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Community utilisation and satisfaction with the community-based health planning and services initiative in Ghana: a comparative study in two system learning districts of the CHPS+ project.
Kweku, Margaret; Amu, Hubert; Adjuik, Martin; Aku, Fortress Yayra; Manu, Emmanuel; Tarkang, Elvis Enowbeyang; Komesuor, Joyce; Asalu, Geoffrey Adebayor; Amuna, Norbert Ndaah; Boateng, Laud Ampomah; Alornyo, Justine Sefakor; Glover, Roland; Bawah, Ayaga A; Letsa, Timothy; Awoonor-Williams, John Koku; Phillips, James F; Gyapong, John Owusu.
Afiliação
  • Kweku M; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Amu H; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana. hamu@uhas.edu.gh.
  • Adjuik M; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Aku FY; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Manu E; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Tarkang EE; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Komesuor J; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Asalu GA; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Amuna NN; School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
  • Boateng LA; Volta Regional Health Directorate, Ghana Health Service, Ho, Ghana.
  • Alornyo JS; Volta Regional Health Directorate, Ghana Health Service, Ho, Ghana.
  • Glover R; Volta Regional Health Directorate, Ghana Health Service, Ho, Ghana.
  • Bawah AA; Regional Institute of Population Studies, University of Ghana, Legon, Ghana.
  • Letsa T; Volta Regional Health Directorate, Ghana Health Service, Ho, Ghana.
  • Awoonor-Williams JK; Policy Planning Monitoring and Evaluation Division, Ghana Health Service, Accra, Ghana.
  • Phillips JF; Mailman School of Public Health, Columbia University, New York, USA.
  • Gyapong JO; Office of the Vice-Chancellor, University of Health and Allied Sciences, Ho, Ghana.
BMC Health Serv Res ; 20(1): 845, 2020 Sep 09.
Article em En | MEDLINE | ID: mdl-32907563
BACKGROUND: To strengthen the implementation of the Community-based Health Planning and Services (CHPS) programme which is Ghana's key primary health care delivery strategy, the CHPS+ Project was initiated in 2017. We examined community utilisation and satisfaction with CHPS services in two System Learning Districts (SLDs) of the project. METHODS: This community-based descriptive study was conducted in the Nkwanta South Municipality and Central Tongu District of Ghana. Data were collected from 1008 adults and analysed using frequency, percentage, chi-square, and logistic regression models. RESULTS: While the level of utilisation of CHPS services was 65.2%, satisfaction was 46.1%. Utilisation was 76.7% in Nkwanta South and 53.8% in Central Tongu. Satisfaction was also 55.2% in Nkwanta South and 37.1% in Central Tongu. Community members in Nkwanta South were more likely to utilise (AOR = 3.17, 95%CI = 3.98-9.76) and be satisfied (AOR = 2.77, 95%CI = 1.56-4.90) with CHPS services than those in Central Tongu. Females were more likely to utilise (AOR = 1.75, 95%CI = 1.27-2.39) but less likely to be satisfied [AOR = 0.47, 95%CI = 0.25-0.90] with CHPS services than males. Even though subscription to the National Health Insurance Scheme (NHIS) was just 46.3%, NHIS subscribers were more likely to utilise (AOR = 1.51, 95%CI = 1.22-2.03) and be satisfied (AOR = 1.45, 95%CI = 0.53-1.68) with CHPS services than non-subscribers. CONCLUSION: Ghana may not be able to achieve the goal of universal health coverage (UHC) by the year 2030 if current levels of utilisation and satisfaction with CHPS services persist. To accelerate progress towards the achievement of UHC with CHPS as the vehicle through which primary health care is delivered, there should be increased public education by the Ghana Health Service (GHS) on the CHPS concept to increase utilisation. Service quality should also be improved by the GHS and other stakeholders in Ghana's health industry to increase satisfaction with CHPS services. The GHS and the National Health Insurance Authority (NHIA) should also institute innovative strategies to increase subscription to the NHIS since it has implications for CHPS service utilisation and satisfaction.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Aceitação pelo Paciente de Cuidados de Saúde / Satisfação do Paciente / Planejamento em Saúde Comunitária Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País como assunto: Africa Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Atenção Primária à Saúde / Aceitação pelo Paciente de Cuidados de Saúde / Satisfação do Paciente / Planejamento em Saúde Comunitária Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged País como assunto: Africa Idioma: En Ano de publicação: 2020 Tipo de documento: Article