Evidence map›Paper›PMID 37435526›Full record

SynthesisFrontiers in public health2023

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.

Helen Elsey, Mary Abboah-Offei, Aishwarya Lakshmi Vidyasagaran, Dominic Anaseba, Lauren Wallace, Adanna Nwameme, Akosua Gyasi, Andrews Ayim, Adelaide Ansah-Ofei, Nina Amedzro and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Improving Primary Healthcare: Applying Grapevine (Healthcare (Basel, Switzerland) · 2026
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  5. High-quality primary healthcare: addressing the challenges here and now.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    Article
  6. Article
  7. Article
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  14. Review
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  17. The intersection of sickle cell disease, stigma, and pain in Africa.Hematology. American Society of Hematology. Education Program · 2024
    Review
  18. Article
  19. Article
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

14 authors.

Helen ElseyDepartment of Health Sciences, Hull York Medical School, University of York, York, United Kingdom.
Mary Abboah-OffeiSchool of Health and Life Sciences, University of the West of Scotland (London Campus), London, United Kingdom.
Aishwarya Lakshmi VidyasagaranDepartment of Health Sciences, Hull York Medical School, University of York, York, United Kingdom.
Dominic AnasebaFaculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.
Lauren WallaceDodowa Health Research Centre, Research and Development Division, Ghana Health Service, Accra, Ghana.
Adanna NwamemeDepartment of Social and Behavioural Sciences, School of Public Health, University of Ghana, Accra, Ghana.
Akosua GyasiFaculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.
Andrews AyimFaculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.
Adelaide Ansah-OfeiSchool of Nursing and Midwifery, University of Ghana, Accra, Ghana.
Nina AmedzroDepartment of Health Sciences, Hull York Medical School, University of York, York, United Kingdom.
Delanyo DovloFaculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.
Erasmus AgongoFaculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.
Koku Awoonor-WilliamsGhana Health Service, Accra, Ghana.
Irene AgyepongFaculty of Public Health, Ghana College of Physicians and Surgeons, Accra, Ghana.

Funding

Medical Research Council MR/T022787/1
6 · The paper itself

Abstract

Background: Despite renewed emphasis on strengthening primary health care globally, the sector remains under-resourced across sub-Saharan Africa. Community-based Health Planning and Services (CHPS) has been the foundation of Ghana's primary care system for over two decades using a combination of community-based health nurses, volunteers and community engagement to deliver universal access to basic curative care, health promotion and prevention. This review aimed to understand the impacts and implementation lessons of the CHPS programme. Methods: We conducted a mixed-methods review in line with PRISMA guidance using a results-based convergent design where quantitative and qualitative findings are synthesized separately, then brought together in a final synthesis. Embase, Medline, PsycINFO, Scopus, and Web of Science were searched using pre-defined search terms. We included all primary studies of any design and used the RE-AIM framework to organize and present the findings to understand the different impacts and implementation lessons of the CHPS programme. Results: Conclusions: The clear specification of CHPS combined with a conducive national policy environment has aided scale-up. Strengthened health financing strategies, review of service provision to prepare and respond to pandemics, prevalence of non-communicable diseases and adaptation to changing community contexts, particularly urbanization, are required for successful delivery and future scale-up of CHPS. Systematic review registration: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=214006, identifier: CRD42020214006.

Indexed as

Community Health ServicesHealth PlanningFertilityGhanaHealth PromotionHumansUnited StatesCommunity-based Health Planning and Services (CHPS)health services administration and managementprimary carepublic healthsocial medicineurban health

Identifiers

PMID37435526
PMCPMC10332345

What OpenQuestion holds

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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.