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

Kweku, Margaret; Amu, Hubert; Adam, Awolu; Adjuik, Martin; Ayanore, Martin Amogre; Manu, Emmanuel; Tarkang, Elvis Enowbeyang; Komesuor, Joyce; Asalu, Geoffrey Adebayo; Aku, Fortress Yayra; Kugbey, Nuworza; Anumu, Fidelis E. Y.; Boateng, Laud Ampomah; Alornyo, Justine Sefakor; Glover, Roland; Letsa, Timothy; Bawah, Ayaga A.; Kanlisi, Nicholas; Awoonor-Williams, John Koku; Phillips, James F.; Gyapong, John

doi:10.1371/journal.pone.0226808

Cited by 46 publications

(63 citation statements)

References 19 publications

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“…A score of 60 would indicate moderate, a score ranging from 61 to 79 would indicate 'moderate to not fully satisfied' and a score of 80 and above would indicate satisfied. This questionnaire has been widely used in measuring employee job satisfaction in contemporary studies with robustness of inference [38,39].…”

Section: Measurement Of Psychological Capitalmentioning

confidence: 99%

The Influence of Managerial Psychology on Job Satisfaction among Healthcare Employees in Ghana

Dai

Akey-Torku

2020

Healthcare

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Background: Employee job satisfaction has been established to be one of the important factors that work towards addressing the subject matter of productivity in organizations. Healthcare professionals deserve some level of basic psychological need satisfaction in the area of job autonomy. Reasons that lead to employees achieving job autonomy and job satisfaction have been researched by industrial and organizational psychologists but very few of such studies have directed their attention towards the role psychological capital can play. Therefore, this study sought to find out how much of an impact positive psychology can make on the job autonomy of healthcare employees leading to the fulfillment of job satisfaction. Methods: Data were collected from 385 healthcare professionals from the public sector. A structural equation model was performed to analyze the relationship that exists between the constructs of psychological capital and job autonomy leading to job satisfaction on the part of the employees. Results: Results showed both a direct and indirect positive relationship between hope and job satisfaction and indirect through job autonomy. Apart from self-efficacy, that had a very low positive relationship, optimism largely influenced job autonomy of healthcare professionals. Results also showed that psychological capital positively related to job autonomy while job autonomy minimally influenced job satisfaction. Conclusions: It is concluded from this study that healthcare professionals deserve some level of basic psychological need satisfaction in the area of job autonomy and that can stimulate positive work ethic.

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Section: Measurement Of Psychological Capitalmentioning

confidence: 99%

The Influence of Managerial Psychology on Job Satisfaction among Healthcare Employees in Ghana

Dai

Akey-Torku

2020

Healthcare

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“…The shortage of healthcare providers hinders Ghana's capacity to control HTN at the primary care level, where the majority of patients receive care [14]. Thus, there is a need to implement and integrate bold innovative strategies into already existing infrastructure within the Ghana Health Service such as the successful Community-Based Health Planning and Services programme (CHPS) [15]. The CHPS concept is Ghana's key strategy for changing the focus of primary health care from the district and sub-district health facilities to community and doorstep locations [15,16].…”

Section: Introductionmentioning

confidence: 99%

Implementing evidence-based task-strengthening strategies for hypertension control within Ghana’s Community-based Health Planning Services: a concept mapping analysis

Nyame¹,

Iwelunmor²,

Asante³

et al. 2021

Preprint

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Background As efforts are made to systematically implement an evidence-based task-strengthening strategy for hypertension control (TASSH) in Ghana, understanding their content can help national, regional and district health stakeholders within Ghana’s Health Services (GHS) identify strategies for enhancing intervention uptake and sustainability in their local context. This study sought to describe national, regional and district health stakeholders’ perspectives and characterize the array of strategies needed to enhance the uptake of evidence-based TASSH within Ghana’s Community-based Health and Planning Services (CHPS) zones. Methods This qualitative study was conducted among national, regional and district health stakeholders within GHS serving patients who utilize CHPS zones. The CHPS initiative is Ghana’s flagship strategy for achieving universal health coverage. Semi-structured interviews were conducted with 22 national, regional and district health stakeholders identified via purposive sampling. Interviews were conducted in 2018. Data analysis was conducted between July 2019 and December 2019. Data was analyzed using group concept mapping systems to identify major themes and subthemes. Results About 68 % of participants were male with mean age of 40 years and mean years of experience providing hypertension-related care within GHS of 9 years. A conceptual map emerged, consisting of 46 strategies needed for implementing evidence-based TASSH, organized into 6 clusters: 1) Referral Systems; 2) Availability of Equipment; 3) Protocols and Guidelines; 4) Capacity Building/Training; 5) Policy Reform, and 6) Technical Support and Supervision. Availability of equipment was rated as the most important strategy (mean 4.80 out of 5) needed to implement evidence-based TASSH, while Capacity Building/Training was rated as the most feasible strategy (mean 4.20 out of 5) to address. Although important (mean 4.40 out of 5), Policy reform was rated as the least important and feasible strategy to address. Conclusions These findings demonstrate strategies that can help inform future interventions focused on the adoption and sustainability of evidence-based TASSH within Ghana’s CHPS zones. Also, national, regional and district health stakeholders can support healthcare workers by facilitating access to equipment and strategies for enhancing capacity and training with implementing evidence-based task-shifting hypertension interventions in Ghana.

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“…e declaration also emphasised the importance of community engagement in the efficient planning, organisation, and functioning of primary healthcare services. Ghana, thus, adopted the Community-based Health Planning and Services (CHPS) in 2000 as a national policy for the provision of PHC services [4]. e CHPS concept brings healthcare to the doorsteps of people by employing the services of health workers living within the community.…”

Section: Introductionmentioning

confidence: 99%

Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project

Kweku

Amu

Adjuik

et al. 2020

Advances in Public Health

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Background. The Community-based Health Planning and Services (CHPS) initiative is Ghana’s flagship strategy for achieving universal health coverage (UHC). Community involvement in and perceptions of CHPS capacity to improve health outcomes of communities are examined. Methods. This community-based descriptive cross-sectional study recruited 1008 adults aged 18 years and above in two System Learning Districts of the CHPS+ project. Data collected were analysed using descriptive and inferential statistics. Results. The level of community involvement in CHPS activities was 48.9% of the population studied. The overall level of positive perception of CHPS services was 51.7%. Community members who were involved in identifying resources (AOR = 1.86 (95% CI = 1.17, 2.97), p=0.009), organising durbars (AOR = 2.09 (95% CI = 1.12, 3.88), p=0.020), and preparing sites for outreach services (AOR = 3.76 (95% CI = 2.23, 6.34), p<0.001) were significantly more likely to have positive perceptions of the relevance of CHPS to improving the health status of communities compared to those who were uninvolved. Conclusion. The level of community involvement in CHPS services is low. Ghana may not be able to attain the UHC goal by 2030 through CHPS implementation unless its level of community involvement is markedly improved. Ghana’s health sector stakeholders should implement community engagement mechanisms that foster improved worker outreach, expanded use of community gatherings, and more active participation of traditional leaders and grassroots political representatives.

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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

Cited by 46 publications

References 19 publications

The Influence of Managerial Psychology on Job Satisfaction among Healthcare Employees in Ghana

The Influence of Managerial Psychology on Job Satisfaction among Healthcare Employees in Ghana

Implementing evidence-based task-strengthening strategies for hypertension control within Ghana’s Community-based Health Planning Services: a concept mapping analysis

Community Involvement and Perceptions of the Community-Based Health Planning and Services (CHPS) Strategy for Improving Health Outcomes in Ghana: Quantitative Comparative Evidence from Two System Learning Districts of the CHPS+ Project

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