Factors facilitating and constraining the scaling up of an evidence-based strategy of community-based primary care
Management perspectives from northern Ghana
Bibliographic Data
| ID | 15540022 |
|---|---|
| Authors | Abigail Krumholz (Columbia University, corresponding author), Allison Stone (Columbia University), Maxwell Ayindenaba Dalaba (0000-0002-7101-769X, Navrongo Health Research Centre), Jonathan F Phillips (0000-0002-6720-7204, Columbia University), Philip Baba Adongo (0000-0002-0614-4756, University of Ghana) |
| Year | 2014 |
| Volume | 10 |
| Issue | 3 |
| Pages | 366-378 |
| Publication date | 2014-12-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2014.981831 |
| PMID | 25436901 |
| OpenAlex | W2138345385 |
| Language | EN |
| Citations received | 10 |
| References cited | 15 |
From 1994 to 2003, the government of Ghana investigated the child survival and fertility impacts of community-based primary care nurses and volunteer mobilisation efforts. This study, known as the Navrongo Project, demonstrated improved health outcomes and was scaled-up as the Community-based Health Planning and Services (CHPS) Initiative. Studies suggest that scaled-up CHPS services have not fully replicated the impact of the Project. This study investigates implementation challenges that could explain this atrophy by assembling the perspectives of health care managers that have experience with both the Project and CHPS. Data from in-depth interviews of health managers are analysed using deductive content analysis. Respondents exhibited a consistent vision of doorstep services with regard to the Project and CHPS. They shared the perspective that while scale-up has progressed slowly, it has expanded the range of services provided. Respondents felt, however, that the original emphasis on community involvement has atrophied with scale-up and that current operations are managed less rigorously than during the Project. Thus, while the expanded scope of CHPS has increased access to health care, the original focus on community engagement has faded. The original Project leadership strategy merits review for ways to integrate leadership development into scale-up activities
Business · Community engagement · Community health · Focus group · Geography · Government (linguistics · Health care · Medical education · Political science · Public health · Public relations · Scale (ratio · Scope (computer science · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Poverty, Education, and Child Welfare · Psychology · Marketing
Implementation research
Community-based Health Planning and Services programme in Ghana
Implementation of the Community-based Health Planning and Services (CHPS) in rural and urban Ghana
Level and determinants of district primary healthcare system technical efficiency in Ghana
Capacity issues in primary health care implementation
Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health
Conforming to partnership values
Community perceptions of universal health coverage in eight districts of the Northern and Volta regions of Ghana
Using systems thinking to understand the scale-up and sustainability of health innovation
Factors influencing the scale-up of public health interventions in low- and middle-income countries
The qualitative content analysis process
Diffusion of Innovations in Service Organizations
Costs of scaling up health interventions
The Ghana Community-based Health Planning and Services Initiative for scaling up service delivery innovation
Helping Public Sector Health Systems Innovate
Developing a Culturally Appropriate Family Planning Program for the Navrongo Experiment
The Navrongo Community Health and Family Planning Project
The Long‐Term Fertility Impact of the Navrongo Project in Northern Ghana
| Unique citing works | 10 |
|---|---|
| Citations per year | 1 |
| Citation span | 2016 - 2026 (11) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 10 |