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Community participation and views on community health planning and services (CHPS) strategies to improve health outcomes in Ghana: quantitative comparative evidence of two systematic learning areas of the CHPS + Project

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Document pages: 12 pages

Abstract: Background community based health planning and services (CHPS) initiative is Ghana s flagship strategy to achieve universal health coverage (UHC). Community participation and views on the ability of health protection centers to improve community health outcomes were studied. method. This community-based descriptive cross-sectional study recruited 1008 adults aged 18 and over in two systematic learning areas of the CHPS + project. The data collected were analyzed by descriptive and inferential statistics. The degree of community participation in CHPS activities accounted for 48.9 of the study population. The overall positive evaluation of the service of the health protection center was 51.7 . Community members involved in determining resources (AOR)   =   1.86 (95 confidence interval)   =   1.17, 2.97), organization Durbar (AOR)= 2.09 (95 CI = 1.12, 3.88), ), and preparing sites for outreach services (AOR = 3.76 (95 CI = 2.23, 6.34), ) 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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