care and the family practice model at a university hospital in Ghana.PloS one · 2026Article
- Article
- Health needs assessment tool for identifying the health issues among community residents with unmet needs.Tropical medicine and health · 2025Article
- Stakeholder Perspectives on Community Participation and Ownership in Community Mental Health Policy and Services: Mixed Methods Study in Ghana.Health services insights · 2025Article
- Leadership and governance for integrating mental healthcare at the primary healthcare (PHC) level: A mixed methods study in Ghana.PLOS global public health · 2025Article
- Context matters: examining factors influencing the implementation of evidence-based family systems care for small and sick newborns across the care continuum.Frontiers in health services · 2025Article
- Enablers and barriers of community health programs for improved equity and universal coverage of primary health care services: A scoping review.BMC primary care · 2024Article
- Community-Based Health Planning and Services (CHPS) concept and access to healthcare delivery in Sefwi Wiawso Municipal, Ghana.BMC health services research · 2024Article
- Article
- Sustainable solutions to barriers of point-of-care diagnostic testing services in health facilities without laboratories in the bono region, Ghana: a qualitative study.BMC primary care · 2024Article
- Assessing ventilation through ambient carbon dioxide concentrations across multiple healthcare levels in Ghana.PLOS global public health · 2024Article
- Health service factors affecting the COVID-19 vaccination campaign in a Ghanaian metropolis: A qualitative exploratory study.BMJ open · 2023Article
- Residential status and household wealth disparities in modern contraceptives use among women in Ghana: a cross-sectional analysis.BMC women's health · 2023Article
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Authors and funding
21 authors.
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Abstract
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.
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